The patient has a thoracic spinal cord lesion and incontinence that occurs equally during the day and night. What type of incontinence is this patient experiencing?
Correct Answer: A
Rationale: The correct answer is A: Reflex incontinence. This type of incontinence occurs due to a lack of voluntary control over the bladder, usually resulting from a spinal cord lesion. In this case, the thoracic spinal cord lesion is causing the incontinence. The fact that incontinence occurs equally during the day and night suggests a lack of awareness or sensation of bladder fullness, characteristic of reflex incontinence.
Summary of other choices:
B: Overflow incontinence is due to bladder overdistension and is commonly associated with conditions like BPH or spinal cord injuries at the sacral level.
C: Functional incontinence is when a person is unable to reach the toilet in time due to physical or cognitive impairments.
D: Incontinence after trauma is a broad term and does not specifically address the pattern of incontinence described in the question.