Incontinence

Question 1

What investigations would you do for urinary incontinence?

Answer 1

• continence record
• urine dipstick +/- MC&S
• bloods: U&Es (renal function), glucose, Ca

For selected patients:

• post-void bladder US to look for incomplete emptying
• X-ray for stones/severe constipation
• urodynamic tests (always if surgery being considereD)

Question 2

Treatments for urinary incontinence

Answer 2

• regular toileting
• pelvic floor exercises
• measures to improve functional incontinence
• medication review
• drugs e.g. oxybutynin
• surgery e.g. for enlarged prostate, prolapse failed to respond to pessary
• catheter