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11 Cards in this Set
- Front
- Back
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pt presentation of genuine stress incontinence
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losing urine with coughing, sneezing, laughing, etc
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pt presentation of overflow incontinence
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constant urinary dribbling + sx of stress or urge incontinence
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pt presentation of urge incontinence
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urge to go, but can't make it to the bathroom in time
strong urge to void |
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pt presentation of total incontinence
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painless, continuous loss of urine
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dx of stress incontinence
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q tip test: if it moves more than 30 degrees, then urethra is hypermobile
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dx of overflow incontinence
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residual volumes >300 cc
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dx of total incontinence
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inject dye to see if there is a fistula, if there is then do a cystourethroscopy to determine # and location
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tx of stress incontinence
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non surgical: reduce fluid intake, alpha-adrenergics and estrogens
surgical: if there is intrinsic sphincter deficiency, then urethral bulking otherwise, retropubic urethropexy |
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tx of urge incontinence
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bladder retraining
anticholinergics |
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tx of overflow incontinence
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alpha-1 inhibitors (to reduce urterhal closing pressure)
cholinergics intermittent self-cath |
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tx of total incontinence
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if ob fistula, repair immediately
if 2/2 surgery, wait 3-6 months, then repair |
