Urinary Incontinence

Question 1

List some of the causes of extraurethral causes of incontinence

Answer 1

Ectopia (ectopic kidney)
Fistula
Surgical bypass

Question 2

What is the most common type of incontinence

Answer 2

Stress incontinence

Question 3

List the causes of transient incontinence

Answer 3

Delirium
Infection
Atrophic vaginitis
Psychological
Pharmacological
Excess urine production
Restricted mobilityStool impaction

Question 4

List the main causes of female incontinence

Answer 4

Urethral hyper mobility
Intrinsic sphincter deficiency

Question 5

List the main causes of incontinence in males

Answer 5

-Bladder
Detrusor overactivity with BPH
Detrusor overactivity without BPH

-Bladder outlet
Sphinctor damage 2 to surgery/radiation
Sphinctor damage 2 to neuroogical disease

Question 6

List the risk factors for male incontinence

Answer 6

Age
Neurologic disease
Prostate surgery
Pelvic Trauma

Question 7

Which tests confirms urethral hyper mobility

Answer 7

Q tip test

Question 8

Which tests would you do to confirm incontinence

Answer 8

Urinalysis
Post void residual volume
Voiding diaries
Questionnaires
Pad test weight
Dye testing
Cystoscopy
Urodynamic studies

Radiological
-VCU
-USS
-MRI

Question 9

List the reasons for specialist referal in incontinence

Answer 9

Haematuria
Pain
Recurrent UTI
Symptomatic or grade 3 prolpase
Previous incontinence surgery
Previous pelvic radiotherapy
Pelvic mass
Continuous incontinence