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Renal (Zoe's cards) > Incontinence > Flashcards

Flashcards in Incontinence Deck (11):
1

A man presents having noticed he frequently wakes up having wet the bed. On examination he has a large palpable bladder.

Overflow incontinence

2

A 60 year old lady reports feeling a frequent strong urge to urinate and reports often not making it to the toilet.

Urge incontinence

3

How is detrusor overactivity diagnosed?

Urodynamic studies

4

Is the detrusor muscle overactive in stress or urge incontinence?

Urge

5

A lady reports leaking out small volumes of urine when she coughs or laughes.

Stress incontinence

6

What is the treatment for overflow urinary incontinence?

Treatment of obstruction
Catheterisation

7

What is the first approach to treatment for a patient with urge incontinence?

Dietary advice eg avoid caffeine
Biofeedback from training pelvic floor
Bladder retraining and times bladder emptying

8

What medication treatments are used in urge incontinence?

Anti - muscarinics (oxybutynin)
Beta 3 adrenergics (Mirabegron)

9

What other medical treatments are used for urge incontinence?

Botox injection
Neuromodulation
Surgery

10

What medication has some role in stress incontinence?

Duloxetine (Seratonin 5HT and norephrine reuptake inhibitor

11

A 56 year old female complains of oftenfeeling an urgent and distressing need to urinate. She has always made it to the toilet and finds she is up 3 times a night to pass urine

Overactive bladder.