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Urology General > Incontinence, neurogenic bladder, urodynamics > Flashcards

Incontinence, neurogenic bladder, urodynamics Flashcards

1
Q

name 4 continence theory.

A

Kelly
Mcguire
Delancey
Petro

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2
Q 
AUS
components
C/I
Longterm success  rate:_
Cx
Revision rate:_
infection rate:_
erosion rate:_
A

90%
20-30%
5%
5%

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3
Q

management of AUS erosion

A

6 new tips

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4
Q

what is POP Q

what are the stages

A

0 to IV

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5
Q

What is urethral pressure profilometry

what is Brown Wickham technique?

A

2mm/sec

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6
Q

what is OAB

A

.

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7
Q

what is the normal dopaminegic projections to PMC?

Mechanism of LUTS in Parkinson

A

3+1

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8
Q

what is FVC

what is bladder diary

A

.

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9
Q

how common is OAB

A

EPIC STUDY

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10
Q

what lifestyle measures to suggest for OAB?

what is bladder training?

A

.

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11
Q 
Regarding meta analysis  for medications for OAB (anticholinergic, B3 agonist):
% reduction in
a) incontinence
b) urgency
c) voids

reduction in nocturia episodes:_

A

50%
40%
20%

0.5

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12
Q

Muscarinic receptors target organs
M1
M2
M3

A

neural, salivary glands
cardiac
smooth muscles

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13
Q

CI for anticholinergic

is urinary retention a CI for anticholinergic? why?

A

.

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14
Q

how would u comment on relationship between anticholinergic and dementia

A

.

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15
Q

OAB drugs

which 2 are most M3 selective?

how selective is trospium?

A

.

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16
Q

CI for B3 agonist

relation to HT?

can you use in BOO?

A

.

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17
Q

advantages of vibegron?

A

4

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18
Q

what is botulinum toxin A

what is Botox

name 2 other commercially available agents.

A

dysport

xeomin

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19
Q

what is one unit of Botox?

A

LD50

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20
Q

what are the expected efficacy for Botox?

improvement
max bladder capacity
max detrusor voiding pressure

A

70%
180ml
30cmH2O

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21
Q

what is posterior tibial nerve?

A

L4 to S3

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22
Q

PTNS:
1st done by:_
How?

RCT by:_
Compared to tolterodine by:_

A

mcguire
finazzi agro
peters

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23
Q

what is sacral neuromodulation?

A

S3

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24
Q

what is the expected efficacy of sacral neuromodulation?

A

> 80%

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25
Q

what SNM devices are available?

what are the SE ?

A

classify

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26
Q

Augmentation cystoplasty

physiology

A

3

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27
Q

Augmentation cystoplasty

efficacy

A

7

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28
Q

Augmentation cystoplasty

CI

A

classify

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29
Q

long term complications of Augmentation cystoplasty

A

7

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30
Q

Augmentation cystoplasty : cancer risk
incidence
pathology
mechanism

A

1%
adeno
bacteriuria

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31
Q

augmentation cystoplasty: perforation risk
risk factors
usual location

A

intraperitoneal

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32
Q

SUI definition

Uncomplicated SUI definition

urodynamic SUI definition

A

.

33
Q

SUI prevalence according to EPIC STUDY

A

46%

34
Q

proper cough test according to ICS

A

4

35
Q

what is Oxford power grip

A

0 to 5

36
Q

Bonney test

A

.

37
Q

Marshall test

A

.

38
Q

Q tip test

A

.

39
Q

Pad test
what is

short term:_ hour, _g
longterm:_hour ,_g

A

1hr 1.4g

24hr 4.4g

40
Q

when would u do UDS for SUI?

A

4

41
Q

when should u not perform UDS for SUI?

A

VALUE study

42
Q

what is Blaivas classification

A

I II III

43
Q

lifestyle modifications for SUI

efficacy for weight loss

A

weight loss

PRIDE study

44
Q

how does duloxetine helps SUI?

A

SNRI

pudendal nerve

45
Q

how to choose SUI surgery

A

patient

disease factors

46
Q

name examples for bulking agents in SUI

A

silicone
carbon coated zirconium
calcium hydroxylapatite

47
Q

what is Burch colposuspension

A

.

48
Q

Burch colposuspension
success rate:_

better than MUS in terms of:_

A

74%

less bladder perforations

49
Q

what kinds of materials are available for MUS?

A

autologous
synthetic
types 1 to 4

50
Q

cure rate of TVT

A

90% at 11y

Nilsson

51
Q

name 1 complication that is more favorable in TVT compared to transobturator tapes

A

less groin pain

52
Q

name 5 complications that are more favorable in transobturator than in TVT

A 
perf
erosion
uti
hematoma
voiding luts
53
Q

name 2 complications that are more favorable in TVTO than in TOT

A

vaginal perf

vaginal erosion

54
Q

what is cumberlege review

A

high vigilance pause

55
Q

what is Fowler syndrome?

A

3

56
Q

Fowler syndrome

EMG changes

A

deceler burst underwater whale

complex repetitive discharges machine-gun

57
Q

characteristic changes
supra pontine
supra sacral
peripheral nerve

A

T6

58
Q

VCMG findings of DSD

A

2

59
Q

sacral anterior nerve root stimulator

effects

A

detrusor contraction

colonic contraction

60
Q

sacral anterior nerve root stimulator

example

A

Brindley stimulator

61
Q

dorsal rhizotomy

what spinal levels

A

S2-3

62
Q

dorsal rhizotomy

effects

A

controls DO
better compliance, capacity
loss of reflex erection

63
Q

how to perform quality control for UDS

A

.

64
Q

UDS

Normal resting values for Pves/Pabd/Pdet

A

Supine 5 - 20 cmH2O
Sitting 15 - 40 cmH2O
Pdet = 0

65
Q

UDS

What instillation rate

A

10% of max VV (ml/min)

66
Q

what is ALPP

Normal range

A

<60

>90

67
Q

what is DLPP

A

40cmH2O

68
Q

what is BOOI female

Cut-off values

A

PdetQmax - 2.2xQmax
<0: < 10%
>5: 50%
>18: >90% obstruction

69
Q

DUA in female

How do you determine in a UDS?

A

PdetQmax < 30 + Qmax < 10 (Abarbanel)

70
Q

UDS Risks factors for upper tract deterioration in neurogenic bladder

A

5

71
Q 
Urinary diverison
what are the characteristic metabolic problems?
Stomach
Jejunum
Ileum
A

.

72
Q

what is jejunal conduit syndrome?

A

Loss of salt; gain of H+K+

Feed-forward mechanism

73
Q

What is Bricker and Wallace anastomosis

A

Separate end to side ureteroileal

Conjoined end to end

74
Q

Ureteroileal anastomotic stricture:

__ % on the left side

A

84%

75
Q

Continent urinary diversion

4 mechanisms of continence

A

Kock valve
Flap valve
Ileocecal valve
Pelvic floor external sphincter

76
Q

what is Mitrofanoff principle and Mitrofanoff procedure?

A

Flap valve = principle

Procedure = use of appendix

77
Q

what is Monti procedure?

A

bowel to construct a catheterisable limb

78
Q

Orthotopic bladder
Daytime continence rate _
Nighttime continence rate _

A

92%

51%

Urology General (13 decks)

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