Case 1 - Urinary Incontinence

Question 1

Objective

Answer 1

DDx of urinary incontinence
Treatment

Question 2

What is GSUI?
What is UUI

Answer 2

Genuine stress urinary incontinence
Urge urinary incontinence

Question 3

Painless loss of urine concurrent with Valsalva; no urge to void

Answer 3

GSUI - Genuine stress urinary incontinence

Question 4

Constant leakage after surgery or post - labor

Answer 4

Fistula

Question 5

Urge to go to bathroom and can’t make it there in time

Answer 5

UUI - Urge urinary incontinence

Question 6

Loss of urine with Valsalva ;dribbling; underlying DM or spinal cord injury

Answer 6

Overflow incontinence

Question 7

Examination for DDx for Urinary incontinenece

Answer 7

Physical examination
Cystometri examination - GSUI, UUI
Postvoid residual (catheterization)
Dye into bladder

Question 8

Treatment for GSUI &
Treatment for UUI

Answer 8

GSUI - Urethropexy (Burch procedure or urethral sling) to return proximal urethra back to intra-abdominal position)

UUI - Anticholinergic medication to relax detrusor muscle (surgery may worsen)