incontinence Flashcards
causes of incontinence
extrinsic to urinary system
intrinsic to urinary system - bladder problem
extrinsic factors of incontinence
physical state and co-morbidities reduced motility confusion drinking too much/at wrong time medications e.g. diuretics constipation home/social circumstances
what does continence depend on
effective function of bladder and integrity of neural connections which bring it under control
intrinsic factors
bladder - too weak, too strong
outlet - too weak, too strong
bladder outlet too weak
stress incontinence
stress incontinence management
physiotherapy
oestrogen cream
duloxetine
TVT/colposuspension
bladder outlet too strong
urinary retention with overflow incontinence
urinary retention with overflow incontinence
only type incontinence more common in men
poor urine flow, double voiding, hesitance, post-mic dribbling
most common cause BPH
urinary retention with overflow incontinence management
alpha blocker - relax sphincter
anti-androgen - shrink prostate
TURP
may need catheterisation
bladder muscle too strong
urge incontinence
urge incontinence
detrusor contracts at low volume
sudden urge to pass urine immediately
bladder stones, stroke
urge incontinence managemet
anti-muscarinic
underactive bladder (neuropathic bladder)
2ry to neurological disease - MS, stroke
2ry to prolonged catheterisation
not aware of bladder filling then have overflow incontinence
underactive bladder management
parasympathomimetics might help
catheterisation
