Incontinence Flashcards
transient causes of incontinence
delirium infection (UTI) drugs restricted mobility stool impaction (constipation can cause urinary retention)
types of incontinence
stress urge mixed overflow functional
what is stress incontinence?
involuntary leakage of urine on effort or exertion (cough, sneeze)
what is urge incontinence?
involuntary leakage accompanied by or preceded by urgency
what is mixed incontinence?
leakage associated with urgency and effort
what is overflow incontinence?
leakage due to obstruction resulting in large PRV
what is functional incontinence?
due to inability to use the toilet in time (cognitive impairment)
storage symptoms
frequency
nocturia
urgency
voiding symptoms
hesitancy
poor stream
dribbling
diagnosis of incontinence
bladder scanner PRV bladder diary PSA, U&Es, glucose urodynamic studies
lifestyle changes
reduce caffeine
BMI
exercise
constipation management
physiotherapy management
pelvic floor exercises
bladder retraining
management of nocturia
late afternoon diuretic
desmopressin
post-residual volume in men
alpha blocker
5-alpha reductase inhibitors
management of incontinence
lifestyle physiotherapy pharmacological intravaginal oestrogens catheters surgery
