Genito-urinary System Flashcards

1
Q

Examples of medication used to treat urinary incontinence

A
  • Tolteridone
  • Solifenacin
  • Duloxetine
  • Oxybutynin
  • Mirabegron
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2
Q

What are non pharmacological ways of managing urinary incontinence

A
  • Pelvic floor exercises
  • Bladder exercises
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3
Q

Which urinary incontinence drug is licensed for stress incontinence for women

A

Duloxetine

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4
Q

Which of the urinary incontinence drugs are classed as Antimuscarinic

A

Oxybutynin

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5
Q

What does oxybutynin do

A
  • reduces the urge to urinate
  • increases bladder capacity
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6
Q

What limits the use of oxybutynin

A

Side effects

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7
Q

How would you reduce the effects/potency of the side effects of oxybutynin

A
  • start at a lower dose
  • use a modified release preparation
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8
Q

What type of medication is Mirabegron

A

Selective Beta3 agonists

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9
Q

What is Mirabegron licensed for

A

treatment of urinary incontinence associated with overactive bladder syndrome

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10
Q

What is Nocturnal Enuresis

A

involuntary discharge of urine during sleep

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11
Q

Which age group is Nocturnal Enuresis common

A

children

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12
Q

At which age does Nocturnal Enuresis usually stop

A

5 years

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13
Q

What are the non-pharmacological treatments for Nocturnal Enuresis

A
  • change fluid intake
  • Enuresis Alarm (if others don’t work)
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14
Q

What is a Nocturnal Enuresis alarm

A

Alarm used to wake a patient up when they need to toilet at night

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15
Q

How many wet beds per week after other non pharmacological treatments used should one be offered an Enuresis Alarm

A

1 to 2

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16
Q

What is the pharmacological treatment for Nocturnal Enuresis

A

Desmopressin (over 5 years old)

17
Q

What is acute urinary retention and how serious is it

A
  • abrupt development of inability to pass urine over time (over a period of hours
  • Medical emergency
18
Q

What is chronic urinary retention

A
  • gradual development of inability to empty bladder
  • over months / years
19
Q

What is the most common cause of urinary retention in men

A

Benign Prostatic Hyperplasia

20
Q

What is the treatment of Acute Urinary retention (medical emergency)

A
  • Catheterisation
  • Administer an alpha adreno receptor blocker for at least 2 days before catheter is removed
21
Q

Examples of alpha adreno receptor blocker

A
  • Alfuzosin
  • Tamsulosin
  • Doxazosin
22
Q

What is the treatment for chronic urinary retention

A
  • intermittent bladder catheterisation
    or…
  • Indwelling catheter
  • moderate to severe symptoms offer alpha adreno receptor blocker
23
Q

Treatment of urinary retention due to Benign Prostatic Hyperplasia

A
  • alpha adreno receptor blocker
  • if at high risk of progression