bladder disorders Flashcards
(27 cards)
bladder fxns (2)
- storage
2. empty urine
what part of ANS maintains urinary storage
sympathetic activation of guarding reflexes
near bladder capacity, strong afferent activity stimulates _____ to initiate voluntary void
pontine micturition center
are women or men more affected by urinary incontinence
women
Detrusor overactivity or poor detrusor compliance
urge incontinence
normal PVR
under 50 ml
what does a PVR>@00 indicate
- bladder outlet obstruction,
2. poor bladder contractility
Frequency and urgency with or without urge incontinence
overactive bladder
Involuntary urine leak accompanied by or immediately preceded by a strong, sudden desire to urinate
urge incontinence
Intermittent involuntary bladder contractions
detrusor overactivity
Incremental rise in pressure as bladder volume increases
poor compliance
SE with anticholinergic meds
dry mouth, constipation, confusion
Last resort for refractory disease that has failed all other treatment options
Bladder augmentation or diversion
extreme frequency and/or constant dribbling incontinence
overflow incontinence
Involuntary urine leak with any sudden incr in abd pressure
stress incontinence
stress incontinence is more common in men or women
women
Urethral hypermobility
True anatomic stress incontinence as cause of stress incontinence
weakness of urinary sphincter
Intrinsic sphincter deficiency as cause of stress incontinence
what meds can be administered for stress incontinence
NONE
urethral bulking agents can be used to tx what type of incontiencne
stress incontinence
most popular procedure for stress incontinence?
transvaginal midurethral sling
indications for urology referral (4)
- failure to respond to conservative tx
- hematuria
- recurrent infxns
- complicated incontinence
is urine sterile
YES
UTI that occurs after documented infxn that had resolved
recurrent UTI
