Miller Urinary Incontinence Flashcards
1
Q
What is UI?
A
Complaint of involuntary loss or leakage of urine
2
Q
What are the subtypes of chronic UI?
A
- Stress
- coughing sneezing physical exertion (women)
- Urge
- sudden need to go (M=F)
- Overflow
- detrusor underactivity or outflow obstruction (men)
- Mixed
- coexistence of stress and urgency
3
Q
Risks for incontinence?
A
- age
- obesity
- smoking
- DM
- previous pelvic surgery
- medication
- nursing home
- dementia
- Vaginal deliveries
- menopause
- BPH
4
Q
Clinical presentation of UI?
A
detailed history
5
Q
PE for UI?
A
- functional status- mental state, mobility, BMI
- abdominal exam
- Urogenital exam
6
Q
What urologic tests should be done for UI
A
- UA with calorimetric reagent test and microscopy
- culture with positive sx or dip
- post void residual volume
- voiding diaries
- Pad testing
7
Q
Stress incontinence management?
A
- fluid intake
- constipation management
- electrical stimulation
- mechanic device
- pelvic floor muscle strengthening
- quit smoking
- weight loss
8
Q
Urge incontinence pharmacologic treatments?
A
- antimuscarinics
- intravaginal estrogen
- mirabegron
9
Q
overflow incontinence pharmacologic tx?
A
alpha adrenergic antagonists
10
Q
complications for UI?
A
- poor quality of life
- social isolation
- sexual dysfunction
- poor marital relationships and sleeo
- negative psychological burden of family or caregivers
