Urogynae - incontinence Flashcards
Overactive bladder symptoms
sudden urgency
incontinence
frequency
nocturia (+/- enuresis)
leak when - just got home, washing hands, sex
treatment for overactive bladder
bladder drill
oxybutynin
mirabegren
detrusor botox
oxybutynin side effects
constipation
blurred vision
dry mouth
stress urinary incontinence symptoms
a sphincter weakness - leak when:
cough, laugh, lift, exercise, move
pregnant (increases abdominal pressure)
stress urinary incontinence treatment
physiotherapy to strengthen pelvic floor muscles
surgery - sling suspension
investigations for incontinence
frequency volume chart
urine dip
residual urine measurement (via catheter or USS)
ePAQ - effect on patients life
patient describes something coming down and pain
a lump down there
what is it - what you do
uterovaginal prolapse
if bad - repair mesh
general treatment for incontinence - lifestyle advice
weight loss
stop smoking
avoid caffeine/constipation
use leakage pads, self catheterise
pelvic floor exercises - vaginal cones
