female urinary incontinence

Question 1

what is the nerve supply to the bladder ?

Answer 1

hypogastric nerve T10-L2 (Sym) - storage
pelvic nerve S2-4 (para) voiding
pudendal nerve S2-4 (somatic ) voluntary

Question 2

what are risk factors for urinary incontinence ?

Answer 2

age 
parity
menopause
smoking
medical problems
increased intra abdominal pressure
pelvic floor trauma
denervation
connective tissue disease
surgery

Question 3

what are irritation symptoms ?

Answer 3

urgency
increased frequency 
nocturia
dysuria
haematuria

Question 4

how do you assess patient urinary problems ?

Answer 4

3 day urinary diary

urine dipstick

Question 5

how do you manage stress urinary incontinence ?

Answer 5

pelvic floor muscle training
surgery
duloxetine

Question 6

what are lifestyle changes for urinary incontinence ?

Answer 6

stop smoking
lose weight
eat healthy, avoid constipation
stop drinking alcohol and caffeine

Question 7

what is the first choice surgical treatment for female UI ?

Answer 7

tension-free vaginal tape

Question 8

what is overactive bladder syndrome ?

Answer 8

urgency
frequency
nocturia

Question 9

what are risk factors for urge incontinence ?

Answer 9

advanced age
DM
UTI
smoking

Question 10

what is pharmacological treatment for urge incontinence ?

Answer 10

anti-muscarinics - fesoteridine
tri-cyclic antidepressants - imipramine

botox
neuromodulin