Gyn incontinence Flashcards
1
Q
Stress incontience mx
A
Pelvis floor exercise for at least 8 contractions 3x a day for 3 m
medical (not really used, only if refuse surgery -duloxetine)
surgery - Mid urethral Tapes
Autologous fascial slings
Colopsuspection
Intramural bulking agents
2
Q
Urge incontience Mx
A
avoid coffee, lose weight, less water
1st line - bladder retraining for 6w
2nd- antimuscarinics- oxybutynin, tolterodine– AVOID oxybuynin in preg women
3rd- miragebron (B3 agonist)
4th- surgery
Botox, percutaneous tibial nerve stimulation
3
Q
Mixed incontinence mx
A
Depends on which one is most prominant (sx wise)
