Incontinence, neurogenic bladder, urodynamics Flashcards by Victor Cheung

name 4 continence theory.

Kelly
Mcguire
Delancey
Petro

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AUS
components
C/I
Longterm success  rate:_
Cx
Revision rate:_
infection rate:_
erosion rate:_

90%
20-30%
5%
5%

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management of AUS erosion

6 new tips

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what is POP Q

what are the stages

0 to IV

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What is urethral pressure profilometry

what is Brown Wickham technique?

2mm/sec

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what is OAB

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what is the normal dopaminegic projections to PMC?

Mechanism of LUTS in Parkinson

3+1

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what is FVC

what is bladder diary

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how common is OAB

EPIC STUDY

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what lifestyle measures to suggest for OAB?

what is bladder training?

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Regarding meta analysis  for medications for OAB (anticholinergic, B3 agonist):
% reduction in
a) incontinence
b) urgency
c) voids

reduction in nocturia episodes:_

50%
40%
20%

0.5

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Muscarinic receptors target organs
M1
M2
M3

neural, salivary glands
cardiac
smooth muscles

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CI for anticholinergic

is urinary retention a CI for anticholinergic? why?

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how would u comment on relationship between anticholinergic and dementia

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OAB drugs

which 2 are most M3 selective?

how selective is trospium?

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CI for B3 agonist

relation to HT?

can you use in BOO?

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advantages of vibegron?

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what is botulinum toxin A

what is Botox

name 2 other commercially available agents.

dysport

xeomin

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what is one unit of Botox?

LD50

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what are the expected efficacy for Botox?

improvement
max bladder capacity
max detrusor voiding pressure

70%
180ml
30cmH2O

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what is posterior tibial nerve?

L4 to S3

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PTNS:
1st done by:_
How?

RCT by:_
Compared to tolterodine by:_

mcguire
finazzi agro
peters

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what is sacral neuromodulation?

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what is the expected efficacy of sacral neuromodulation?

> 80%

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what SNM devices are available? what are the SE ?

classify

Augmentation cystoplasty | physiology

Augmentation cystoplasty | efficacy

Augmentation cystoplasty | CI

classify

long term complications of Augmentation cystoplasty

Augmentation cystoplasty : cancer risk incidence pathology mechanism

1% adeno bacteriuria

augmentation cystoplasty: perforation risk risk factors usual location

intraperitoneal

SUI definition Uncomplicated SUI definition urodynamic SUI definition

SUI prevalence according to EPIC STUDY

46%

proper cough test according to ICS

what is Oxford power grip

0 to 5

Bonney test

Marshall test

Q tip test

Pad test what is short term:_ hour, _g longterm:_hour ,_g

1hr 1.4g 24hr 4.4g

when would u do UDS for SUI?

when should u not perform UDS for SUI?

VALUE study

what is Blaivas classification

I II III

lifestyle modifications for SUI efficacy for weight loss

weight loss PRIDE study

how does duloxetine helps SUI?

SNRI | pudendal nerve

how to choose SUI surgery

patient | disease factors

name examples for bulking agents in SUI

silicone carbon coated zirconium calcium hydroxylapatite

what is Burch colposuspension

Burch colposuspension success rate:_ better than MUS in terms of:_

74% | less bladder perforations

what kinds of materials are available for MUS?

autologous synthetic types 1 to 4

cure rate of TVT

90% at 11y | Nilsson

name 1 complication that is more favorable in TVT compared to transobturator tapes

less groin pain

name 5 complications that are more favorable in transobturator than in TVT

``` perf erosion uti hematoma voiding luts ```

name 2 complications that are more favorable in TVTO than in TOT

vaginal perf | vaginal erosion

what is cumberlege review

high vigilance pause

what is Fowler syndrome?

Fowler syndrome | EMG changes

deceler burst underwater whale | complex repetitive discharges machine-gun

characteristic changes supra pontine supra sacral peripheral nerve

VCMG findings of DSD

sacral anterior nerve root stimulator | effects

detrusor contraction | colonic contraction

sacral anterior nerve root stimulator | example

Brindley stimulator

dorsal rhizotomy | what spinal levels

S2-3

dorsal rhizotomy | effects

controls DO better compliance, capacity loss of reflex erection

how to perform quality control for UDS

UDS | Normal resting values for Pves/Pabd/Pdet

Supine 5 - 20 cmH2O Sitting 15 - 40 cmH2O Pdet = 0

UDS | What instillation rate

10% of max VV (ml/min)

what is ALPP | Normal range

<60 | >90

what is DLPP

40cmH2O

what is BOOI female | Cut-off values

PdetQmax - 2.2xQmax <0: < 10% >5: 50% >18: >90% obstruction

DUA in female | How do you determine in a UDS?

PdetQmax < 30 + Qmax < 10 (Abarbanel)

UDS Risks factors for upper tract deterioration in neurogenic bladder

``` Urinary diverison what are the characteristic metabolic problems? Stomach Jejunum Ileum ```

what is jejunal conduit syndrome?

Loss of salt; gain of H+K+ | Feed-forward mechanism

What is Bricker and Wallace anastomosis

Separate end to side ureteroileal | Conjoined end to end

Ureteroileal anastomotic stricture: | __ % on the left side

84%

Continent urinary diversion | 4 mechanisms of continence

Kock valve Flap valve Ileocecal valve Pelvic floor external sphincter

what is Mitrofanoff principle and Mitrofanoff procedure?

Flap valve = principle | Procedure = use of appendix

what is Monti procedure?

bowel to construct a catheterisable limb

Orthotopic bladder Daytime continence rate _ Nighttime continence rate _

92% | 51%

Incontinence, neurogenic bladder, urodynamics Flashcards

(78 cards)