Genito-urinary System

Question 1

Examples of medication used to treat urinary incontinence

Answer 1

• Tolteridone
• Solifenacin
• Duloxetine
• Oxybutynin
• Mirabegron

Question 2

What are non pharmacological ways of managing urinary incontinence

Answer 2

• Pelvic floor exercises
• Bladder exercises

Question 3

Which urinary incontinence drug is licensed for stress incontinence for women

Answer 3

Duloxetine

Question 4

Which of the urinary incontinence drugs are classed as Antimuscarinic

Answer 4

Oxybutynin

Question 5

What does oxybutynin do

Answer 5

• reduces the urge to urinate
• increases bladder capacity

Question 6

What limits the use of oxybutynin

Answer 6

Side effects

Question 7

How would you reduce the effects/potency of the side effects of oxybutynin

Answer 7

• start at a lower dose
• use a modified release preparation

Question 8

What type of medication is Mirabegron

Answer 8

Selective Beta3 agonists

Question 9

What is Mirabegron licensed for

Answer 9

treatment of urinary incontinence associated with overactive bladder syndrome

Question 10

What is Nocturnal Enuresis

Answer 10

involuntary discharge of urine during sleep

Question 11

Which age group is Nocturnal Enuresis common

Answer 11

children

Question 12

At which age does Nocturnal Enuresis usually stop

Answer 12

5 years

Question 13

What are the non-pharmacological treatments for Nocturnal Enuresis

Answer 13

• change fluid intake
• Enuresis Alarm (if others don’t work)

Question 14

What is a Nocturnal Enuresis alarm

Answer 14

Alarm used to wake a patient up when they need to toilet at night

Question 15

How many wet beds per week after other non pharmacological treatments used should one be offered an Enuresis Alarm

Answer 15

1 to 2

Question 16

What is the pharmacological treatment for Nocturnal Enuresis

Answer 16

Desmopressin (over 5 years old)

Question 17

What is acute urinary retention and how serious is it

Answer 17

• abrupt development of inability to pass urine over time (over a period of hours
• Medical emergency

Question 18

What is chronic urinary retention

Answer 18

• gradual development of inability to empty bladder
• over months / years

Question 19

What is the most common cause of urinary retention in men

Answer 19

Benign Prostatic Hyperplasia

Question 20

What is the treatment of Acute Urinary retention (medical emergency)

Answer 20

• Catheterisation
• Administer an alpha adreno receptor blocker for at least 2 days before catheter is removed

Question 21

Examples of alpha adreno receptor blocker

Answer 21

• Alfuzosin
• Tamsulosin
• Doxazosin

Question 22

What is the treatment for chronic urinary retention

Answer 22

• intermittent bladder catheterisation
  or…
• Indwelling catheter
• moderate to severe symptoms offer alpha adreno receptor blocker

Question 23

Treatment of urinary retention due to Benign Prostatic Hyperplasia

Answer 23

• alpha adreno receptor blocker
• if at high risk of progression