Female Urinary Incontinence Flashcards Preview

Jason's MD3 Women's > Female Urinary Incontinence > Flashcards

Flashcards in Female Urinary Incontinence Deck (20):
1

Incontinence types?

Stress
Urge - detrusor overactivity/neurological
Retention/overflow
Functional
True - constant leakage

2

What causes true incontinence?

Rare
Congenital
Fistulas

3

Urge incontinence cause?

Detrusor overactivity
Neurological incoordination
Idiopathic

4

Other causes of incontinence?

UTI
Faecal impaction, Meds, immobility

5

Detrusor overactivity mnemonic?

FUN
Freq
Urgency
Nocturia

6

Most ppl bladder, how much can hold?

300-500ml

7

How many times wake per night is too much?

>2 per night

8

Urge incontinence describe history?

Sudden urge: run
LARGE volume

9

Mixed urinary incontinence is?

Urge + stress

10

Questions to ask in incontinence?

Gynecologic historyhave narrow-angle glaucoma
Meds: anticholinergics, diuretics, antihypertensives

11

Post menopausal vaginal atrophy affects incontinence how?

Worsens overactive bladder/detrusor overactivity
Doesn't help in pure incontinence

12

Investigations

MSU
Post-void residual scan
Bladder diary/outcome measures
Urodynamic: flow
Videourodynamics
Cystourethroscopy

13

Risk of stress incontinence in preg?

Forceps
Vaginal
C-section
Term baby with weight can cause

14

Conservative management of incontinence?

Pelvic floor exercises
Pads
incontinence pessary

15

Pelvic floor exercises don't work in?

Bladder neck Sphincter deficiency stress incontinence

16

If can't do surgery to correct bladder neck, what can you do?

Peri urethral bulking agent

17

General advice on incontinence? Lifestyle

1.5L fluids
Avoid ETOH, caffeine, spicy food
Bladder retraining

18

What drugs to treat incontinence?

Anticholinergics: oxybutinin
TCAs: rare
B3: mirebegron

19

Summary

Rule out UTI
Conservative
Urodynamics
Surgery

20

What not to do in mixed incontinence?

Don't surgery/sling or Botox the stress incontinence part, can make detrusor activity worse.