bladder disorders

Question 1

bladder fxns (2)

Answer 1

1. storage

2. empty urine

Question 2

what part of ANS maintains urinary storage

Answer 2

sympathetic activation of guarding reflexes

Question 3

near bladder capacity, strong afferent activity stimulates _____ to initiate voluntary void

Answer 3

pontine micturition center

Question 4

are women or men more affected by urinary incontinence

Answer 4

women

Question 5

Detrusor overactivity or poor detrusor compliance

Answer 5

urge incontinence

Question 6

normal PVR

Answer 6

under 50 ml

Question 7

what does a PVR>@00 indicate

Answer 7

1. bladder outlet obstruction,

2. poor bladder contractility

Question 8

Frequency and urgency with or without urge incontinence

Answer 8

overactive bladder

Question 9

Involuntary urine leak accompanied by or immediately preceded by a strong, sudden desire to urinate

Answer 9

urge incontinence

Question 10

Intermittent involuntary bladder contractions

Answer 10

detrusor overactivity

Question 11

Incremental rise in pressure as bladder volume increases

Answer 11

poor compliance

Question 12

SE with anticholinergic meds

Answer 12

dry mouth, constipation, confusion

Question 13

Last resort for refractory disease that has failed all other treatment options

Answer 13

Bladder augmentation or diversion

Question 14

extreme frequency and/or constant dribbling incontinence

Answer 14

overflow incontinence

Question 15

Involuntary urine leak with any sudden incr in abd pressure

Answer 15

stress incontinence

Question 16

stress incontinence is more common in men or women

Answer 16

women

Question 17

Urethral hypermobility

Answer 17

True anatomic stress incontinence as cause of stress incontinence

Question 18

weakness of urinary sphincter

Answer 18

Intrinsic sphincter deficiency as cause of stress incontinence

Question 19

what meds can be administered for stress incontinence

Answer 19

NONE

Question 20

urethral bulking agents can be used to tx what type of incontiencne

Answer 20

stress incontinence

Question 21

most popular procedure for stress incontinence?

Answer 21

transvaginal midurethral sling

Question 22

indications for urology referral (4)

Answer 22

1. failure to respond to conservative tx
2. hematuria
3. recurrent infxns
4. complicated incontinence

Question 23

is urine sterile

Answer 23

YES

Question 24

UTI that occurs after documented infxn that had resolved

Answer 24

recurrent UTI

Question 25

a new UTI with reintroduction of bacteria into GU tract

Answer 25

reinfection UTI

Question 26

recurrent UTI caused by same bacteria from focus of infxn

Answer 26

persistent UTI

Question 27

Syndrome of chronic pain, pressure, or discomfort associated with the bladder, usually accompanied by lower urinary tract symptoms >6 weeks duration in the absence of any identifiable cause

Answer 27

Interstitial Cystitis/Bladder Pain Syndrome (IC/BPS)