Incontinence Flashcards
What is stress incontinence?
Leakage of urine upon coughing/sneezing.
Results from bladder neck/urethral hypermobility.
What is urge incontinence?
Leakage of urine which is proceeded by urgency.
Due to bladder overactivity/irritability.
Can forms of incontinence overlap?
Yes
What may be indicated by bed wetting in adults?
High-pressure chronic retention
Common in elderly men.
Which gender is most likely to suffer from incontinence?
Females
What are 2 investigations to perform in a patient with urinary incontinence?
Bladder diary
Urinalysis + culture
What is the first-line management of stress incontinence?
Pelvic floor training
What medication may be used in stress incontinence?
Duloxetine
Which condition may cause both urinary urgency and frequency, alongside nocturia?
Overactive bladder syndrome
May co-present with urge incontinence.
What medication can be given in overactive bladder syndrome/urge incontinence?
Anticholinergics
Prevent bladder wall contraction.
In which 2 conditions are anticholinergics contraindicated?
Ulcerative colitis
Acute angle closure glaucoma
What are side-effects of anticholinergics?
Dry mouth
Constipation
Cognitive impairment
