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 (7)

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)
Take care of skin and report any broken skin (risk of infection)

Question 9

Urinary incontinence: risk factors (5)

Answer 9

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