Urinary continence Flashcards
What are the different types of urinary incontinence
stress overactive / urge overflow functional mixed
what is urinary incontinence
involuntary leakage of urine
what is stress urinary incontinence
leakage on increased stress / intrabdominal pressure e.g. cough, sneeze, laughter
from intrinsic sphincter deficiency
what is urge urinary incontinence
leakage accompanied by feeling of urgency
due to bladder detrusor muscle overactivity
what does the FUN mnemonic stand for in urge incontinence
Frequency
Urgency
Nocturia
What is overflow urinary incontinence
results from bladder outflow obstruction
usually in males with BPH
symptoms of overflow incontinence
difficulty starting
weak flow / poor stream
post micturition dribbling
Neurological causes of urinary incontinence
MS
stroke
Parkinsons
spinal shock
risk factors for urinary incontinence
female age childbirth smoking alcohol caffeine neurological conditions anatomical anomalies pelvic surgery diabetes obesity recurrent UTI poor nutrition cognitive deficits oestrogen deficiency
red flags in urinary incontinence
pain
haematuria
recurrent UTI
new neurological deficit
examinations for urinary incontinence
abdo exam
chaperoned PR +- PV exams
basic investigations for incontinence
bladder diary
urinalysis + culture
flow rate and post void volume
urodynamics
list conservative methods of SUI management
Pelvic floor exercises bladder retraining weight loss reduce caffeine and alcohol intake biofeedback
list medical management of SUI
antimuscarinics - duloxetine
conservative management of overactive bladder
bladder retraining
pelvic floor exercises
biofeedback
reduce BMI, caffeine, alcohol