Notes in OG7.8 Urinary Incontinence

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Status	Last Update	Fields
Published	10/04/2024	Parasympathetic nerve roots for micturition → {{c1::S2 - S4}}
Published	10/04/2024	Sympathetic nerve roots for micturition (helps detrusor relax)→ {{c1::T10 - L2}}
Published	10/04/2024	Absent perineal sensation with decreased rectal tone is concerning for {{c1::cauda equina syndrome}}
Published	10/04/2024	Urinary incontinence best initial test → {{c1::urinalysis}}
Published	10/04/2024	Post-void residual > {{c1::50 mL}} is abnormal
Published	10/04/2024	A {{c1::urodynamic assessment}} is a study which is able to investigate both the phase of bladder filling and the phase of bladder voiding
Published	10/04/2024	Indications for a urodynamic assessment:- {{c1::Overflow incontinence }}- {{c1::Complicated stress incontinence or mixed incontinence&n…
Published	10/04/2024	During filling urodynamic assessment, the bladder pressure = {{c1::detrusor pressure}} + {{c1::intraabdominal pressure}}
Published	10/04/2024	In filling urodynamic assessment (cystometry), the detrusor pressure is measured indirectly by measuring {{c1::bladder pressure}} and subtracting…
Published	10/04/2024	Urodynamic assessment interpretation:↑bladder pressure and ⟷ detrusor pressure. {{c1::stress incontinence::diagnosis}}
Published	10/04/2024	Urodynamic assessment interpretation:↑ bladder pressure and ↑ detrusor pressure. {{c1::urgency incontinence::diagnosis}}
Published	10/04/2024	Voiding urodynamic assessment (uroflowmetry) measures:- {{c1::total volume voided }}- {{c1::Peak flow of urine voided }}- {{c…
Published	10/04/2024	b9a01237c8cc4405b68c5a143432cd7e-oa-1
Published	10/04/2024	b9a01237c8cc4405b68c5a143432cd7e-oa-2
Published	10/04/2024	Involuntary leaking of urine in the presence of raised intra-abdominal pressure and in the absence of detrusor activity → {{c1::stress urina…
Published	10/04/2024	Most common type of incontinence in women aged 45 - 49 → {{c1::stress urinary incontinence}}
Published	10/04/2024	Stress incontinence is caused by {{c1::urethral hypermobility}} and {{c1::intrinsic sphincteric deficiency }}
Published	10/04/2024	Conservative management of stress incontinence includes:- {{c1::Lifestyle modifications }}- {{c1::pelvic floor exercises }}- …
Published	10/04/2024	Medical management of stress incontinence includes:- {{c1::Topical vaginal estrogen }}- {{c1::Duloxetine }}
Published	10/04/2024	How does duloxetine work for stress incontinence?{{c1::↑ in pudendal nerve activity stregthens the sphincter contractions}}
Published	10/04/2024	{{c1::Continence pessaries}} are usually used as an adjunct or substitute for pelvic muscles exercises in stress incontinence
Published	10/04/2024	Sling procedures used in stress incontinence include:- {{c1::Tension free vaginal tape }}- {{c1::Transobturator tape }}
Published	10/04/2024	Tension free vaginal tape for stress incontinence works by {{c1::inserting a prolene mesh transvaginally at the level of the mid-urethra, which p…
Published	10/04/2024	Transobturator tape for stress incontinence works by {{c1::inserting a prolene mesh transvaginally at the level of the mid-urethra, and passing t…
Published	10/04/2024	Transobturator tape has a {{c1::lower::higher/lower}} complication rate than tension free vaginal tape
Published	10/04/2024	{{c1::Burch Colposuspension::surgery}} works by using non-absorbable sutures and placing them retropubicaly to approximate the paravaginal tissues to …
Published	10/04/2024	Urgency incontinence is commonly associated with nocturia > {{c1::2 times}} per night
Published	10/04/2024	This is a filling urodynamic assessment of {{c1::urgency incontinence }}
Published	10/04/2024	{{c1::Anticholinergic agents::RX}} are the most commonly used agents for urgency incontinence
Published	10/04/2024	Oxybutynin, tolteridine and festerodine are {{c1::anticholinergics::class}}
Published	10/04/2024	Other than anticholinergics, {{c1::mirebegron (beta 3 agonist)}}, {{c1::TCAs }} and {{c1::local estrogen}} can be used for urgency…
Published	10/04/2024	Cystoscopy, clam ileocystoplasty and urinary diversion procedures are used for {{c1::urgency}} incontinence
Published	10/04/2024	Urinary incontinence affects {{c1::10-30::range}}% of women
Published	10/04/2024	Risk factors for urinary incontinence{{c1::increased age (postmenopausal)}}{{c1::parity (SVDs)}}{{c1::obesity}}family hxcomorbidites {{c1::(DM, stroke…
Published	10/04/2024	Urgency incontinence is due to {{c1::detrusor muscle overactivity leading to contractions during bladder filling}}often idiopathic
Published	10/04/2024	Overflow incontinence = due to {{c1::bladder overdistention}} leading to overflowcan be caused by detrusor muscle weakness or bladder outlet obstructi…
Published	10/04/2024	Investigations for urinary incontinence{{c1::urinalysis}}{{c1::cystourethroscopy}}{{c1::postvoid residual volume}}{{c1::urodynamic assessment/cystomet…
Published	10/04/2024	Surgical treatment for urgency urinary incontinence if severe symptoms and refractory to conservative and medical treatment = {{c1::cystoscopy}} + {{c…
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