Urinary incontinence and pelvic floor disorders Flashcards

1
Q

What is the most commonly reported type of pelvic flood dysfunction?

A

Urinary Incontinence

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2
Q

What percent of pre menopausal women will report urinary incontinence?

A

25%

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3
Q

What percent of post menopausal women will report urinary incontinence?

A

40%

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4
Q

What is the most common type of urinary incontinence? What percentage?

A

MUI, 40%

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5
Q

What percentage does SUI account for?

A

41%

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6
Q

What percentage does UUI account for?

A

12%

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7
Q

What percentage of OAB is associated with incontinence?

A

37%

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8
Q

The peak incidence of SUI occurs between what ages?

A

45- 49 yrs

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9
Q

How much does a BMI > 30 increase your risk of SUI

A

2 fold increase

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10
Q

IF SUI is present at 3 months post partum what percent will be present at 5 years?

A

92%

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11
Q

Pelvic floor exercise results in what rates of improvement of UI

A

65-75%

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12
Q

What receptors are located in the Detrusor muscle?

A

Muscarinic

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13
Q

What receptors are located in the trigone, bladder neck and alpha receptors.

A

alpha receptors

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14
Q

What receptors are targeted for UI and OAB medications?

A

Muscarinic

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15
Q

What are the side effects of Muscarinic antagonists?

A

Impaired cognition, dry mouth, dry eyes, constipation, tachycardia

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16
Q

What is the most common side effect of muscarinic antagonists?

A

Dry mouth

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17
Q

What is a contraindication for antimuscarinic therapy?

A

Narrow Angle Glaucoma

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18
Q

What is a contraindication to Mirabegron?

A

Hypertension

19
Q

What is the mechanism of Botox therapy?

A

Reversible Denervation of neuro-muscular junction for up to 9 months

20
Q

What is the general treatment strategy for PTNS

A

12 weekly sessions

21
Q

What is the response rate for OAB with PTNS?

A

65%

22
Q

What is the goldstandard surgical treatment for SUI?

A

MUS

23
Q

At what rate does bladder perforations occur with a TVT?

A

3-4%

24
Q

What is the cure rate of TVT?

A

80%

25
Q

What is the rate of urinary retention with TVT?

A

1-2%

26
Q

What is the rate of bladder perforation with TOT?

A

0-1.8%

27
Q

What is the cure rate for TOT?

A

82 - 97%

28
Q

What is the rate of urinary retention with TOT?

A

2-7%

29
Q

Overall lifetime risk of UI/POP repair ?

A

11% Lifetime risk of repair

30
Q

Rate of reoperation?

A

30%

31
Q

What is the most common type of prolapse?

A

Cystocele

32
Q

What is the failure rate of an anterior colporrhaphy

A

40%

33
Q

Does adding mesh increase the durability of an anterior repair?

A

No

34
Q

What is the cure rate for a posterior repair?

A

82%

35
Q

What is level 1 pelvic floor support, upper vagina?

A

Cardinal, Uterosacral ligament complex

36
Q

What is level 2 pelvic floor support, mid vagina?

A

Arcus Tendinous fascia Pelvic

37
Q

What is level 3 pelvic floor support, lower vagina?

A

Urogenital diaphragm and perineal body

38
Q

What are the major vessels surrounding the sacrospinous ligament?

A

Pudendal and inferior gluteal artery

39
Q

What nerve is most commonly injured in a sacrospinous ligament fixation?

A

Sciatic

40
Q

What is the rate of success for a sacrospinous ligament fixation at 1 year?

A

97%

41
Q

What is the most common site of vascular injury during a sacrospinous ligament fixation?

A

Inferior gluteal injury

42
Q

What is the rate of sciatic or butt pain following sacrospinous ligament fixation?

A

14%

43
Q

When does sciatica usually resolve following Sacrospinous ligament fixation?

A

3 months following surgery