Urinary incontinence and prolapse

Question 1

symptoms of stress urinary incontinence?

Answer 1

involuntary urine leakage when sneezing or coughing

Question 2

symptoms of urge urinary incontinence?

Answer 2

urge to pass urine just before or during urine leakage
frequency
leakage when hear/see running water

Question 3

treatment of mixed urinary incontinence?

Answer 3

treat symptoms of both-r/f to physio for pelvic floor exercises and continence nurse specialist for bladder retraining-aim to increase time between 1st urge to PU and going to the toilet.

Question 4

symptoms of a prolapse?

Answer 4

sensation of something coming down, a heaviness or dragging sensation, may have to push it back in, back pain-tension on uterosacral ligaments
discomfort with sex
PV bleeding and discharge if ulcerated
urinary symptoms-slow stream, incomplete emptying, frequency, leakage with coughing or sneezing
difficulty with BO, faecal incontinence

Question 5

RFs for uterovaginal prolapse?

Answer 5

obesity
smoking
vaginal deliveries, parity
CT disease
menopause-oestrogen lack causes marked atropy of vaginal tissues
previous gynae surgery-hysterectomy

Question 6

what is it important to note when bleeding from an ulcerated prolapse?

Answer 6

may mask an endometrial carcinoma so ensure assessment with ultrasound and endometrial biopsy to exclude this