Urinary Incontinence Flashcards
What is LUTS?
Lower urinary tract symptoms
What are LUTS?
Urinary frequency Nocturia Slow stream Hesitancy Terminal dribble Incontinence
What are the main types of urinary incontinence?
Stress incontinence
Urge incontinence
Mixed incontinence
Overflow incontinence
What is stress incontinence?
Complaint of involuntary leakage on effort or exertion
What is urge incontinence?
Complaint of involuntary leakage accompanied or immediately followed by urgency
What is mixed incontinence?
Complain of involuntary leakage associated with urgency and exertion/effort
What is overactive bladder syndrome?
Condition where there is a frequent feeling of needing to urinate to a degree that it negatively affects a person’s life
Associated with
- urgency
- frequency
- nocturia
What are the risk factors for urinary incontinence?
Pregnancy + childbirth Increasing age Increased intra-abdominal pressure - obesity Menopause UTI
How should urinary incontinence be managed?
Urine dip
Urodynamics
Bladder diary
What is conservative management for urinary incontinence?
Modify fluid intake
Weight loss
Smoking cessation
Decrease caffeine intake
How can incontinence be contained?
Indwelling catheter
Sheath device
Incontinence pads
How can stress incontinence be managed conservatively?
Pelvic floor muscle training
How can stress incontinence be managed medically?
Duloxetine
- NA + serotonin uptake inhibitor
- increases activity in straited sphincter during filling stage
How can stress incontinence be managed surgically?
Females
- permanent intention - vaginal tapes
- temporary intention
Males
- artificial urinary sphincter
- male sling
How can urge incontinence be managed initially?
Bladder training
- voiding schedule
