Urinary Incontinence

Question 1

What is urinary incontinence?

Answer 1

Any involuntary leakage of urine

Question 2

What is stress urinary incontinence?

Answer 2

Any involuntary leakage of urine on exertional stress e.g. cough/sneeze/exercise

Question 3

What is urge urinary incontinence?

Answer 3

Any involuntary leakage of urine preceded by or accompanied by an urge

Question 4

What is mixed urinary incontinence?

Answer 4

A combination of stress and urge incontinence.

Question 5

What is the conservative treatment for urinary incontinence?

Answer 5

Stop smoking 
Reduce alcohol/caffeine 
Improve diet 
Weight loss
Pelvic floor muscle training of at least 3 months' duration

Question 6

What is the medical treatment for urinary incontinence?

Answer 6

Duloxetine

It’s second-line therapy if women prefer pharmacological to surgical treatment or are unfit for surgical treatment.

Question 7

What is the surgical treatment for urinary incontinence?

Answer 7

Tension free vaginal tape
Suburethral hammock
Colposuspension

Question 8

A 40 y/o woman comes in presenting with stress urinary incontinence. What sort of lifestyle advice should she be given?

Answer 8

Stop smoking
Reduce alcohol/caffeine
Improve diet
Lose weight

PMFT for 3 months