Flashcards in Incontinence Deck (11):
A man presents having noticed he frequently wakes up having wet the bed. On examination he has a large palpable bladder.
A 60 year old lady reports feeling a frequent strong urge to urinate and reports often not making it to the toilet.
How is detrusor overactivity diagnosed?
Is the detrusor muscle overactive in stress or urge incontinence?
A lady reports leaking out small volumes of urine when she coughs or laughes.
What is the treatment for overflow urinary incontinence?
Treatment of obstruction
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
What medication treatments are used in urge incontinence?
Anti - muscarinics (oxybutynin)
Beta 3 adrenergics (Mirabegron)
What other medical treatments are used for urge incontinence?
What medication has some role in stress incontinence?
Duloxetine (Seratonin 5HT and norephrine reuptake inhibitor