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Flashcards in urinary continence Deck (12):
1

what are the transient causes for DIAPPERS

delirium
infection
atrophic vaginitis/urethritis
pharmological
psychological
excess urinary output
restricted mobility
stool impaction

2

what are established causes of incontenence?

1. detrusor overactivity (urge)
2. urethral incompetence (stress)
3. urethral obstruction
4. detrusor underactivity (overflow)

3

what is the most imporant step in evaluation of incontinence?

history

4

what is the stress test for incontinence?

patient coughs while standing w/ a full bladder

5

what is considered an adequate post-void residual?

<50 mL

6

what is instantaneous urine leakage in response to stress maneuver?

stress incontinence: urethral incontinece

7

what is the treatment for stress incontinence?

kegel/ pessary/ sling surgery

8

what is the MC cause of urge incontinence?

detrusor overactivity

9

if urge incontinence happens quickly what do you have to rule out?

bladder stones/tumor

10

what is the first line treatment for urge incontinence?

bladder training, weight loss, kegel

antimuscarinics first line: tolterodine, oxybutynin, fesoterodine, solifencin

antispasmoidcs: mirabegron

11

patient has increased nocturia, and frequent small leakage, and increased postvoiding residual?

overflow incontinence

12

what is the treatment for urethral obstuction?

surgical decompression most effective