Bladder Disorders & Urinary Incontinence

Question 1

Hematuria Imaging of choice

Answer 1

CT urography preferred

US if pregnant

Question 2

Most common pathogen in cystitis

Answer 2

E. Coli

also proteus and klebsiella

Question 3

Clinical Presentation—UTI (cystitis)

Answer 3

Dysuria
Frequency
Urgency
Suprapubic pain
Hematuria

Question 4

Treatment of OAB

Answer 4

Antimuscarinics:
Oxbutynin (Ditropan)
Tolterodine (Detrol)
Solifenacin (Vesicare)—once a day

Question 5

Risk Factors For Urinary Incontience

Answer 5

Obesity
Functional impairment
Parity
Family history
Smoking
Age
Others: diabetes, stroke, depression, estrogen depletion, genitourinary surgery, radiation
Non-Hispanic white women higher rates than non-Hispanic Black and Hispanic women

Question 6

Transient Causes of Incontinence (DIAPPERS)

Answer 6

Delirium
Infection
Atrophic vaginitis
Pharmacoloic: sedatives, diuretics, anticholinergics
Psychological: depression
Excessive urine production 
Restricted mobility
Stool impaction

Question 7

Nocturia Etilogies

Answer 7

CHF—fluid redistribution form pedal edema
Late evening beverages
Sleep apnea
Sleep disturbances—chronic pain, depression
Detrusor overactivity

Question 8

Miragebron (Myratriq)

Answer 8

Causes bladder relaxation
Help urge and mixed incontinence
SE: HTN, tachycardia, urinary retention (infection), inflammation of the nasal passages, dry mouth, constipation, abdominal pain, and memory problems
NOT recommended for patients with uncontrolled HTN

Question 9

Interstitial Cystitis (IC)/Bladder Pain Syndrome common feature

Answer 9

Persistent feature: pain or “unpleasant” sensation with filling of the bladder—relieved with bladder voiding