Urinary incontinence

Question 1

Define functional incontinence

Answer 1

Patient caught short & too slow in finding the toilet.

No real physiological problem.

Question 2

Define stress incontinence

Answer 2

Leakage from an incompetent spincter.

i.e When intra-abdominal pressure rises (cough, laugh etc)

Question 3

Define urge incontinence

Answer 3

aka Overactive bladder syndrome

Urge to urinate is followed by uncontrolable & sometimes complete emptying of bladder

Urge is usually a conditioned responce (arriving home, tea etc)

Question 4

Outline the treatment for stress incontinence

Answer 4

1. Pelvic floor exercises
2. Surgery - tension-free vaginal tape
3. Duloxetine?

Question 5

Outline the treatment for urge incontinence

Answer 5

1. Spinal cord & CNS signs
2. Vaginitis? - Oestrogen therapy
3. Bladder training & weight loss