Incontinence

Question 1

Urge incontinence- Sx

Answer 1

• Urgency followed by uncontrollable flow of large amount of urine
• Urgency, frequency and nocturia
• Detrusor overactivitiy

Question 2

Urge incontinence- Eti

Answer 2

• Bladder irritation- tumor, stones, diverticuli

- CNS upper motor neurons- stroke, dementia, parkinson

Question 3

Stress incontinence- Sx

Answer 3

Involuntary loss of urine with increase intrabd. pressure

- Small Amt of urine

Question 4

Overflow incontinence- Sx

Answer 4

• High PVR

- Outlet obstruction due to prostate, stricture, cystocle

Question 5

Acontractile bladder

Answer 5

• Detrusor underactivity
• Lower motor neuron lesions
• ## autonomic neuropathy- DM, B12, syphilis

Question 6

Overflow incontinence- Tx

Answer 6

• Alpha blockers

- Beware of orthostatic HTN

Question 7

Functional incontinence- Sx

Answer 7

• Patient can’t get to toilet

- demential, delirium, restraints

Question 8

Incontinence- Eti

Answer 8

• 50% community
• 50-75% institutionalized
• W>M
• Increases with age

Question 9

Incontinence- Tx

Answer 9

• Reduce dietary diuretics
• Pelvic floor PT
• Drink less liquid a night
• Scheduled toileting
• Topical estrogen