Urinary Incontinence Flashcards
what is urinary incontinence?
the involuntary leakage of urine
what are the three main types of urinary incontinence?
stress
urge
mixed
what is stress urinary incontinence?
leakage on effort or exertion
what causes stress urinary incontinence?
intrinsic sphincter deficiency
what is urge urinary incontinence?
leakage accompanied/preceded by urgency
what causes urge urinary incontinence?
bladder overactivity
pathology irritating the bladder
what is mixed urinary incontinence?
a combination of stress and urge urinary incontinence
what does bedwetting in elderly men usually indicate?
high pressure chronic retention
in what condition is post micturition dribble common?
enlarged prostate
what does a constant leak of urine in females suggest?
a communication between the bladder and the vagina
what four basic investigations are done for urinary incontinence?
bladder diary
urinalysis
flow rate
pad testing
what three conservative measures can be taken for urinary incontinence?
pelvic floor exercises
lifestyle modifications
biofeedback
what lifestyle modifications should be made for urinary incontinence?
weight loss
stop smoking
modify fluid intake
what medication can be used for urinary incontinence and how does it work?
duloxetine
increase sphincter activity during bladder filling
what are the three surgical options for urinary incontinence?
injections
retropubic suspension
artificial urinary sphincter
