Genitourinary Review FINAL

Question 1

Urge Incontinence
-Pathophysiology
-MC in who?
-Symptoms
-Management

Answer 1

-Detrusor Muscle overactivity
-MC in older women
-Urgency, frequency, nocturia, small voids, inability to make it to bathroom on time
-Management
–Bladder training (decrease fluid intake, voiding diary, avoid spicy food/chocolate/caffeine, Kegel exercises)
–Antimuscarinics (Tolterodine, Oxybutynin are anticholinergics that increase bladder capacity)
–Mirabegron = bladder relaxation
–Bladder Botox injection

Question 2

Overflow Incontinence
-Pathophysiology
-Common in ________________, Diabetes Mellitus, MS, spinal injuries, peripheral neuropathy and things that cause a bladder outlet obstruction such as ___________.

Answer 2

-Pathophysiology: bladder detrusor muscle under activity or bladder outlet obstruction
-Common in neurological disorders or autonomic dysfunction or BPH

Question 3

What are some symptoms of overflow incontinence?

How do you diagnose this?

Answer 3

Loss of urine without warning, leakage, incomplete bladder emptying, weak stream, frequency, nocturia

-Post void residual > 200mL

Question 4

Management of Bladder Atony?

Management of BPH?

Answer 4

-Intermittent or indwelling catheterization first-line; Cholinergics (Bethanehol) increases detrusor muscle activity

-Alpha-blockers for symptom relief