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Yr 3 - Reproduction > Female Urinary Incontinence > Flashcards

Female Urinary Incontinence Flashcards

1
Q

What is the nerve supply to the bladder?

A

Hypogastric nerve
Pelvic nerve
Pudendal nerve

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2
Q

What is the sympathetic nerve supply to the bladder?

A

Hypogastric nerve (T10-L2)

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3
Q

What is the parasympathetic nerve supply to the bladder?

A

Pelvic nerve (S2-4)

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4
Q

What is the somatic nerve supply to the bladder?

A

Pudendal nerve (S2-4)

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5
Q

What is involved in bladder emptying?

A 
Detrusor contraction
Urethral relaxation
Sphincter coordination
Absense of obstruction
Cortical influence
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6
Q

What are the main types of incontinence?

A

Stress
Urge
Mixed

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7
Q

What is stress incontinence?

A

Involuntary leakage due to effort/exertion

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8
Q

What is urge incontinence?

A

Involuntary leakage accompanied by immediate urgency

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9
Q

What are the risk factors for urinary incontinence?

A 
Age
Parity
Menopause
Smoking
Increased IAP
Pelvic floor trauma
Denervation
Surgery
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10
Q

How should a patients complaint be assessed for incontinence?

A 
Voiding symptoms
Fluid intake
Effect on QoL
Prolapse symptoms
Bowel symptoms
3 day urinary diary
Urine dipstick
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11
Q

How should women with bladder/pelvic floor problems be examined?

A

General
Abdominal
Neural
Gynae/pelvic floor assessment

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12
Q

How should women with incontinence be investigated?

A

Urinalysis
Post-voiding residual volumen assessment
Urodynamics

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13
Q

How is incontinence in women managed?

A

Lifestyle changes
Medical treatments
Physiotherapy
Surgery

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14
Q

How can urethral closure pressure be increased?

A

Pelvic floor muscle training
Surgery
Pharmacological agents

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15
Q

What lifestyle changes are used to manage incontinence in females?

A

Smoking cessation
Weight loss
Eat more healthily to avoid constipation
Stop drinking alcohol and caffeine

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16
Q

How is incontinence managed in females?

A

Lifestyle changes
Pelvic floor training
Surgery
Medical therapy

17
Q

What medical therapy is indicated in stress incontinence in females?

A

Yentreve (Duloxetine)

18
Q

Who should receive Duloxetine?

A

Primary care - pelvic floor muscle training failed

Secondary care - (doesn’t want surgery)

19
Q

What surgery is indicated for stress incontinence in females?

A

Colposuspension
Suburethral hammock
Retro-pubic TVT

20
Q

What is the management of overactive bladder?

A 
Lifestyle interventions 
Bladder training programme
Anti-muscarinics 
Tri-cyclic antidepressant
Betmiga 
Botox 
Neuromodulation

Yr 3 - Reproduction (37 decks)

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