Session 8- Urinary Incontinence Flashcards
what is SUI
stress urinary incontinence- the complaint of involuntaru leakage on effort or exertion
sneezing coughing
what is UUI
urgency
the complaint of involuntary leakage accompanied or immediately proceeded by urgency
MUI
mixed
mix of UUI and SUO
overflow incontinence
the involuntary release of urine when the bladder becomes full- due to weak bladder muscle or blockage
OAB
overactive bladder
a frequent and sudden urge to urinate that may be difficult to control
storage LUTS
increasdd frequency
urgency
nocturia
incontinence
symptoms linked with voiding
slow stream spitting or spraying intermittency hesitancy straining terminal dribble
post mictuition LUTS
post-mictuition dribble
feeling of incomplete emptying
if we suspect urinary incontinecnce is due to neuroloical dame which dernmatomes shouldwe examine
S2 3 4
Mandaroty investigations of UTI
urine dipstick- UTI, Haemaruria, proteinuria and glucosuria
basic non invasive urodynamic montoting
frequency- volume chart
bladder diary
post micturition residual volume
lifestyle interventions of urinary incontinence
modify fluid intake weight loss stop smoking decrease caffeine intake avoid constipation timed voidong
PFMT
8 contractions x3/day
3 months duration
what is duloxetine
combined noradrenaline and serotonin uptake inhibitor
increased activity in the striated sphincter (external urethral sphincter) during filling phase
usualy an alternatve to surgery
not recommened as first or second line reatment
pemanent surgical intervention for SUI in women
permanent intention
- open retropubic suspension procedures
- classical autologous sling procedures
- low tension vaginal tapes
