Incontinence

Question 1

beta 3 receptors on bladder wall when innervated cause

Answer 1

relaxation of detrusor

alpha 1 on smooth muscle of internal sphincter contracts

Question 2

Urgency incontinence and stress incontinence are both

Answer 2

failure to store urine

Question 3

overflow incontinence - bladder retains large amount of fluid

Answer 3

failure to empty

• hypotonic bladder -
• outlet obstruction

Question 4

urgency incontinence is due to an

stress incontinence is due to

Answer 4

overactive bladder

incompetent closure

Question 5

overactive bladders, urgency incontinence often due to

Answer 5

involuntary contractions, lesions of CNS

Question 6

how do you check a post void residual?

Answer 6

ultrasound

Question 7

who is at risk of urinary retention or post void residual

Answer 7

• DM
• neurologic
• large prostate
• elderly

Question 8

post-void residual testing using ultrasound helps you rule out

Answer 8

overflow incontinence

Question 9

large volume urinary incontinence post prostatectomy - can be due to

Answer 9

stress incontinence,

sphincter not closing

Question 10

74 yr old post stroke -

leakage of urine

Answer 10

• involuntary contraction

and urgency incontinence can ensue

Question 11

stroke initially can lead to

Answer 11

urinary retention for detrusor areflexia
then
detrusor overactivity - neurogenic

Question 12

overactive bladder with urgency incontinence can be due to

Answer 12

stroke
- dementia
- tbi
- brain tumour
- MS
low pressure hydrocephalus

Question 13

how do you treat urgency incontinence and prevent an overactive bladder

Answer 13

anti muscarinic

Question 14

55 yo
stress incontinence
leaks when coughing
management?

Answer 14

no meds!

pelvic floor physio

Question 15

23 yo
C7
febrile

Answer 15

Urinary retention until proven otherwise
Detrusor overactivity
Autonomic dysreflexia