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Jason's MD3 Women's > Female Urinary Incontinence > Flashcards

Female Urinary Incontinence Flashcards

1
Q

Incontinence types?

A 
Stress
Urge - detrusor overactivity/neurological
Retention/overflow
Functional
True - constant leakage
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2
Q

What causes true incontinence?

A

Rare
Congenital
Fistulas

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3
Q

Urge incontinence cause?

A

Detrusor overactivity
Neurological incoordination
Idiopathic

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4
Q

Other causes of incontinence?

A

UTI

Faecal impaction, Meds, immobility

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5
Q

Detrusor overactivity mnemonic?

A

FUN
Freq
Urgency
Nocturia

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6
Q

Most ppl bladder, how much can hold?

A

300-500ml

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7
Q

How many times wake per night is too much?

A

> 2 per night

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8
Q

Urge incontinence describe history?

A

Sudden urge: run

LARGE volume

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9
Q

Mixed urinary incontinence is?

A

Urge + stress

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10
Q

Questions to ask in incontinence?

A

Gynecologic historyhave narrow-angle glaucoma

Meds: anticholinergics, diuretics, antihypertensives

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11
Q

Post menopausal vaginal atrophy affects incontinence how?

A

Worsens overactive bladder/detrusor overactivity

Doesn’t help in pure incontinence

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12
Q

Investigations

A 
MSU
Post-void residual scan
Bladder diary/outcome measures
Urodynamic: flow
Videourodynamics
Cystourethroscopy
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13
Q

Risk of stress incontinence in preg?

A

Forceps
Vaginal
C-section
Term baby with weight can cause

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14
Q

Conservative management of incontinence?

A

Pelvic floor exercises
Pads
incontinence pessary

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15
Q

Pelvic floor exercises don’t work in?

A

Bladder neck Sphincter deficiency stress incontinence

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16
Q

If can’t do surgery to correct bladder neck, what can you do?

A

Peri urethral bulking agent

17
Q

General advice on incontinence? Lifestyle

A

1.5L fluids
Avoid ETOH, caffeine, spicy food
Bladder retraining

18
Q

What drugs to treat incontinence?

A

Anticholinergics: oxybutinin
TCAs: rare
B3: mirebegron

19
Q

Summary

A

Rule out UTI
Conservative
Urodynamics
Surgery

20
Q

What not to do in mixed incontinence?

A

Don’t surgery/sling or Botox the stress incontinence part, can make detrusor activity worse.

Jason's MD3 Women's (58 decks)

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