urinary incontinence Flashcards
(16 cards)
what are the three main types of incontinence ?
stress
urgency
overflow
what is the mechanism associated with stress incontinence ?
outlet incompetence
where there is a loss of urine associated with increased abdominal pressure due to urethral hypermobility or intrinsic sphincter defeciency
what test is used for stress ncontinence ?
bladder stress test with valsalva maneuver
what are the associations with stress incontinence ?
obesity pregnancy
vaginal delivery
prostate surgery
what is the treatment for stress incontinence ?
pelvic floor muscle exersices
what is the mechanism in urgency incontinenece ?
detrouser overactivity
what is the association with urgency incontinence ?
UTIs
what is the medical treatment for urgency incontinence ?
oxybutin mirabegron
what is the mechanism for overflow incontinence ?
detrouser underactivity or outlet obstruction
leads to incomplete emptying
what are the associations with overflow incontinence ?
polyuria
bladder outlet obstruction BPH
spinal cord injury
what happens to the post voidal volume in overflow incontinence ?
it increases
what do kegel exersices strenghten ?
levator ani
external urethral sphincter
what muscle is not associated with kegel exersices ?
internal urethral sphincter
what disease is very highly associated with urge incontinence ?
multiple sclerosis
what is the best management for overflow incontinence ?
catheterization
give bethanecol
what is the cause of overflow incontinence in diabetes ?
neuropathy to the bladder causing underactivity of the detrouser
