Genito-urinary System Flashcards
Examples of medication used to treat urinary incontinence
- Tolteridone
- Solifenacin
- Duloxetine
- Oxybutynin
- Mirabegron
What are non pharmacological ways of managing urinary incontinence
- Pelvic floor exercises
- Bladder exercises
Which urinary incontinence drug is licensed for stress incontinence for women
Duloxetine
Which of the urinary incontinence drugs are classed as Antimuscarinic
Oxybutynin
What does oxybutynin do
- reduces the urge to urinate
- increases bladder capacity
What limits the use of oxybutynin
Side effects
How would you reduce the effects/potency of the side effects of oxybutynin
- start at a lower dose
- use a modified release preparation
What type of medication is Mirabegron
Selective Beta3 agonists
What is Mirabegron licensed for
treatment of urinary incontinence associated with overactive bladder syndrome
What is Nocturnal Enuresis
involuntary discharge of urine during sleep
Which age group is Nocturnal Enuresis common
children
At which age does Nocturnal Enuresis usually stop
5 years
What are the non-pharmacological treatments for Nocturnal Enuresis
- change fluid intake
- Enuresis Alarm (if others don’t work)
What is a Nocturnal Enuresis alarm
Alarm used to wake a patient up when they need to toilet at night
How many wet beds per week after other non pharmacological treatments used should one be offered an Enuresis Alarm
1 to 2
What is the pharmacological treatment for Nocturnal Enuresis
Desmopressin (over 5 years old)
What is acute urinary retention and how serious is it
- abrupt development of inability to pass urine over time (over a period of hours
- Medical emergency
What is chronic urinary retention
- gradual development of inability to empty bladder
- over months / years
What is the most common cause of urinary retention in men
Benign Prostatic Hyperplasia
What is the treatment of Acute Urinary retention (medical emergency)
- Catheterisation
- Administer an alpha adreno receptor blocker for at least 2 days before catheter is removed
Examples of alpha adreno receptor blocker
- Alfuzosin
- Tamsulosin
- Doxazosin
What is the treatment for chronic urinary retention
- intermittent bladder catheterisation
or… - Indwelling catheter
- moderate to severe symptoms offer alpha adreno receptor blocker
Treatment of urinary retention due to Benign Prostatic Hyperplasia
- alpha adreno receptor blocker
- if at high risk of progression
