inconteninance Flashcards
types of inconteninece
- stress - failure of bladder sphincter , usually under pressure like laughing or lifting heavy
- urge
3.overflow - combo of retention + incontinence
what can cause incontenice
overactive bladder
bladder training purpose
Bladder training is an important form of behavior therapy that can be effective in treating urinary incontinence. The goals are to increase the amount of time between emptying your bladder and the amount of fluids your bladder can hold. It also can diminish leakage and the sense of urgency associated with the problem.
what does bladder training involve
Bladder training requires following a fixed voiding schedule, whether or not you feel the urge to urinate. If you feel an urge to urinate before the assigned interval, you should use urge suppression techniques — such as relaxation and Kegel exercises.
name of surgical procedure for stress incontentince
(Marshall-Marchetti-Krantz
stress inconcentitience non surgical
lfestyle (loose weight, diet fizzy drinks)
pessaries
stress incontenice surgical
colposuspension - place sutures into the vagina
urethral slings - gold standard for surgical
what options are there if you find it difficult to do pelvic floor exercises
you can have electrical simulation, you put it in your vagaina or anus (males) to stimulate the pelvic floor muscles
bladder training is more suitable for which type of incontentice
urge
which antidepressant drug can be used for which type of incontentince
duloxetine can be used for stress incontenince
what kind of meds are used for urge inconcentince
antimuscarinics
what drug can we use to treat nocturia
desmopressin
what is desmopressin also used for
diabetes insipidus, bedwetting, hemophilia A, von Willebrand disease, and high blood urea levels.
overactive bladder vs urge
overactive bladder can occur with or without urge incontinence
urge: you will always leak urine after the sudden urge to pee
5 main symptoms of overactive bladdr
Frequency
· Urgency – measured objectively via a bladder diary or subjectively with a scale of sense of urgency, scale of urgency and visual-analogue scale
· Incontinence of urine
· Nocturia
· Reduction in the volume of urine