Urinary Incontinence and BPH Flashcards
Female ureter blood supply
Renal, lumbar, gonadal, common iliac and superior vesical arteries with corresponding venous drainage
Female ureter nerve supply
Autonomic nervous system
Female bladder nerve supply
Autonomic nervous system
Male ureter
Same
Male prostate
Gland lying below bladder in male and surrounds proximal part of urethra. Function is to secrete 75% of seminal fluid which liquifies coagulated semen after deposition in female genital tract
Measures 4x3x2cm, conical in shape. Connected to bladder by connective tissue
3 parts-left lateral lobe, right lateral lobe and middle lobe
Voiding phase
Bladder contracts and expels urine, urethral sphincter relaxes and urethra opens
Infant micturition
Local spinal reflex in which bladder emptied on reaching critical pressure
Adult micturition
Can be initiated or inhabited by higher centre control of external urethral sphincter keeping it closed until appropriate
Stress urinary incontinence
Complaint of involuntary leakage on effort or exertion, or sneezing or coughing
Stress urinary incontinence incidence
Affect up to 40% of women, more common in older women, 1 in 5 women over 40 having some degree of stress incontinence
Stress urinary incontinence symptoms
Involuntary leakage from urethra with exertion/effort or sneezing or coughing
Overactive bladder symptoms
Urgency, frequency, nocturnal and urgency incontinence, impact on QOL - sleep disorders, anxiety and depression
Assess for enlarged prostate in males and prolapse in women
Continuous incontinence
Continuous loss of urine all the time. Could be due to vesicovaginal fistula, ectopic ureter (from kidney to urethra or vagina)
Functional incontinence
Due to severe cognitive impairment or mobility limitations, preventing use of toilet. Bladder function is normal
Mixed incontinence
More than 1 type, usually in elderly
