Incontinence and Prolapse Flashcards
1
Q
types of incontinence
A
stress
overactive (can be wet or dry)
overflow
2
Q
RF for incontinence
A
women pregnancy age smoking chronic cough
3
Q
examinations in incontinence
A
abdo
vaginal
DRE
neuro for S2-4
4
Q
diagnosis of incontinence
A
urinalysis bladder diary (W is wet, X is bowel movement and P is pad) bladder scan stress test urodynamic studies
5
Q
lifestyle advice for incontinence
A
fluid
caffeine
weight
bladder training
6
Q
management of OAB
A
physio for minimum of 3 months pharmacological= tolterodine, solifenacin, fesoterodine (2nd line is mirabegron) desmopressin for nocturia vaginal oestrogens surgery
7
Q
surgical options in OAB
A
botox
posterior tibial nerve stimulation
cystoplasty
8
Q
management of stress incontinence
A
pessaries pads duloxetine vaginal oestrogen surgery
9
Q
surgical options in stress incontinence
A
bulkamide
fascial slings
colosuspension
10
Q
staging of prolapse
A
- Stage 0= no prolapse
- Stage 1= leading edge is -1cm or above
- Stage 2= leading edge is +1 to -1cm
- Stage 3= leading edge is +1cm or below but without complete eversion
- Stage 4= complete eversion (procidentia)
11
Q
why is oxybutynin not used in incontinence in the elderly?
A
risks cognitive impairment
12
Q
what is a vaginal vault prolapse?
A
top of vagina falls post-hysterectomy
13
Q
presentation of prolapse
A
heaviness/dragging pressure mass difficulty voiding incomplete emptying pain in intercourse back pain incontinence
14
Q
diagnosis of prolapse
A
POP-Q
15
Q
RF for prolapse
A
age surgery menopause loss of muscle tone births obesity chronic cough lifting connective tissue neurological
