7 - Incontinence pt 3

Question 1

what is indication for referring patient with incontinence to specialist?

Answer 1

after failure of initial management - max of 3 months of pelvic floor exercises, cone therapy etc.

Question 2

give 5 instances where referral of UI is necessary at onset?

Answer 2

Vesico-vaginal fistula

Palpable bladder after micturition

Disease of the CNS

Certain gynaecological conditions - e.g. fibroids

Severe benign prostatic hypertrophy/ prostatic carcinoma

Question 3

when should patients with faecal incontinence be referred to specialist?

Answer 3

Referral after failure of initial management: Constipation or diarrhoea with normal sphincter

Question 4

in what cases should patients with faecal incontinence be referred to specialist at onset?

Answer 4

Suspected sphincter damage

Neurological disease

Question 5

if treatments don’t seem to work for UI, name 5 alternative ways to manage condition?

Answer 5

Incontinence pads

Urosheaths

Intermittent catheterisation

Long term urinary catheter

Suprapubic catheter