Voiding Dysfunction Flashcards
0
Q
What does the pudendal nerve do?
A
- innervates urethral sphincter
1
Q
What do the sympathetic efferents do?
A
- store urine
- relax bladder
- constrict bladder neck
- inhibit PSNS
2
Q
What do the parasympathetic efferents do?
A
- pee
- inhibit pudendal nerve
- inhibit SNS
- contract bladder
3
Q
What can voiding dysfunction be a problem of?
A
- nerves
- detrusor muscle
- sphincter
4
Q
When taking a history about voiding, what do you want to ask about?
A
- frequency
- urgency
- nocturia
- incontinence
5
Q
What are the voiding symptoms?
A
- weak stream
- intermittent stream
- straining
- hesitancy
- emptying incompletely
- double-voiding
6
Q
What are two things to look for upon genital exam of a male?
A
- phimosis
- meatal stenosis
7
Q
What are two things to look for upon genital exam of a female?
A
- cystocele
- rectocele
8
Q
What investigations should be done in a patient with voiding dysfunction?
A
- voiding diary
- urinalysis
- culture
- uroflow
- urodynamics
- renal ultrasound
- cystoscopy
9
Q
What do alpha blockers do? What is an example of an alpha blocker?
A
- block SNS = block storage
- tamsulosin
10
Q
What do anticholinergics do?
A
- block PSNS = block peeing
11
Q
What do B3 agonists do?
A
- stimulate SNS = relax bladder = promote storage
12
Q
What is the bulbocavernous reflex?
A
- squeeze tip of penis and anus will contract
