Urinary Incontinence and Pelvic Floor Disorders Flashcards Preview

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Flashcards in Urinary Incontinence and Pelvic Floor Disorders Deck (23):
1

definition of urinary incontinence

involuntary loss of urine that causes physical and/or emotional distress to pt

2

sex predilection for urinary incontinence

women

3

what is stress urinary incontinence?

insufficient strength of the pelvic floor muscles to prevent the passage of urine, especially during activities that increase intra-abdominal pressure, such as coughing, sneezing, or bearing down.

4

What is urge urinary incontinence?

involuntary loss of urine occurring for no apparent reason while suddenly feeling the need or urge to urinate (UTI, bladder irritants)

5

What is overflow incontinence

cannot stop their bladders from constantly dribbling or continuing to dribble for some time after they have passed urine. It is as if their bladders were constantly overflowing, hence the general name overflow incontinence.

6

What is functional incontinence?

due to physical impairment = a person recognizes the need to urinate but cannot make it to the bathroom

7

type of incontinence common in menopause

stress

8

type of incontinence common in prostate disease

overflow

9

type of incontinence common in pregnancy

stress

10

type of incontinence common in parkinson's

urge

11

type of incontinence common in DM

overflow

12

type of incontinence common in alzheimers

urge

13

What are risk factors for urinary incontinence

female
DM
increase abd pressure (obesitY, chronic cough, chronic constipation)
childbirth
menopause
altered cognition or neuro dz
smoking
collagen disorders

14

What specifics are needed in HPI for assessment of incontience

FINISHED PUBS
Freq and volume
#Incontinent episodes
Nocturia
Incomplete emptying
Stream
Hematuria
Hesitancy
Euresis
Dysuria
Post void dribble
Urgency
Burning
Strain to empty

15

What should be included in a voiding diary

fluid consumption, type, and volume
voiding episodes and volume
leaking episodes
urgency
any assc symptoms

16

relevant PMH

parity
birth trauma and assc repairs
length of labor (esp 2nd phase)
previous incontinence or gyn surgery
back problems
DM, MS, stroke, parkinsosn

17

what type of drugs are given to prevent voiding?

↑symp and ↓para = alpha adrengergic and anti-cholinergic

18

what type of drugs are given to promote voiding?

↓ symp and ↑para = alpha blocker and cholinergic

19

what foods are assc with incontinence

caffeine, spicy food, alcohol, citrus foods and drinks

20

what do you look for in a gyn exam that could explain incontience

sings of infection: erythema and excoriation of external genitalia
atrophy of the vaginal walls
uretheal diverticulum
prolapse
caruncle

21

What nerve (spinal cord segs?) needs to be checked when assessing incontience? how is this done?

S2-S4 Pudental N (innv clitoris and ext genitalia + sphincters of bladder and rectum)

sharp and dull touch to perineum and buttocks
reflexes: anal wink and bulbocavernosus

22

WHat does the Q tip test assess?

baldder neck mobility

23

What type of incontience often has hypermobility?

stress
**but hypermobility does not necessarily mean SUI