Male Incontinence Flashcards
There are 4 types of male incontinence
Urge incontinence
Stress incontinence
Mixed incontinence
Postvoid dribbling
Urge incontinence is
involuntary leakage of urine with significant urgency
Urgency is
the sudden and compelling desire to pass urine immediately (difficult to defer).
Stress incontinence is
involuntary leakage with exertion, sneezing, and/or
coughing.
Mixed incontinence is
involuntary leakage associated with both urgency and stress (exertion, sneezing, and/or coughing).
Postvoid dribbling is
the slow escape of urine retained in the urethra after the bladder has emptied.
The focus of therapy is to
improve the patient’s physical control of the flow of urine.
therapy is compounded by
life style modifications-> medical tx
Lifestyle modification measures include
weight loss and dietary changes and include bladder training, biofeedback, and pelvic floor muscle exercises.
The main pharmacologic agents available for urge incontinence are
antimuscarinic drugs: Oxybutynin
and beta-adrenergic agonists
Oxybutynin treats Overactive bladder.
For urge incontinence associated with BPH,
alpha blockers are used.
For stress incontinence that does not respond to measures, the next step in management is
duloxetine.