Incontinence

Question 1

What are the 5 types of incontinence?

Answer 1

Stress
Urge
Overflow
Functional
Mixed

Question 2

What is stress incontinence

Answer 2

Incontinence that occurs with increased abdominal pressure: such as coughing, lifting, exercising

Question 3

What can cause stress incontinence?

Answer 3

Multiparous pregnancies
Radical prostatectomy

Question 4

What are treatments for stress incontinence in order of preference

Answer 4

1. Lifestyle
2. Kegel
3. Kegel with biofeedback
4. Topical vaginal estrogen in women
5. Pessaries or surgery

Question 5

How should Kegel exercises be performed?

Answer 5

1. Contract pelvic floor like you are preventing voiding
2. Hold to a count of 10
3. Sets of ten should be done 3 or 4 times a day
4. It can take several months with perfect adherence

Question 6

What is the detrusor muscle?

Answer 6

It’s the muscular component of bladder that causes ruination when it contracts

Question 7

What is urge urinary incontinence?

Answer 7

Alan known as overactive bladder and detrusor over activity

Question 8

What are secondary causes of urge incontinence?

Answer 8

Can be seen with spinal cord lesions and bladder irritants
May be associated with fibromyalgia

Question 9

What are treatments for urge incontinence?

Answer 9

Weight loss and remove irritants from lifestyle
Kegel exercises are also recommended
Bladder training
Meds
Botox injections

Question 10

What are bladder irritants that can contribute to incontinence?

Answer 10

Caffeine, tobacco, vitamin c
Alcohol, pepper and other spices may play role

Question 11

What is overflow incontinence

Answer 11

The bladder retains urine and becomes too full causing spontaneous leakage of urine

Question 12

What are causes of overflow incontinence?

Answer 12

Bladder outlet obstruction
Meds which reduce detrusor activity
Neuropathy

Question 13

What is functional incontinence?

Answer 13

The bladder works fine but the person has mobility issues and unable to reach bathroom

Question 14

What is bladder training

Answer 14

You note the frequency of incontinence then schedule toileting trips at shorter intervals. If urge occurs use Kegel until urge passes then toilet. Slowly lengthen the interval over time.

Question 15

What types of lifestyle interventions help incontinence?

Answer 15

-weight loss - an 8% drop in weight reduced incontinence by 50%
-avoid bladder irritants - caffeine, vit C, pepper, hot spices, and maybe alcohol
-watch for meds which increase urine flow and high fluid intake, especially at night
- treat constipation which can press on bladder and it’s outlet