Urinary Incontinence Flashcards
1
Q
Types of incontinence
A
Stress
Urge
overflow
functional
mixed
2
Q
- the involuntary loss of urine occurring, when in the abscence of detrusor contraction, intravesical pressure exceeds maximal urethral pressure
A
Stress Incontinence
3
Q
symptoms of urge incontinence
A
- urgency
- frequency
- nocturia
- incontinence
4
Q
- due to poor bladder emptying: may present w/ sensation of inadequate emptying, weak stream
- blocked urethra damaged bladder or medications
A
overflow incontinence
5
Q
incontinece due to physical or mental impairments that prevents normal voiding
A
functional incontinence
6
Q
what are reversible causes in incontinence in the elderly?
A
- Delirium
- Infection
- Atrophic Urethritis
- pharmacological
- endocrine
- restricted mobility
- stool impaction
7
Q
what is a pelvic floor exercise? When is it helpful?
A
contract the levators- inhibits a vesicoinhibitory reflux
* Helpful for both stress and urge incontincence
8
Q
- inhibit acetylcholine from binding to muscarinic receptors
- fewer and less forceful uninhibited detrusor contractions
- side effects limit use
A
Anticholinergics
9
Q
ideal for elderly patients
* noninvasive
* minimal risk
* immediate relief
* cost effective
Downsides
* need for follow up
* not a cure
* devolpement of new sx
A
pessaries
10
Q
main line treatment for stress incontinence
A
surgical treatment
11
Q
effects of vaginal birth on the pelvic floor?
A
- ischiococcygeus becomes vertical
- anococcygeal raphe is pushed and become vertical
- pubococcygeus is stetched anteroposterioly and peripherially
