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Flashcards in incontinence Deck (20)
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1

stress incontinence?

when jogging, laughing or sneezing

2

urge incontinence caused by which muscle

detrusor muscle

this is a nerve issue

3

urge incontinence wets themselves more/less than stress?

more

4

stress incontinence more a problem with

hypermobile urethra and increased abdominal pressure

structural

5

risk factors

parity
obesity
urinary SX
fxnl impairment (walker)

6

drugs that worsen incontinence?

alcohol
anti-psychotics
alpha adrenergic blackers
anticholinergics
Ca channel blockers

7

testing for stress bladder incontinence

bladder stress test/cough stress test

UA, Urine culture (rule out UTI)

Post void residual

8

what other mgmt

Kegels

Bladder retraining for OAB

no meds for stress incontinence in US just urge inconitnent

9

conservative mgmt?

meight mgmt, dietary changes, bladder training,

10

what dietary changes cold someone make?

reduce artificial sweeteners, coffee, alcohol

11

surgical mgmt of stress incont

midurethral slings (mesh)

fascial slings: bladder neck

bulking agents (obese, older not as effective)

12

meds for mgmt of urge incontinence targets the

M receptors and beta adrenergic receptors

13

meds for urge incont

anti-muscurinics/anti-choilinergics

b3 antagonists

14

surgical for urge incont

botox

sacral neuromodulation impulses to S3

percutaneous tibial nerve stimulation

15

Fecal incontinence based on what complex?

internal anal sphincter (autonomic)

external anal sphincter (pudendal nerve)

puborectalis (hammock)

16

synchronous relaxation of what promotes defectation?

int/ext sphincters

17

dove-tail sign?

contraction below the anus, not above

18

testing for fecal incontinence

enema

manometry for the strength of the muslces

US (remember the image of the internal sphincter intact but the external doesn't completely go around

19

TX for fecal incontinence

sphinteroplasty

Sacral neuromodulation most common

both don't have great results

20

TX for fecal incontinence

sphincteroplasty

Sacral neuromodulation most common

both don't have great results