Urinary incontinence

Question 1

Urinary incontinence: key symptoms

Answer 1

Involuntary leakage of urine

Question 2

Urinary incontinence: 4 classes

Answer 2

Stress: upon effort/exertion e.g coughing
Urgency: sudden urgency from overactive bladder syndrome or neurological conditions
Mixed: both stress and urgency
Overflow: urinary retention causes bladder to overfill e.g from antimuscaurinics

Question 3

Urinary incontinence: referral (2)

Answer 3

All patients should be referred for further assessment of symptoms
In particular over 45s with blood as risk of bladder cancer

Question 4

Urinary incontinence: explanation

Answer 4

Common condition where there is unintentional leakage of urine

Question 5

Urinary incontinence: OTC (most common), how to choose the correct one (3), what the benefts are (3)

Answer 5

Incontinence pads/pull-ups
Based on size, absorption capacity, mobility issues (use belted)
Absorbs urine to avoid leaks, keeps skin dry (promotes skin health), removes odour

Question 6

Urinary incontinence: other products (not pads) (4)

Answer 6

Bed/chair protection
Catheter and penile sheaths (men)
Skincare for irritated skin
Specially adapted clothing and swimwear

Question 7

Urinary incontinence: extra questions (4)

Answer 7

Is there any blood?
Is there any pain?
Are you on any other medication?
Any other medical conditions?

Question 8

Urinary incontinence: lifestyle (6)

Answer 8

Reduce caffeine
6-8 glasses of water (no more no less)
Weight loss if pt is obese
Stop smoking
Avoid alcohol
Pelvic floor exercises (GP)

Question 9

Urinary incontinence: risk factors (5)

Answer 9

Previous pregnancy, older age, obesity, comorbidities, medication (antimuscaurinics)