Nephrology- Stones, Cystic disease and Incontinence

Question 1

stress incontinence

Answer 1

Leaking with valsalva maneuver (coughing, laughing, sneezing)

Question 2

Urgency incontinence

Answer 2

Sudden overwhelming or frequent need to void.

Detrusor overactivity

Question 3

Overflow incontinence

Answer 3

Constant involuntary dribbling and incomplete emptying

Question 4

Management os urgency incontinence

Answer 4

Bladder training
Pelvic floor muscle exercises
Antimuscarinic medications (alt. beta adrenergic agonist)

Question 5

Risks for urgency incontinence

Answer 5

Age >40

Prior Pelvic Surgery

Question 6

Initial workup for urinary incontinence (any type)

Answer 6

Urinary retention

Infection

Question 7

Primary nocturnal enuresis

Answer 7

Urinary incontinence in children age >5 who have never achieved nighttime dryness and have no underlying medical conditions

Question 8

Management primary nocturnal enuresis

Answer 8

Initial: behavioral modification
Enuresis alarms
Pharmacotherapy with desmopressin