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Repro > Urinary Incontinence And Prolapse > Flashcards

Urinary Incontinence And Prolapse Flashcards

1
Q

Different types of urinary incontinence?

A

Stress UI
Urgency UI
Mixed UI
Overactive bladder

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2
Q

Investigations of urinary incontinence?

A

Urinalysis
Urodynamics
Cystoscopy
Imaging

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3
Q

What is urgency in continence?

A

Leakage accompanied / preceeded by urgency

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4
Q

Overflow incontinence?

A

Due to injury or insult- treated with catheter

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5
Q

Stress incontinence?

A

Leakage on effort, exertion, sneezing, coughing

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6
Q

Surgical management of SUI?

A

Tension free tape
Intramural bulking agents
Artificial sphincters

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7
Q

Pharmacological management of SUI?

A

Duloxetine

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8
Q

What is Duloxetine?

A

A noradrenaline and serotonin reuptake inhibitor

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9
Q

SUI management?

A

Conservative
Duloxetine
Surgery

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10
Q

What causes OAB?

A

Destructor over activity

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11
Q

Management of OAB?

A 
Lifestyle
Bladder retraining / physio
Anticholinergics - oxybutynin
Intravaginal oestrogen cream 
Botulinum toxin 
Neuromodulation 
Surgery
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12
Q

Wet OAB?

A

With incontinence

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13
Q

Dry OAB?

A

Without incontinence

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14
Q

Pelvic prolapse symptoms?

A 
Building
Pressure
Mass
Difficulty inserting tampon
Pain on intercourse
Splinting vaginal wall
Difficulty voiding and incomplete emptying (cystocele/enterocele)
Difficulty and incomplete defaecation (rectocele)
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15
Q

Anterior prolapse?

A

Cystocele

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16
Q

Middle prolapse?

A

Enterocele p

17
Q

Posterior prolapse?

A

Rectocele

18
Q

Examination of prolapse?

A

With speculum

19
Q

Conservative management of prolapse?

A

Weight loss
Stop smoking
Stop straining
Pelvic floor exercises and physio

20
Q

What should be used with pessaries If post menopausal?

A

Topical oestrogen cream

21
Q

Mechanical treatment of prolapse?

A

Pessaries

22
Q

Surgery for anterior or posterior pelvic prolapse?

A

Vaginal repair

23
Q

Surgery for marked uterine prolapse?

A

Hysterectomy +/- sacrospinous fixation
Or
Laparoscopic sacrohysteropexy

24
Q

Surgery for post hysterectomy prolapse?

A

Sacrocolpopexy (mesh)

Repro (39 decks)

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