GYN- Incontinence Flashcards Preview

OBGYN Clerkship > GYN- Incontinence > Flashcards

Flashcards in GYN- Incontinence Deck (11)
1

Descibe the innv needed for continence

INVOLUNTARY
sympatetic: via hypogastric N --> detrusser relaxation + internal sphincter constriction (HOLDS PEE)

Parasympathetic: via pelvic splanchnic N --> MAch R --> detrussor contraction and internal sphincter relaxation (EXPELS PEE)

VOLUNTARY:::
SOMATIC CONTROL of external anal sphincter via pudental N

2

First step when pt comes in for incontinence

get UA/UCx to r/o UTI

3

urine leakage with exertion or straining =

Tx?

stress incontinence

surg to stabalize hypermobile urethra (best) > kegek, pessaries

4

urine leakage due to detrussor overactivity/involuntary bladder contractions

Tx?

urge incontience

anti-cholinergics (oxybutinin)
TCAs (imipramine)

5

urine leakage with urine retantion and over distention

Tx?

overflow incontinence`

intermittent self cath
cholinergics (inc bladder contractility)
a1 blockers (inc urethral resistance)

6

urine leakage due to fistula following pelvic surgery or pelvic radiation

bypass incontinence

7

urine leakage due to physcial or psych issues, common in nursing homes

functional incontinence

8

old age causes what kind of incontinence

stress and functionlal

9

UTIs cause what kind of incontinence

urge (detrussor overactivity/involuntary bladder contractions)

10

bladder stones or cancer cause what kind of incontinence

urge (detrussor overactivity/involuntary bladder contractions)

11

how to diagnose bypass incontinence

methylene blue or indigo carmine dye