Incontinence Flashcards
A man presents having noticed he frequently wakes up having wet the bed. On examination he has a large palpable bladder.
Overflow incontinence
A 60 year old lady reports feeling a frequent strong urge to urinate and reports often not making it to the toilet.
Urge incontinence
How is detrusor overactivity diagnosed?
Urodynamic studies
Is the detrusor muscle overactive in stress or urge incontinence?
Urge
A lady reports leaking out small volumes of urine when she coughs or laughes.
Stress incontinence
What is the treatment for overflow urinary incontinence?
Treatment of obstruction
Catheterisation
What is the first approach to treatment for a patient with urge incontinence?
Dietary advice eg avoid caffeine
Biofeedback from training pelvic floor
Bladder retraining and times bladder emptying
What medication treatments are used in urge incontinence?
Anti - muscarinics (oxybutynin)
Beta 3 adrenergics (Mirabegron)
What other medical treatments are used for urge incontinence?
Botox injection
Neuromodulation
Surgery
What medication has some role in stress incontinence?
Duloxetine (Seratonin 5HT and norephrine reuptake inhibitor
A 56 year old female complains of oftenfeeling an urgent and distressing need to urinate. She has always made it to the toilet and finds she is up 3 times a night to pass urine
Overactive bladder.
