Incontinence Flashcards
what are the types of urinary incontinence?
urge
overactive
overflow
risk factors for urinary incontinence
women
pregnancy
age
smoking (chronic cough)
presentation
urgency
frequency
nocturia
diagnosis
standing or supine stress test post void residual volume urine dipstick bladder diary urodynamics
management of OAB (lifestyle wise)
bladder retraining
fluid intake
caffeine reduction
weight reduction
management of OAB
lifestyle bladder drill physiotherapy pharmacological options surgical options
how long should physiotherapy be done before trying another method?
3 months
pharmacological options for OAB
antimuscarinics e.g. oxybutynin, tolterodine, solifenacin, fesoterodine
beta3 agonists e.g. mirabegron
action of beta3 agonist
relax bladder smooth muscle
adverse of antimuscarinics
dry mouth
constipation
blurred vision
somnolence
conservative management of stress incontinence
lifestyle
physiotherapy
pessaries
pads
management of stress incontinence
conservative options
duloxetine (NA and SSRI)
surgery
surgical options in stress incontinence
tape injection bulkamid artificial sphincters colposuspension sling
