OAB Flashcards

1
Q

Name the types of Urinary Incontinence

A

Urge
Stress
Mixed (both urge and stress)

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2
Q

What is Urge incontinence

A

Urine loss accompanied by urgency resulting from abnormal bladder contractions

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3
Q

What is stress incontinence

A

Urine loss resulting from sudden increased urine pressure, eg laugh cough or sneeze

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4
Q

What causes OAB

A

Non neurogenic OAB - Idiopathic

Neurogenic OAB

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5
Q

Causes of Non Neurogenic OAB

A

Aging
Menopause
Other including cancer and diabetes

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6
Q

What causes Neurogenic OAB

A

MS
Parkinson’s
Stroke
Spinal Cord Lesions

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7
Q

What is the prevalence of Dry vs Wet in OAB

A

16.5 % adults have OAB

63% dry - 26.5 million
37% wet - 15.4 million

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8
Q

How many Americans have OAB

A

37 million - 1 in 6

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9
Q

How many Americans have FI

A

18 million adults - 1 in 12

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10
Q

Name the impacts on QOL with OAB - there are 6 main ones

A
Physical 
Psychological
Social
Domestic
Occupational
Sexual
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11
Q

How would you diagnose OAB

A

Patient History - symptom assessment
Physical Examination
Urinalysis

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12
Q

Current OAB treatment Pathway consists of what?

A

After evaluation

Conservative therapies - fluid/diet changes

Medications - 4/8 weeks

The evaluate for advanced therapies

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13
Q

When are you considered refractory

A

After failing behavioral therapy and one anti-muscadine for 4/8 weeks

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14
Q

First line therapies

A

Behavioral therapies and pelvic floor training

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15
Q

Second line therapies

A

Anti musca rinitis and transdermal formulations

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16
Q

Third Line therapies

A

SNS
PTNS
Botox

17
Q

What is the adherence to oral OAB medications

A

72% non adherent in 6 months

18
Q

Indications of SNS

A
Urgency Incontinence 
Urgency Frequency
Non obstructive retention
Fecal incontinence
Failure of other therapies