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11 Cards in this Set

  • Front
  • Back
Define urinary incontinence
The involuntary loss of urine which is objectively demonstratable and a social/hygenic problem
4 main types of incontinence?
1.Genuine/stress
2.Detruser instability
3.Obstruction/retention
4.Functional
Which nerves control bladder storage?
SNS T2-L3
Which nerves control voiding?
PNS S2-4
Why are pelvic floor muscles more improtant for bladder control in females than males?
Females have less strongly developed bladder neck and no prostate
What age-related changes may occur affecting continence? (5)
Detruser instability
Reduced bladder capacity
Increased residual volume (<100mls)
Prostatism
Insults ouside of urogenital tract (pathological, physiological, psychological, pharmacological)
What is transient incontinence caused by?
Think DRIP
Drugs, delerium
Retention, restraints
Infection, impaction of stool
Polyuria
What is etablished incontinence caused by?
Think DOUSE
Detruser instability (MS? Stroke?)
Overflow (Prostate enlargement? Stricture?)
Urge (Functional? Infection? Stones?)
Stress
External
Sympathetic blockers will...?
Impair storage - cause incontinence or aid voiding
Parasympathetic blockers will...?
Impair voiding - Cause retention or Rx unstable bladder
What do you do on the initial assessment of UI?
Catagorise incontinence
Bladder diary
Urine dipstick for blood, glucose, protein, infection