Urinary Incontinence

Question 1

What is pathophysiology of Urinary incontinence

Answer 1

Urge: detruser hyperactive
Stress: sphincter incompetence
Overflow: detrusor hypoactive and/or urethral sphincter obstruction

Question 2

What meds can cause urinary incontinence

Answer 2

diuretics
acetylcholinesterase inhibitors
alpha-receptor antagonists and agonists
CCB
narcotics
antipsychotics
anticholinergics
antidepressants
alcohol
ACEI

Question 3

What are best txt for urinary incontinence

Answer 3

Stress

• muscle exercise (Kegel)
• surgery

Urge
- bladder training w/ anticholinergics

Mixed
- bladder training and pelvic exercises

Overflow
- meds and surgery