Male Incontinence

Question 1

There are 4 types of male incontinence

Answer 1

Urge incontinence
Stress incontinence
Mixed incontinence
Postvoid dribbling

Question 2

Urge incontinence is

Answer 2

involuntary leakage of urine with significant urgency

Question 3

Urgency is

Answer 3

the sudden and compelling desire to pass urine immediately (difficult to defer).

Question 4

Stress incontinence is

Answer 4

involuntary leakage with exertion, sneezing, and/or

coughing.

Question 5

Mixed incontinence is

Answer 5

involuntary leakage associated with both urgency and stress (exertion, sneezing, and/or coughing).

Question 6

Postvoid dribbling is

Answer 6

the slow escape of urine retained in the urethra after the bladder has emptied.

Question 7

The focus of therapy is to

Answer 7

improve the patient’s physical control of the flow of urine.

Question 8

therapy is compounded by

Answer 8

life style modifications-> medical tx

Question 9

Lifestyle modification measures include

Answer 9

weight loss and dietary changes and include bladder training, biofeedback, and pelvic floor muscle exercises.

Question 10

The main pharmacologic agents available for urge incontinence are

Answer 10

antimuscarinic drugs: Oxybutynin

and beta-adrenergic agonists

Oxybutynin treats Overactive bladder.

Question 11

For urge incontinence associated with BPH,

Answer 11

alpha blockers are used.

Question 12

For stress incontinence that does not respond to measures, the next step in management is

Answer 12

duloxetine.