Urinary Incontinence Flashcards
Top 8 risk factors for urinary incontinence:
- females
- increased age
- medications
- obesity/pregnancy
- pelvic muscle weakness
- immobility/impaired cognition
- benign prostatic hyperplasia (BPH)
- neurogenic disorders
Females have increased risk of urinary incontinence b/c of…
- changes in estrogen
- shorter urethra (less resistance to pressure)
Increased age increases the risk of urinary incontinence b/c…
- kidney’s ability to [ ] urine decreases, so larger volume of urine
- decreased muscle tone in bladder, sphincters, and pelvic muscles
Medications increase the risk of urinary incontinence b/c of the…
side effects
- muscle relaxants
- diuretics
Obesity/pregnancy increases the risk of urinary incontinence b/c of:
increased mass and pressure on bladder and urinary tract
Pelvic muscle weakness increases the risk of urinary incontinence b/c…
- plays role in voluntary control of urination
- strengthening muscles is treatment option
Immobility/impaired condition increases the risk of urinary incontinence b/c…
pt might not be able to reach bathroom or unwilling to release urine in proper place
Benign prostatic hyperplasia (BPH) increases the risk of urinary incontinence b/c…
prostate gland is enlarged and blocks urethra
- common cause of overflow incontinence in males
Neurogenic disorders increase the risk of urinary incontinence b/c of…
can cause loss of voluntary control of urinary tract
- ex: diabetic neuropathy/spinal cord injury
4 types of urinary incontinence (can use absorbent OTC supplies):
- stress incontinence
- overactive bladder (OAB) or urge
- overflow incontinence
- functional incontinence
Most common type of incontinence in women:
stress incontinence
Common symptoms of stress incontinence involve the involuntary leakage or urine due to…
- sudden increase in abdominal pressure
- sneezing
- laughing
- coughing
- lifting
- pregnancy
- obesity
Stress incontinence occurs due to…
weakness or urethral sphincter and pelvic floor muscles
Treatment of stress incontinence:
- pelvic floor exercises (knack maneuver/kegel exercises)
- can use Rx topical estrogen creams (no oral)
Rx topical estrogen cream only works if…
primary cause is due to estrogen deficiency
Overactive bladder (OAB) or urge is more common w/…
increased age