Incontinence Flashcards
This type of incontinence results from bladder contractions that cannot be controlled by the brain
Urge
This type of incontinence is cause by dysfunction of the urethral sphincter, allowing urine to leak with increased intra-abdominal pressure
Stress
This type of incontinence occurs when urinary retention leads to bladder distention and overflow of urine through the urethra
Overflow
This type of incontinence is untimely urination caused by physical or cognitive disability, preventing a person from reaching a toilet
Functional
Can you have a mixed incontinence of combining different types?
YES
Medication SEs Recent prostatectomy Excess fluid intake Atrophic vaginitis Fecal impaction UTI Impaired mobility Glycosuria
REVERSIBLE causes of incontinence
A strong desire to void, followed by loss of urine
Urge incontinence
Condition characterized by frequency of urination, urgency to urinate, nocturne
*may have urge incontinence
Overactive bladder
Leakage of urine with increased intra-abdominal pressure
ie..sneezing, coughing, laughing
Stress incontinence
Left untreated, this can lead to hydronephrosis and obstructive nephropathy
Overflow incontinence
Incontinence is common in…
Neurologic dz (stroke, Parkinsons, dementia) Metabolic disorders (hypoxemia, diabetic neuropathy) Pelvis disorders (uterine prolapse)
Postvoid residual urine volume should be measured to identify…
urinary retention
Cystometry (instillation of water into the bladder) can identify bladder…
contractions
Tx= muscle floor training (Kegels), electrical muscle stimulation, biofeedback, bladder training
Stress incontinence
Tx= Anticholinergic meds
Urge incontinence
