Urinary incontinence Flashcards Preview

Gynaecology > Urinary incontinence > Flashcards

Flashcards in Urinary incontinence Deck (11):
1

What is stress incontinence?

When urine leaks out at time when your bladder is under pressure (cough or laugh)

2

What is urge incontinence?(Overactive bladder) Due to?

*When urine leaks as you feel a sudden, intense urge to pass urine
*due to detrusor overactivity

3

What is overflow incontinence? Due to?

*When you're unable to fully empty your bladder, which causes frequent leaking
*Due to bladder outlet obstruction e.g. prostate enlargement

4

What is total incontinence?

When your bladder can't store any urine at all, which causes you to pass urine constantly or have frequent leaking

5

What are the risk factors for urinary incontinence?

*advancing age
*previous pregnancy and childbirth
*high BMI
*hysterectomy
*family history

6

What is mixed incontinence?

A combination of both urge and stress incontinence

7

What are the initial investigations of urinary incontinence?

*bladder diaries should be completed for a minimum of 3 days
*vaginal examination to exclude pelvic organ prolapse & ability to initiate voluntary contraction of pelvic floor muscles (kegel exercises)
*urine dipstick and culture

8

How should predominant stress incontinence be managed?

*pelvic floor muscles training: 8 contractions 3 times a day for 3 months
*surgical procedures can be offered

9

How should predominant urge incontinence be manage? (Over active bladder)

1* Caffeine reduction
2* Bladder training (6 weeks min, gradually increase the intervals between voiding)
3* bladder stabilising drugs: anticholinergic medicine

10

What medications can be used in urge incontinence?

*Anticholinergics medications
*Do no offer oxybutynin (immediate release) to older 'frail' women
*Mirabegron can be used if worried about anticholinergic side-effects in older women

11

For women with over active bladder (urge incontinence) that has not responded to non-surgical treatment with mediciness what should be offered?

*Urodynamic investigations to determine whether detrusor overactivity is causing OAB
*if it is can offer more invasive procedures to manage