L3: Urinary Incontinence

Question 1

Normal continence function

Answer 1

Question 2

Def of Urinary Incontinence

Answer 2

• involuntary loss of urine is a social or hygienic problem and is objectively demonstrable i.e. “The Complaint of any Involuntary Leakage of Urine”.

Question 3

Impact of Urinary Incontinence on Health

Answer 3

Question 4

Causes (Types) of Urinary Incontinence

Answer 4

Question 5

Types of Urinary Incontinence

• Stress Incontinence (Def, %, Pathology)

Answer 5

Question 6

Types of Urinary Incontinence

• Urge (Def, %, Pathology)

Answer 6

Question 7

Types of Urinary Incontinence

• Mixed (Def, &)

Answer 7

Question 8

Types of Urinary Incontinence

• Overflow (Def, Pathology)

Answer 8

Question 9

Def of Stress Urinary Incontinence

Answer 9

• The complaint of involuntary leakage of urine on effort or exertion, or on sneezing or coughing.

Question 10

Def of Genuine Stress Urinary Incontinence

Answer 10

Urinary loss which occurs with sudden elevation of the intra-abdominal pressure without detrusor contraction!

Question 11

Pathophysiology of Stress Urinary Incontinence

Answer 11

Question 12

Symptoms of Stress Urinary Incontinence

Answer 12

Question 13

Etiology of Stress Urinary Incontinence

Answer 13

Question 14

Dx of Stress Urinary Incontinence

Answer 14

Question 15

Dx of Stress Urinary Incontinence

• Hx

Answer 15

Question 16

Dx of Stress Urinary Incontinence

• Ex

Answer 16

Question 17

Ex in Stress Urinary Incontinence

• Pelvic Ex

Answer 17

to rule out

• Pelvic or abdominal masses,
• Pelvic organ prolapse,
• Vaginal atrophy.

Question 18

Ex in Stress Urinary Incontinence

• Cough Stress Test

Answer 18

+ve

• leakage is visualized at the moment of the cough, is helpful to confirm the diagnosis

Question 19

Ex in Stress Urinary Incontinence

• vaginal or rectal examination

Answer 19

• Check the pelvic floor muscles quality (symmetry and bulk) and whether or not, and to what degree, a woman can volitionally contract her muscles.

Question 20

Ex in Stress Urinary Incontinence

• Cotton swab test (Q-tip test)

Answer 20

Question 21

Ex in Stress Urinary Incontinence

• Rule out urinary retention and overflow incontinence

Answer 21

Question 22

Ex in Stress Urinary Incontinence

• Urinalysis

Answer 22

done to UTIs as a transient cause of stress urinary incontinence.

Question 23

Grading of stress urinary incontinence

Answer 23

Question 24

Management of SUI

Answer 24

Question 25

Management of SUI

• Outlines

Answer 25

Question 26

Non Surgical Management of SUI

• Lifestyle Mod.

Answer 26

Question 27

Non Surgical Management of SUI

• Pelvic Floor Muscle Ex

Answer 27

Question 28

Non Surgical Management of SUI

• Meds

Answer 28

Question 29

Non Surgical Management of SUI

• Devices

Answer 29

Question 30

Differences () stress & urge incontinence

Answer 30

Question 31

Differences () stress & urge incontinence

• Def
• Etiology
• Stress Test
• Uroflowmetry
• Utethral Pressure Profilometry

Answer 31