Urinary incontinence Flashcards
1
Q
who?
A
elderly females
2
Q
risk factors
A
advancing age
previous pregnancy and childbirth
high body mass index
hysterectomy
family history
3
Q
classification
A
- overactive bladder
- stress incontience
- mixed incontinence
- overflow incontiencne
- functional incontience
4
Q
Ix
A
bladder diary
vaginal exam - exclude prolapse
urine dipstick and culture
urodynamic studies
5
Q
Mx urge incontiennce
A
bladder retraining
bladder stabilising drugs - antimuscarinics e.g. oxybutynin or darifenacin or mirabegron (elderly)
6
Q
Mx stress incontinence
A
- pelvic floor training
- surgical procedures - retropubic mid-urethral tape procedures
- duloxetine - if they decline surgery
