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Flashcards in Urinary incontinence Deck (11):

What is stress incontinence?

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


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


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


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


What are the risk factors for urinary incontinence?

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


What is mixed incontinence?

A combination of both urge and stress incontinence


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


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


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


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


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