Flashcards in Urinary Incontinence and Pelvic Floor Disorders Deck (23):
definition of urinary incontinence
involuntary loss of urine that causes physical and/or emotional distress to pt
sex predilection for urinary incontinence
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.
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)
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.
What is functional incontinence?
due to physical impairment = a person recognizes the need to urinate but cannot make it to the bathroom
type of incontinence common in menopause
type of incontinence common in prostate disease
type of incontinence common in pregnancy
type of incontinence common in parkinson's
type of incontinence common in DM
type of incontinence common in alzheimers
What are risk factors for urinary incontinence
increase abd pressure (obesitY, chronic cough, chronic constipation)
altered cognition or neuro dz
What specifics are needed in HPI for assessment of incontience
Freq and volume
Post void dribble
Strain to empty
What should be included in a voiding diary
fluid consumption, type, and volume
voiding episodes and volume
any assc symptoms
birth trauma and assc repairs
length of labor (esp 2nd phase)
previous incontinence or gyn surgery
DM, MS, stroke, parkinsosn
what type of drugs are given to prevent voiding?
↑symp and ↓para = alpha adrengergic and anti-cholinergic
what type of drugs are given to promote voiding?
↓ symp and ↑para = alpha blocker and cholinergic
what foods are assc with incontinence
caffeine, spicy food, alcohol, citrus foods and drinks
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
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
WHat does the Q tip test assess?
baldder neck mobility