OnlineMedEd: Gynecology - "Incontinence"

Question 1

__________ incontinence is unique to women.

Answer 1

Stress

Question 2

Which kind of incontinence presents with nocturia?

Answer 2

Urge

Question 3

Why does having a cystocele cause stress incontinence?

Answer 3

The urethra cannot absorb pressure, but the bladder can. As such, urine leaks.

Question 4

___________ is needed to truly diagnose urge incontinence.

Answer 4

Cystometry

Question 5

What does cystometry show in those with urge incontinence?

Answer 5

Random spasms at all volumes

Question 6

There are five main types of incontinence: ________________.

Answer 6

stress, urge, overflow, irritable bladder, and fistula

Question 7

“Neurogenic bladder” is synonymous with _____________.

Answer 7

overflow incontinence

Question 8

What can cause neurogenic bladder?

Answer 8

• MS
• Trauma
• Antispasmodics

Question 9

How can you distinguish between urge incontinence and neurogenic bladder?

Answer 9

Those with NB will have full bladders (on exam and cystometry).

Question 10

How is neurogenic bladder treated?

Answer 10

• Bethanechol (to induce voiding)

* Catheterization

Question 11

What voiding symptoms does irritated bladder present with?

Answer 11

With inflammation of the bladder, people feel that they have to void and may not make it on time.

Question 12

List three causes of irritable bladder.

Answer 12

• Infection
• Stones
• Cancer

Question 13

What can cause urethral fistulas?

Answer 13

• Surgery
• Inflammation (crohn’s)
• Radiation
• Cancer

Question 14

Explain the tampon test.

Answer 14

First, insert a tampon into the vagina. Second, inject blue dye into either the urethra or the rectum (wherever you think the fistula leads to). Remove the fistula. If there is dye on the tampon, then there is a fistula.