Urinary incontinence

Question 1

what is urinary incontinence?

Answer 1

-involuntary voiding

Question 2

what are the 4 types of urinary incontinence?

Answer 2

1. stress incontinence
2. overflow incontinence
3. overactive bladder
4. functional incontinence

Question 3

what is the treatment of urinary incontinence?

Answer 3

• behavioral (as caregiver take to bathroom regularly) (need to provide assistance with pt to get to washroom) (limiting fluid intake before bed) (avoiding caffeine
• drugs (ALPHA ADRENERGIC AGONIST)
• catheters & collecting devices
• SX (for example pelvic dissent can go & reconstruct) (other example prosthetic’s that make sphincter more functional)

Question 4

Stress incontinence (urinary incontinence)

Answer 4

(not emotional, from volume & pressure of urine)

• increase intra-abdominal pressure (from coughing & laughing) (intra-abdominal pressure forces on bladder & pushes urine out)
• change in urethro-vesicularangle (in females) (after childbirth can alter angle causing pelvic distent)

Question 5

overflow incontinence (urinary incontinence)

Answer 5

• retention & bladder distention

- intravesicular (bladder) pressure is greater than urethral pressure

Question 6

overactive bladder (urinary incontinence)

Answer 6

• overactive bladder wall (bladder wall contains muscle that allows to contract)
• neurogenic (nerve innervation to muscle)/myogenic (muscle problem) PROBLEMS
• hyperactive detrusor muscle

Question 7

functional incontinence (urinary incontinence)

Answer 7

• cognitively does not know bladder is full or knows full but unable to stand to go to bathroom
  eg. Cognitive, physical barriers