Urinary Incontinence and Pelvic Floor Disorders

Question 1

Definition of urinary incontinence

Answer 1

Involuntary loss of urine that is sufficient enough in frequency and amount to cause physical and/or emotional stress for the pt.

Question 2

Women suffer from incontinence more than men

Answer 2

truth

Question 3

Causes categories

Answer 3

• stress- loss of urine with exerted pressure like a cough or sneeze
• urge-
• mixed- combination of stress and urge
• overflow- cannot empty bladder
• other- fistula, spinal cord issue, etc..

Question 4

Risk factors

Answer 4

• females over males
• Menopause
• Child birth
• Immobility
• Environmental Barriers
• Altered Cognition
• Medication
• Smoking
• Collagen
• Nerve disorders
• stroke
• diabetes
• Anything that increases intra-abdominal pressure

Question 5

See notes for info on nervous system control over continence and voiding

Answer 5

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Question 6

Anal wink test is testing what nerve

Answer 6

Pudendal (S2-4). The Pudendal nerve innervates all of the external genitalia as well as thesphincters of the baldder and rectum. It reactes to sharp and dull touch. It innervates bulbocavernosus muscle

Question 7

Purpose of the Q-Tip test

Answer 7

To measure bladder neck mobility

Over 30 degrees = hypermobility….hypermobility is often associated with stress incontinence

Question 8

Uterine Prolapse that is an anterior wall defect is

Answer 8

Cystocele

Question 9

Prolapse regarding a posterior wall defect?

Answer 9

Rectocele

Question 10

Lateral wall defect

Answer 10

Paravaginal defect

Question 11

Apical defect

Answer 11

uterine prolapse, vaginal vault prolapseq

Question 12

Symptoms of anterior wall prolapse

Answer 12

stress urinary incontinence, incomplete bladder emptying, possible increased frequency of UTIs

Question 13

Symptoms of posterior wall prolapse

Answer 13

Incomplete stool evacuation

Splinting to assist defecation

Question 14

Know the levels of support slide

Answer 14

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