Male & Female Health: Urinary Incontinence

Question 1

Overactive bladder symptoms

Answer 1

peeing > 8 times per day
peeing > 2 times at night
binary incontinence
urinary urgency

Question 2

Behavior therapies for OAB?

Answer 2

1st line

bladder training, delayed or scheduled voiding, pelvic floor muscle exercises (Kegels), urge to control techniques, fluid management, dietary changes, weight loss

Question 3

Anticholinergic drugs for OAB

Answer 3

Oxybutynin
tolterodine
Solifenacin

Question 4

anticholinergic drug contraindications

Answer 4

uncontrolled narrow angle glaucoma
urinary retention
decreased gastric motility

Question 5

anticholinergic drug warnings

Answer 5

agitation
confusion
drowsiness
dizziness
blurred vision
hallucinations

Question 6

Anticholinergic drug side effects

Answer 6

dizziness and drowsiness (greatest with/ oxybutynin and less with newer drugs)
dry mouth
constipation
dry eyes and blurred vision

Question 7

Oxybutynin patch/gel vs oral

Answer 7

cause less dry mouth and constipation than oral forms

Question 8

Beta-3 agonist drugs

Answer 8

Mirabegron (Myrbetriq)
Vibegraaon (Gemetst)

** efficacy seen within 8 wks **

Question 9

Beta-3 agonist warnings

Answer 9

urinary retention in patients with BPH and when used with anticholinergic drugs

Myrbetriq = inc BP

Question 10

Beta-3 agonist Side effects

Answer 10

HA
constipation
diarrhea
dizziness

Myrbetriq = UTI

Question 11

Using BOTOX in OAB

Answer 11

3rd line treatment

injections into detrusor muscle

Question 12

Nocturia treatment medicaiton

Answer 12

Desmopressin only FDA approved

Question 13

Desmopression boxed warning

Answer 13

severe, life threatening hyponatremia can develop

** Monitoring = Serum Na at BL, 1wk and 1 month **