incontinence Flashcards
what are the three types of urinary incontinence
stress, overflow and urge
oxybutynin and tolteridine are used in which kind of incontinence ?
urge?over active
what is the pathophysiology of urge incontinence?
inappropriate contraction of the detrusor muscle
causes of urge incontinence?
diabetes, diuretics, neurological (stroke/parkinsons)
overstimulation - bladder stones, infections and tumours
presentation of urge incontinence?
sudden urge to go to the toilet followed by uncontrollable passage of large volumes of urine
what is urge incontinence precipitated by ? type of things
arriving home late
putting key in door
sound of running water
drinking caffeine or alcohol
investigation of urge incontinence?
- urodynamic. contraction of the bladder during filling phase
management of urge incontinence?
bladder training–> bladder drill
lifestyle - reduce caffeine and alcohol
pharmacological management of urge incontinence?
oxybutanin or tolterodine
involuntary leakage of small volumes of urine on increased abdominal pressure, with common causes being laughing, coughing and sneezing?
stress
risk factors for stress incontinence?
female
obesity
age
vaginal deliveries
in females, most common cause of stress incontinence?
pelvic floor weakness and pelvic organ prolapse
typical patient for stress incontincence?
older parous women
investigation of stress inc?
urodynamic study - leakage of urine with increased abdominal pressure
managemet of stress incontinence?
protective pads
pelvic floor exercises
weight loss and smoking cessation
pharmacological - duloxetine
