Lecture 3 Incontinence

Question 1

Name causes of incontinence extrinsic to the urinary system

Answer 1

Environment
Habit
Physical fitness

Question 2

Name causes of incontinence intrinsic to the urinary system

Answer 2

Problem with bladder or urinary outlet

Question 3

During urine storage the detrusor muscle is___

Answer 3

relaxed

Question 4

Voluntary voiding involves _____of external sphincter and______ of internal sphincter and ____ of bladder

Answer 4

Voluntary relaxation of external sphincter
Involuntary relaxation
Contraction of bladder

Question 5

What is urinary retention with overflow incontinence

Answer 5

Bladder outlet too strong

Question 6

What are the characteristics of urinary retention with overflow incontinence

Answer 6

Urethral blockage
Bladder unable to empty properl
Poor urine flow
Hesitancy
Older men with BPH

Question 7

How is urinary retention with overflow incontinence treated?

Answer 7

Alpha blockers (tamsulosin)
Anti-androgen (shrinks prostate finasteride)
Surgery (TURP)
Catheterisation

Question 8

In urge incontinence the bladder muscles are ___

Answer 8

too strong

Question 9

In stress incontinence the bladder muscles are__

Answer 9

too weak

Question 10

How is urge incontinence treated

Answer 10

Anti-muscarinics (relax detrusor oxybutinin, tolterodine, solifenacin)

Question 11

What is Neuropathic bladder

Answer 11

No awareness of bladder filling resulting in overflow incontinence