incontinence Flashcards
stress incontinence?
when jogging, laughing or sneezing
urge incontinence caused by which muscle
detrusor muscle
this is a nerve issue
urge incontinence wets themselves more/less than stress?
more
stress incontinence more a problem with
hypermobile urethra and increased abdominal pressure
structural
risk factors
parity
obesity
urinary SX
fxnl impairment (walker)
drugs that worsen incontinence?
alcohol anti-psychotics alpha adrenergic blackers anticholinergics Ca channel blockers
testing for stress bladder incontinence
bladder stress test/cough stress test
UA, Urine culture (rule out UTI)
Post void residual
what other mgmt
Kegels
Bladder retraining for OAB
no meds for stress incontinence in US just urge inconitnent
conservative mgmt?
meight mgmt, dietary changes, bladder training,
what dietary changes cold someone make?
reduce artificial sweeteners, coffee, alcohol
surgical mgmt of stress incont
midurethral slings (mesh)
fascial slings: bladder neck
bulking agents (obese, older not as effective)
meds for mgmt of urge incontinence targets the
M receptors and beta adrenergic receptors
meds for urge incont
anti-muscurinics/anti-choilinergics
b3 antagonists
surgical for urge incont
botox
sacral neuromodulation impulses to S3
percutaneous tibial nerve stimulation
Fecal incontinence based on what complex?
internal anal sphincter (autonomic)
external anal sphincter (pudendal nerve)
puborectalis (hammock)
