Urinary Incontinence & Infection Flashcards
how common is urinary incontinence
1/3 women, 1/10 men
types of incontinence
overflow (BOO): chronic retention, often wet at night, mx- catheter
urge: sudden compelling desire to urinate (may be due to detrusor overactivity), lifestyle mx, some other methods e.g. botox
stress incontinence: involuntary leakage on effort/ exertion. commonly following childbirth. pelvic floor exercises
mixed incontinence
what are 2 causes of extra-urethral incontinence
ectopic ureter, vesicle- vaginal fistula
prolonged labour is a risk for…
vesicle-vaginal fistula
types of UTI
lower UTI: cystitis- bladder
Upper UTI: ureters/ kidneys (pyelonephritis)
what makes a UTI complicated
systemic sepsis/ urinary structural abnormality or stones
why are women more predisposed to UTIs
shorter wider urethra, urethra proximal to anus
routes for UTI
ascending: from bowels then moves up urethra
descending: bacteremia
organism responsible for UTIs
e.coli*, klebsiella, enterobacter, proteus
proteus UTI occurs with…
calculi formation
enterococci UTI occurs with…
diarrhoea
staphylococci saphrophyticus occurs with…
pregnancy
pseudomonas a UTI occurs with…
catheterised patients
s/s of UTI
pain passing urine (dysuria), frequency, haematuria, fevers, loin pain, rigors
ix for UTI
culture, urinalysis (leukocytes, nitrites, proteinuria, haematuria)
