Incontinence

Question 1

causes of urinary incontinence

Answer 1

Delirium + chronic confusion
Infection (UTIs)
Atrophic vaginitis/urethritis
Pharma
Psychological
Endocrine - neuropathy
Restricted mobility
Stool impaction (constipation)

Question 2

which medications can cause urinary incontinence

Answer 2

• loop diuretics
• anticholinergics
• sedatives
• antihypertensives
• antipsychotics

Question 3

Types of urine incontinence

Answer 3

• Stress (coughing, sneezing etc)
• urge incontinence
• overflow incontinence (atonic bladder)
• functional incontinence

Question 4

conservative management of urinary incontinence

Answer 4

Urge: regular toileting
stress: pelvic floor exercises
common sense measures: stop causative meds, avoid constipation, improve functional problems
pads

Question 5

medical management UI

Answer 5

• overactive bladder; anticholinergics

- stress: phenylpropamolamine, oestrogen, duloxetine

Question 6

causes of faecal incontinence

Answer 6

• severe constipation (overflow)
• damage to anal sphincter (childbirth)
• loss of sensation (cauda equina, MS)
• neurological damage (RT to pelvis)