6 - Incontinence pt 2 Flashcards
what is the cause of stress incontinence?
bladder outlet is too weak
name 2 characteristic features of stress incontinence?
Urine leak on movement, coughing, laughing, squatting, etc.
Weak pelvic floor muscles
who is commonly affected by stress incontinence?
women with children, especially after menopause
describe 3 treatments for stress incontinence?
physiotherapy
oestrogen cream
duloxetine
surgical treatment for stress incontinence?
TVT/ colposuspension
what is the cause of urinary retention with overflow incontinence?
bladder outlet is too strong
4 main features of urinary retention with overflow?
Poor urine flow
double voiding
hesitancy
post micturition dribbling
who is affected by urinary retention with overflow incontinence?
older men with benign prostatic hyperplasia
treatment of urinary retention with overflow incontinence?
alpha blocker - e.g. tamsulosin
or
anti-androgen - e.g. finasteride
surgical treatment of urinary retention with overflow incontinence?
TURP
cause of urge incontinence?
bladder muscle is too strong
3 features of patients with urge incontinence?
Detrusor contracts at low volumes
Sudden urge to pass urine immediately
Patients often know every public toilet
other causes of urge incontinence?
bladder stones
stroke
how to treat urge incontinence?
anti-muscarinics - e.g. oxybutinin
bladder re-training
2 types of drugs used to relax detrusor muscle?
anti-muscarinics - e.g. oxybutinin
Beta-3 adrenoceptor agonist - e.g. mirabegron
