Common urinary histories - Incontinence Flashcards
1
Q
What would you want to ask about incontinence?
A
- Duration
- Progression
- Timing
- Onset
- Pattern
- Can they feel need to urinate
- Volume and frequency
- Bowel habits
2
Q
What urological symptoms would you want to ask about on systemic enquiry?
A
- Storage - nocturia, urgency, frequency
- Infection - dysuria, haematuria, odour, discharge
- Prostatic - dribbling, poor flow, incomplete emptying, hesitancy
3
Q
What symptoms associated with incontinence suggest stress incontinence as a cause?
A
- Small losses with effort - coughing, valsalva, exertion
- Risk factors - multiple pregnancies, post-menopause, pelvic floor trauma
4
Q
What symptoms associated with incontinence suggest urge incontinence?
A
URge to pass urine followed by uncontrollable bladdder emptying
5
Q
What symptoms associated with incontinence suggest overflow incontinence?
A
- Dribbling/poor stream
- Hesitancy
- Elderly male or history of obstruction
6
Q
What are causes of urge incontinence?
A
- Detrusor instability
- SPinal cord pathology - cord compression, cord injury, MS
7
Q
What are causes of overflow incontinence?
A
- Prostatic hypertrophy
- Stricture
- Stone
- Spinal cord pathology
8
Q
What features associated with incontinence would suggest true incontinence?
A
Continuous urinary leak
9
Q
What are causes of incontinence?
A
- Stress/urge/overflow
- True incontinence
- Post prostatectomy/other pelvic surgery
- Bladder stone/tumour
- Fistula
- Psychogenic
