Female Incontinence

Question 1

Due to uninhibited bladder contractions and detrusor overactivity

Answer 1

urge incontinence

Question 2

Occurs when increases in intraabdominal pressure overcome sphincter closure mechanisms in the absence of bladder contraction

Answer 2

stress incontinence

Question 3

Common causes of stress incontinence

Answer 3

coughing, laughing, sneezing

Question 4

Most common type of incontinence in women

Answer 4

mixed incontinence

Question 5

Continuous leakage or dribbling of urine due to impaired detrusor contractility or bladder outlet obstruction

Answer 5

incomplete emptying (overflow incontinence)

Question 6

Have patient void until they feel they have emptied their bladder completely. Then do bladder ultrasound

Answer 6

post-void residual

Question 7

Abnormal values for post-void residual

Answer 7

greater than 100-150cc of urine

Question 8

Why do you want to get serum calcium and glucose levels when evaluating incontinence?

Answer 8

water follows Ca+ and glucose–>diuresis if levels are high

Question 9

Treatment for incontinence due to organ prolapse or stress incontinence

Answer 9

pessiaries

Question 10

Used for urge & mixed if behavioral alone is not successful. Increase bladder capacity. CI narrow angle glaucoma

Answer 10

Anticholinergics- Tolterodine (Detrol LA), Solifenacin (Vesicare)

Question 11

Used for urge & mixed if behavioral alone is not successful. direct antispasmodic effect on detrusor. less side effects than anticholinergics

Answer 11

Oxybutynin (Ditropan)

Question 12

Vaginal surgeries to correct incontinence

Answer 12

midurethral sling or bladder neck sling