Incontinence Flashcards
Symptoms of stress incontinence
Involuntary leakage on exertion (coughing, exercise)
Symptoms of urge incontinence
Involuntary leakage immediately preceded by urgency
May have detrusor overactivity (overactive bladder)
What causes overflow incontinence
Chronic bladder outflow obstruction
eg BPH in men
What causes true incontinence
Fistula between vagina and ureter/ bladder/ urethra
Causes continuous leakage of urine
Which type of incontinence often co-exists with prolapse
Stress incontinence
Risk factors for stress incontinence
WEAK PELVIC FLOOR • Age • Obesity, smoking • Pregnancy, childbirth • Previous pelvic surgery • Chronic cough
Risk factors for urge incontinence
DETRUSOR OVERACTIVITY • Alcohol or caffeine intake • Excessive fluid intake • Urinary tract infections • Neurological conditions such as Parkinson’s disease or MS • Bladder tumours
Medical management of stress incontinence
Duloxetine (SNRI)
Medical management of urge incontinence
Anti-cholingerics
Medical management of urge incontinence
Anti-cholinergics