Urogyn

Question 1

Type of urinary incontinence? mech? Dx test? tx?

painless loss of urine w/ valsalva, no urge

Answer 1

Genuine stress urinary incontinence

bladder neck fell below pelvic diaphragm

loss of bladder angle, cystocele, hypermobile urethra, cytometric exam

urethropexy

Question 2

Type of urinary incontinence? mech? Dx test? tx?

“can’t make it to the bathroom in time”

Answer 2

urge incontinence

detrusor spasm

cystometric exam: uninhibited contractions

anticholinergic med (surgery worsens)

Question 3

Type of urinary incontinence? mech? Dx test? tx?

loss of urine w/ valsalva, dribbling, diabetes or spinal cord injury

Answer 3

Overflow incontinence

over distended 2/2 hypotonic bladder

post-void residual: large amount of urine

intermittent self-catheterization

Question 4

Type of urinary incontinence? mech? Dx test? tx?

constant leakage after surgery or prolonged labor

Answer 4

fistula

communication between bladder/ureter and vagina

dye into bladder shows vaginal discoloration

surgical repair of fistulous tract