Urinary Incontinence Flashcards
describe what stress urinary incontinence(SUI) is
leakage on effort or exertion, sneezing or coughing
what does stress urinary incontinence(SUI) occur due to
bladder neck/urethral hypermobility and/or neuromuscular defects, causing intrinsic sphincter deficiency
describe what urge urinary incontinence(UUI) is
leakage accompanied by or immediately preceded by urgency
what is mixed urinary incontinence(MUI)
combo of SUI and UUI
what other types of urinary incontinence are there
bed wetting in elderly men, due to high-pressure chronic retention
post-micturition dribbling, due to urine pooling in bulbar urethra
constant leak of urine
what risk factors are associated with urinary incontinence
F>M, genetics, neurological disorder, anatomical abnormality, pelvic surgery, radiotherapy, diabetes
what are the promoting factors associated with urinary incontinence
smoking, obesity, infection, poor nutrition, ageing, poor mobility, increased fluid intake
what red flags are associated with urinary incontinence
new neurological deficit, haematuria, urethral/pelvic/bladder mass
what conservative management can be used for urinary incontinence
pelvic floor exercises, lifestyle modification, medication
what surgical treatment can be used for urinary incontinence
injection therapy, retropubic suspension, suburethral tape and slings, artificial urinary sphincter
what is the main indication for injection therapy
female SUI, secondary to demonstrable intrinsic sphincter deficiency in presence of normal muscle function
what is retropubic suspension mainly used to treat
female SUI predominantly caused by urethral hypermobility
when are artificial urinary sphincters used in the treatment of urinary incontinence
moderate/severe SUI secondary to urethral sphincter deficiency in those with normal bladder function
