Incontinence Flashcards
Name two types of urinary incontinence?
stress (straining)
urge (bladder fullness, inability to delay voiding)
overflow (urinary retention, sphincter function)
functional- cognitive impairment, physical
Three causes of urinary incontinence?
Child birth- weak pelvic floor Post-urological surgery CNS disorders Tumours Obstruction Medication Dementia Immobility
Two features in history that would suggest urinary incontinence?
persistent UTIs back pain recent back trauma recent surgery prostatic hyperplasia
Two classes of drugs that can treat urinary incontinence?
- Anticholinergic drugs
- Serotonin noradrenaline reuptake inhibitors
- B3 agonist
One example of anticholinergic drug to treat urinary incontinence?
oxybutynin, tolterodine
Duloxetine is an example of which class of drug used to treat urinary incontinence?
serotonin noradrenaline reuptake inhibitor
Name two drugs that can induce urinary incontinence?
Alpha blocker- doxazosin CCB Diuretics- furosemide, thiazide Opioids Sedatives SSRIs
Three causes of faecal incontinence?
muscle damage nerve damage- child birth, stroke, spinal cord injury constipation diarrhoea hemorrhoids rectal prolapse surgery
Two risk factors for faecal incontinence?
age female dementia physical disability nerve damage- diabetes, MS, back trauma
Two complications of faecal incontinence?
skin irritation
emotional distress
Two investigations for faecal incontinence?
DRE
colonoscopy
MRI
Two management options for faecal incontinence?
anti-diarrhoea drugs physio exercises surgery dietary changes Wear pad Use toilet before going out bringing spare clothes with you
Two risk factors for urinary incontinence?
female age obesity smoking FH Neuro disease e.g. diabetes
Two investigations for urinary incontinence?
urinalysis
bladder diary
physical exam- cough
postvoid residual measurement
Three management options for urinary incontinence?
Behavioral techniques- bladder training, fluid and diet management, double voiding
Physio
Medications
Surgery
Absorbent pads and catheters
