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Female > Definitions > Flashcards

Definitions Flashcards

1
Q

urgency

A

sudden and compelling desire to pass urine that is difficult to defer

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2
Q

Incontinence

A

‘the complaint of involuntary loss of urine’

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3
Q

stress urinary incontinence (SUI)

A

the complaint of involuntary leakage on effort or exertion or on sneezing or coughing

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4
Q

urgency urinary incontinence (UUI)

A

complaint of involuntary leakage accompanied by or immediately preceded by urgency (sudden and compelling desire to pass urine which is difficult to defer)

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5
Q

OAB syndrome

A

‘urinary urgency, usually accompanied by frequency and nocturia, with or without urgency urinary incontinence, in the absence of urinary tract infection or other obvious pathology ( stones cancer metabolic)

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6
Q

complicated UI - 7

A 
haematuria
fistula
recurrent infections
suspected or proven voiding problems
after pelvic irradiation
radical pelvic surgery
previous incontinence surrgery
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7
Q

nocturnal enuresis

A

‘the complaint of involuntary loss of urine which occurs during sleep’

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8
Q

types of incontinence

A 
SUI
MUI
UUI
continuous
NE
insensible
coital
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9
Q

Modified Oxford Scale of pelvic floor muscle strength

A 
0No contraction
1Flicker
2Weak
3Moderate
4Good
5Strong
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10
Q

Baden Walker Classification of POP

A 
0 Normal no prolapse
1 Prolapse halfway to introitus
2 prolapse to introitus
3 prolapse partly through introitus
4 prolapse completely past introitus
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11
Q

incontinence questionnaires

A

ICIQ-UI
ICIQ-FLUTS
ICIQ-MLUTS

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12
Q

preop UDS in SUI

A

Preoperative UDS in women with uncomplicated clinically demonstrable SUI does not improve outcome of surgery for SUI
No evidence that preoperative DO is associated with surgical failure of MUS in women
Preoperative DO may be associated with persistence of urgency post operatively

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13
Q

NICE indications for UDS 4

A

Urge predominant MUI or UI in which type unclear
Symptoms suggestive voiding dysfunction
Anterior or apical prolapse
History of previous surgery for SUI

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14
Q

24 hour and 1 hour pad test

A

1 hour pad test using a standardised exercise protocol and a diagnostic threshold of 1.4g shows good specificity but lower sensitivity for SUI and MUI
24 pad test with threshold of 4.4g is more reproducible but difficult to standardise with activity level

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15
Q

1 hour pad test protocol

A

drink 500mls fluid
within 15 mins series of standardised exercises lasting one hour
increase in pad weight 1 g or more diagnostic of UI

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16
Q

nice recommendation pad tests

A

Do not use pad tests in the routine assessment of women with urinary incontinence

17
Q

conservative measures

A 
PDE
lose weight
fluid management
bowel function
drugs
pads and containment
timed prompted voiding in elderly and care dependent people
18
Q

treatment options urge predominant

A

anti muscarinics
mirabegron
PTNS

19
Q

treatment SUI

A

MUS - synthetic or autologous
Pubovaginal sling
colposuspension
urethral bulking

20
Q

men with PPI EAU recommendation

A

fixed sling or AUS

21
Q

NICE stress predominant MUI

A

If stress incontinence is the predominant symptom in mixed urinary incontinence, discuss with the woman the benefit of non-surgical management and medicines for overactive bladder before offering surgery

22
Q

weight loss

A

Three SRs plus two large RCTs concluded that weight loss was beneficial in improving UI

23
Q

no evidence conservative measures

A 
smoking
caffeine
fluid intake
exercise
catheter washes
spc vs urethral
antibiotic prophylaxis with catehter
catheter material
conveen vs catheter
constipation
other drugs
24
Q

NICE conservative measures

A

caffeine reduction in women with OAD
high or low fluid intake to modify if UI with OAB
BMI more than 30 to lose weight if UI or OAB
reassess yearly women using pads
Offer a trial of supervised pelvic floor muscle training of at least 3 months’ duration as first-line treatment to women with stress or mixed urinary incontinence
Offer bladder training lasting for a minimum of 6 weeks as first-line treatment to women with urgency or mixed urinary incontinence

If women do not achieve satisfactory benefit from bladder training programmes, the combination of an overactive bladder medicine with bladder training should be considered if frequency is a troublesome symptom

25
Q

NICE PFE frequency

A

8 contractions performed 3 times a day

26
Q

prompted voiding

A

nine RCTs

part of EAU guidelines for UI adults who are conginitively impaired

27
Q

difference between freq volume chart and bladder diary

A

incontinence
symptoms of urgency
type of fluid
pads

28
Q

Nocturnal poly iris

A

Excludes last void before bed
Includes first void morning
Occurring at night usually the 8 hours in bed
Exceeding 20% of 24 hour output in younger adults and 33% older adults

Female (4 decks)

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