Urinary Incontinence

Question 1

How does Stress incontinence present?

Answer 1

Leakage with increased intra-abdominal pressure

Question 2

How do you test for stress incontinence?

Answer 2

Have patient stand and cough while observing for leakage

Question 3

How do you treat stress incontinence?

Answer 3

Kegels

Local Estrogen Cream

Surgical tightening of the Urethra

Question 4

How does urge incontinence present?

Answer 4

Sudden pain in the bladder immediately followed by the overwhelming urge to urinate

Question 5

How do you test for urge incontinence?

Answer 5

Pressure measurement in a half-full bladder with manometry

Question 6

How do you treat urge incontinence?

Answer 6

Bladder training

Anticholinergics

Beta-3 agonist

Botulinum toxin

surgical tighterning of urethra

Question 7

What anticholinergics are commonly used for urge incontinence?

Answer 7

Oxybutynin or Tolterodine

Solifenacin, Darifenacin, or Trospium

Question 8

What Beta-3 agonist is common used for urge incontinence?

Answer 8

Mirabegron