Urinary Incontinence Flashcards
What is meant by urinary incontinence?
Inability to maintain micturition control. Involuntary urine leakage.
What muscle is responsible for the movement of the bladder?
Detrusor muscle.
Is the external sphincter muscle voluntary or involuntary?
Voluntary - can tighten.
Is the internal sphincter muscle voluntary or involuntary?
Involuntary - opens and closes automatically.
What is the name of the reflex responsible for micturition?
Micturition reflex.
The sympathetic or parasympathetic system is increased during peeing?
Parasympathetic system.
Which receptors on the detrusor muscle are responsible for the micturition reflex?
Stretch receptors.
Which part of the brain trains for voluntary control of our bladder?
PONS.
Which centre in our brain stops us peeing?
Pontine storage center (micturition reflex overridden).
Which centre in our brain allows us to pee?
Pontine Micturition Center.
State the three types of incontinence.
Stress. Urge. Overflow.
State a side effect of urge incontinence.
Frequent urination, especially at night.
State 2 treatment for urge incontinence.
Relaxation techniques - decrease detrusor muscle activity. Anti-muscarinic medications e.g. tolterodine, oxybutynin, solifenacin. Botulinum toxin. Intra-vaginal stimulation of nerves.
State a side effect of stress incontinence.
Urinary leakage.
State a treatment for stress incontinence.
Pelvic floor exercises - strengthen external sphincter.
