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KPER 3510 > UI and incontinence > Flashcards

UI and incontinence Flashcards

1
Q

UI

A

involuntary leakage of urine

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2
Q

What % of adults have UI?

A

35-45%

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3
Q

What are the residual, first urge and strong urge urine volumes?

A

50, 120-250, 300-400

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4
Q

What muscles relax and which contract during urination

A

sphincter relax and detrusor contract

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5
Q

Is UI more common in men or women?

A

women, 40% over 70 have

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6
Q

Which is not one of the 4 geriatric giants named by WHO
- UI
- depression
- arthritis
- dementia
- falls

A

arthritis

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7
Q

What are the WHO recommendations for UI

A

regular screening and conservative interventions

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8
Q

Stress UI

A

inadequate urethral closure to overcome bladder pressure

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9
Q

Urgency UI

A

premature bladder contraction

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10
Q

Overflow UI

A

from an obstruction or poor emptying

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11
Q

What pressure increase commonly causes stress UI?

A

intrabdominal, from coughing, sneezing or laughing

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12
Q

Is SUI a neurological or mechanical problem

A

Mechanical

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13
Q

What are the 3Cs of SUI etiology?

A
  • Coaption: mucosal lining of uretheral seal
  • contraction: urethral sphincter & levator ani
  • compression: passively, between pubis and vagina
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14
Q

Which is not a risk factor for SUI
- pregnancy and birth
- chronic coughing
- obesity
- high impact PA
- kidney stones

A

not kidney stones, prostate cancer

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15
Q

Is UUI a neurological or mechanical error?

A

Neurological (communication error)

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16
Q

Which is not a common neural issue leading to UUI?
- MS
- Brain lesions (tumor/stroke)
- concussions
- idiopathic (unknown)

A
  • concussions
17
Q

What normally suppresses urge to urinate?

A

micturition centers in brain

18
Q

What communication is not delayed/lost with age, leading to UUI?
- first fill sensation
- first urge sensation
- first strong urge sensation
- first thirst sensation

A
  • thirst
19
Q

What is OAB? Which UI is it?

A

clinical UUI syndrome, overactive bladder

20
Q

T/F Nocturia is a symptom of OAB
- there are various pathological causes of OAB

A

T
F - no other pathological cause

21
Q

What mitigates SUI and UUI

A

PA

22
Q

Can UUI and SUI be comorbid?

A

Yes, called MUI

23
Q

Do men or women get overflow UI more?

A

men

24
Q

(T/F) With overflow UI, there are stream difficulties but no leakage while sleeping

A

false, there is leakage while sleeping

25
Q

what are some examples of blockages

A

bladder stone, urethral tumor, narrow urethra, BPH (prostate)/cancer

26
Q

How do you treat overflow UIs?

A

medical intervention for the underlying cause

27
Q

functional incontinence

A

cognitive or physical impairments prevent reaching restroom

28
Q

which is not a cause of functional incontinence
- dementia and mental illness
- MSK and neurological issues
- chronic coughing and obesity
- polypharmacy and falls

A

chronic coughing and obesity are factors for SUI

29
Q

Where are the pelvic floor muscles

A

@ base of pelvis, from symphysis to coccyx

30
Q

What is not a PFM muscle role
- supports organs
- assists continence
- supports core posture
- sexual function

A

does not support posture

31
Q

Can PFMs be strengthened

A

yes, and weakened

32
Q

what is not a cause of dysfunctional PFM weakness
- lack of sexual intercourse
- injury such as birth
- repeated stress such as running
- SUI

A
  • lack of intercourse not a cause
33
Q

which is not associated with dysfunctional PFM overactivity
- over-relaxation
- UUI
- painful intercourse
- lack of relaxation

A
  • over-relaxation
34
Q

What are some strategies for healthy PFMs

A

exercise and behavioural inervention

35
Q

what PFM exercises help with SUIs

A

kegel and knack exercises

36
Q

In pregnancy, how can you prevent SUI occurrence

A

training PFMs early on

37
Q

How does strengthening PFMs help treat UUIs

A

contraction inhibits detrusor and normalizes tonic PFM activation

KPER 3510 (24 decks)

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