Urinary Incontinence

Question 1

How does the following drug class cause OAB symtpoms?

opiates

Answer 1

opiates

less awareness of bladder filling, increased sphincter tone, fecal impactions

Question 2

How does the following drug class cause OAB symtpoms?

sedatives

Answer 2

Sedatives

impaired detrusor contraction

Question 3

How does the following drug class cause OAB symtpoms?

anti-histamines

Answer 3

potential for decreased contractility

Question 4

How does the following drug class cause OAB symtpoms?

anti-depressants

Answer 4

anti-depressants

duloxetine, TCAs

increased sphincter tone, decreased bladder contractility

Question 5

How does the following drug class cause OAB symtpoms?

anti-psychotics

Answer 5

anti-psychotics
clozapine, olansapine, risperidone

CNS stimulation, decreased sphincter tone, decreased contractility

Question 6

How does the following drug class cause OAB symtpoms?

alpha agonists

Answer 6

alpha agonists

meythl-dopa, clonidine

urinary retention, increased sphincter tone

Question 7

What is the questionnaire measuring and how is it scored?

IIQ- impact of incontinence

Answer 7

affect of incontinence on daily habits and emotional status

score 0-100

Question 8

What is the questionnaire measuring and how is it scored?

UDI urogenital distress inventory

Answer 8

which sx are most bothersome?
-frequency/urgency/incomplete emptying
-SUI
-Pain

raw score x 25

Question 9

What is the questionnaire measuring and how is it scored?

PFDI

Answer 9

all pelvic floor dysfunction (urinary, fecal, prolapse)

0-300, raw score x 25