LUTS Flashcards
Storage Symptoms?
1- Urgency
2- Frequency
3- Nocturia
4- Incontinence
Emptying Symptoms?
1- Hesitancy/ Starting problems 2- Straining/ Valsalva Micturition 3- Weak Stream 4- Intermittency 5- Prolonged Micturition 6- Dysuria
Post-micturition Symptoms?
1- Dribbling
2- Feeling of residual
What is Urgency Incontinence?
Bladder signals urgency to brain.
What is Stress Incontinence?
The tightening mechanisms, the sphincter mechanisms below the bladder surrounding the urethra is weak. Leakage occurs when abdominal pressure increases.
What is Mixed Incontinence?
Both Urgency Incontinence and Stress Incontinence
What is Overflow Incontinence?
Dysfunction in the lower urinary tract making the bladder unable to contract and expel the urine. If it’s full with urine and cannot contract, the pressure within the bladder will overcome the pressure within the urethra, so there will be sudden leakage.
What is Enuresis?
Incontinence at nighttime.
What is post-micturition dribbling?
Some urine in the urethra after emptying bladder. Drops come out when moving after micturition.
Symptoms of Overactive Bladder Syndrome?
1- Urgency
2- Frequency
3- Nocturia
4- Urgency Incontinence
Differential Diagnostics
Examples of Obstructive Disorders
1- Benign prostatic hyperplasia ( increased prostate size that could compress the urethra)
2- Urethra Stricture ( scar within urethra)
3- Prostate Cancer ( could compress the urethra and obstruct the outlet)
Differential Diagnostics
Examples of Malignancy
1- Bladder Cancer
2- Urethra Cancer
3- Prostate cancer
(Mainly Storage and Emptying Symptoms)
Differential Diagnostics
Examples of Inflammation/ Infection
1- Prostatitis
2- Uretheratitis
3- Trigonitis
(Mainly Storage Symptoms)
Differential Diagnostics
Examples of Neurogenic bladder disorders
1- Parkinson
2- Diabetes Neuropathy (problems with the distal nerves)
3- Multiple Sclerosis
4- Disk herniation in the spinal tract
Differential Diagnostics
Examples of Other Causes for LUTS
1- Rectum problems
2- Gynecological problems
3- Psychogenic problems