Urinary Incontinence and Prolapse Flashcards Preview

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Flashcards in Urinary Incontinence and Prolapse Deck (15)
1

Define urinary incontinence

Involuntary loss of urine which can be objectively demonstrated and is a social or hygienic problem

2

What are the main types

Stress - due to raised intra abdo pressure
Overactive- associated with urgency due to detrusor overactivity
Others = voiding difficulties, fistula, neurological e.g. MS

3

What is the most common type of incontinence

Stress

4

What is uroflowmetry

Measures flow rates which enables you to measure peak and mean flow and voided volume.
Min 200ml required.

5

What is cystometry

A method by which the pressure/volume relationship of the bladder is measured during filling, provocation and during voiding

6

What lifestyle changes are used to treat STRESS incontinence

Loose weight
Stop smoking - cough
Caffeine intake
Fluid intake

7

What is an important part of the treatment of STRESS incontinence

pelvic floor training

8

What drugs can be used to treat STRESS incontinence

Duloxetine - Noradrenaline and serotonin reuptake inhibitor- increases intra urethral closure pressure

9

What surgical options are available for STRESS incontinence

Low tension vaginal tape
Intraurethral injection
Artificial sphincters
Colposuspension

10

What physiotherapy is used for overactive bladder ie urge incontinence

Bladder training

11

What drugs are used to treat overactive bladder

Oxybutynin - anti muscarinic
Decrease ability of detrusor muscle to contract by blocking muscarinic receptors

B3 receptor agonists - Amigendron

12

What surgical options are there for overactive bladder

Botox injections
Sacral nerve modulation
Augmentation cystoplasty
Bladder overdistention

RARE

13

What are the classifications or uterine descent

1st degree (in vagina),
2nd degree (at interiotus),
3rd degree (outside vagina)
Procidentia (entirely outside vagina)

14

Name the types of pelvic organ prolapse

urethrocele (urethra),
cytocele (bladder),
rectocele (rectum),
enterocele (pouch of Douglas containing small bowel)
vaginal vault
uterus and cervix

15

When taking a prolapse organ history what are the groups of symptoms to consider

Urinary
Bowel
Sexual