Urinary Incontinence in Men Flashcards
Occurs in more than half of men in 60s and can cause urinary incontinence
BPH
Type of incontinence characterized by “I have to go to the bathroom all the time. Sometimes the urge to urinate comes on so suddenly that I cannot make it to the toilet in time”
urge incontinence
Type of incontinence characterized by “Whenever I cough, sneeze, or even stand up I leak urine”
stress incontinence
Type of incontinence characterized by “I seem to leak all the time…sometimes I lose urine when I’m rushing to the restroom and other times when I cough or sneeze”
mixed incontinence
Type of incontinence characterized by “I feel like my bladder never empties even though I am going to the restroom all the time. Sometimes to urine even leaks out at unexpected times.” Associated with BPH
overflow incontinence
Caused by bladder over activity. Leakage occurs because of a sudden and unstoppable urge to void. Patient experiences nocturia, rushing to the bathroom, inability to hold urine, and loss of urine during sleep
urge incontinence
Caused by bladder over activity. Leakage occurs because of a sudden and unstoppable urge to void
urge incontinence
Contributing factor in women for urge incontinence
pelvic organ prolaspe
Most common in women but may occur in men who have undergone radical prostatecomy or other urogenital surgery. Urine loss occurs with activities that increase intra-abdominal pressure
stress incontinence
Bladder becomes stretched w/large volumes of urine due to obstructive processes or loss of contractility
overflow incontinence
Patient complains of passing small amt of urine frequently, difficulty starting stream/weak stream, straining while urinating, and sensation bladder isn’t empty
overflow incontinence
Complication of overflow incontinence
hydronephrosis
Treatment for stress incontinence
kegels, sling surgery, artificial urinary sphincter
Treatment of overflow incontinence due to bladder outflow obstruction
catheter, meds to shrink prostate or removal of obstruction
Treatment of overflow incontinence due to loss of contractility
catheter placement
Procedure uses a mesh material to compress the urethra and provide bladder outlet resistance…can prevent leakage of urine when abdominal pressures rise during coughing, sneezing, laughing or lifting
male sling
works by using a small, water filled cuff to compress the urethra and hold urine in the bladder until the patient is ready to urinate
artificial urinary sphincter
If the bladder must by removed or if it is totally denervated. Surgeon creates a reservoir by removing a piece of the small bowel and directing the ureters to the reservoir. Urine is drained through a stoma into a catheter and bag
urinary diversion
