Urinary incontinence

Question 1

What is urinary incontinence usually caused by in Men?

Answer 1

usually prostatic enlargement, urge incontinence or dribbling may be from partial retention, retention may give overflow

turp and pelvic surgery may weaken external urethral sphincter

Question 2

What is urinary incontinence usually caused by in women?

Answer 2

Stress incontinence: leakage from incompetent sphincter when incr. IAP
pelvic floor weakness

Ugre incontinence (overactive bladder): cant hold urine for any length of time, may have a precipitant eg arriving home 
Dx is urodynamic studies

Question 3

Ix of urinary incontinence?

Answer 3

PR for faecal impaction
palpable bladder after voiding? overflow
UTI
DM
CNS: MS, parkisnons, stroke, spinal trauma
Diuretics

Question 4

Management of stress incontinence?

Answer 4

Pelvic floor exercises
ring pessary
duloxetine
tension freee vaginal tape

Question 5

management of urge incontinence?

Answer 5

Bladder training
wt loss
Anti AchM: Tolterodine, imipramin, oxybutinin