Gynae

Question 1

List 3 STORAGE SYMPTOMS of Urinary Incontinence

Answer 1

1) Frequency
2) Nocturia
3) Urgency

Question 2

What are some VOIDING SYMPTOMS in Urinary Incontinence?

Answer 2

1) Hesitency
2) Slow stream
3) Straining
4) Splitting of stream
5) Immediate re-void
6) Incomplete emptying
7) Position dependent micturition
8) Retention

Question 3

What 3 investigations would you want to do in Urinary Incontinence?

Answer 3

1) Midstream Urine
2) Bladder diary
3) Urodynamic testing

Question 4

Describe the PAD TEST in the investigation of Urinary Incontinence

Answer 4

1h test

• 500ml fluid given
• Do a set of exercises over 1h
• Pad weight >1.4g = Positive test

24h test

• Normal daily activity
• Pad weight >8g = Positive test

Question 5

What causes STRESS INCONTINENCE?

Answer 5

Raised abdo pressure

Can be brought on by Childbirth/Menopause

Question 6

What are some of the causes of URGE INCONTINENCE?

Answer 6

• Infection
• Stones
• Idiopathic Detrusor Overactivity (IDO)