L3: Urinary Incontinence Flashcards
(31 cards)
Normal continence function
Def of Urinary Incontinence
- involuntary loss of urine is a social or hygienic problem and is objectively demonstrable i.e. “The Complaint of any Involuntary Leakage of Urine”.
Impact of Urinary Incontinence on Health
Causes (Types) of Urinary Incontinence
Types of Urinary Incontinence
- Stress Incontinence (Def, %, Pathology)
Types of Urinary Incontinence
- Urge (Def, %, Pathology)
Types of Urinary Incontinence
- Mixed (Def, &)
Types of Urinary Incontinence
- Overflow (Def, Pathology)
Def of Stress Urinary Incontinence
- The complaint of involuntary leakage of urine on effort or exertion, or on sneezing or coughing.
Def of Genuine Stress Urinary Incontinence
Urinary loss which occurs with sudden elevation of the intra-abdominal pressure without detrusor contraction!
Pathophysiology of Stress Urinary Incontinence
Symptoms of Stress Urinary Incontinence
Etiology of Stress Urinary Incontinence
Dx of Stress Urinary Incontinence
Dx of Stress Urinary Incontinence
- Hx
Dx of Stress Urinary Incontinence
- Ex
Ex in Stress Urinary Incontinence
- Pelvic Ex
to rule out
- Pelvic or abdominal masses,
- Pelvic organ prolapse,
- Vaginal atrophy.
Ex in Stress Urinary Incontinence
- Cough Stress Test
+ve
- leakage is visualized at the moment of the cough, is helpful to confirm the diagnosis
Ex in Stress Urinary Incontinence
- vaginal or rectal examination
- Check the pelvic floor muscles quality (symmetry and bulk) and whether or not, and to what degree, a woman can volitionally contract her muscles.
Ex in Stress Urinary Incontinence
- Cotton swab test (Q-tip test)
Ex in Stress Urinary Incontinence
- Rule out urinary retention and overflow incontinence
Ex in Stress Urinary Incontinence
- Urinalysis
done to UTIs as a transient cause of stress urinary incontinence.
Grading of stress urinary incontinence
Management of SUI
