Urinary Incontinence Flashcards
What is stress incontinence?
Involuntary leakage of urine during increased intra-abdominal pressure
What are features of stress incontinence?
Leakage of insertion
- laughing
- coughing
- sneezing
- exercise
What investigations are done for suspected stress incontinence?
Bladder diary
Urine dipstick
Urodynamic studies
How is stress incontinence managed conservatively?
Weight loss
Smoking cessation
Pelvic floor training
How is stress incontinence managed medically?
Duloxetine
What is the mechanism of duloxetine?
SNRI
Increases pelvic floor strength
How is stress incontinence managed surgically?
Tension free vaginal tape
Colposuspension
What is urge incontinence?
Overactivity of the detrusor muscle
What are features of urge incontinence?
Leakage following urge
Day time frequency
Nocturia
What investigations are done for suspected urge incontinence?
Bladder diary
Urine dip
Urodynamics
How is urge incontinence managed conservatively?
Fluid intake changes
Bladder retraining
How is urge incontinence managed medically?
Anti-cholinergics
- oxybutynin
- tolterodine
Mirabegron
How is urge incontinence managed surgically?
Botulinum toxin A injections
Sacral nerve stimulation
