Urinary Incontinence Flashcards
What is urinary incontinence?
The involuntary leakage of urine, varying in severity and nature
Urinary incontinence can manifest in different forms and impact daily living.
What is stress incontinence?
Involuntary leakage on effort, such as sneezing or coughing, associated with loss of pelvic floor support
Stress incontinence commonly affects women, especially after childbirth.
What is the main aim of treatment for urinary incontinence?
To manage urinary incontinence
Treatment aims to reduce symptoms and improve quality of life.
What are some non-drug treatments for urinary incontinence?
Modifying fluid intakes, losing weight, wearing pads
Lifestyle changes can significantly help manage symptoms.
What are some drug treatments for urinary incontinence?
Testing for infection, trialling bladder training, offering anticholinergic drugs
Drug treatments should be tailored based on individual patient needs.
Name three anticholinergic drugs that should be offered for urinary incontinence.
Oxybutynin, tolteridine, darifenacin
These drugs help reduce urinary urgency and frequency.
What should be used if anticholinergic drugs are contraindicated?
Mirabegron
Mirabegron is a beta-3 adrenergic agonist that can be an alternative treatment.
When should treatment be reviewed after initiation?
After four weeks
Regular review helps assess the effectiveness of the treatment.
What treatment should be offered for stress incontinence?
Pelvic floor training followed by duloxetine
Pelvic floor training is crucial for strengthening muscles that support the bladder.
How should duloxetine be withdrawn?
Slowly
Gradual withdrawal minimizes withdrawal symptoms.
What effect do mirabegron, TCA’s, and propantheline have on the heart?
They all increase the QT interval
Monitoring is important when prescribing these medications due to potential cardiac implications.
