Fig. 3.1 International prostate symptom score (IPSS) Medication history: Many medications can affect LUTS and incontinence. Beware of polypharmacy (especially in the elderly) as well as diuretics and alpha-antagonists that…
Level of injury Common causes LUT dysfunction Management Suprapontine lesion CVA, Parkinson’s disease, hydrocephalus, subdural hemorrhage Detrusor overactivity with coordinated micturition Anticholinergics Frequency, urgency, and urgency incontinence Suprasacral lesion Spinal…
Urinary retention Recurrent urinary infections Renal impairment (from obstructive nephropathy) Bladder stones Q: What tests should you order? (see Chap. 3) A: Urinalysis/urine microscopy and culture, serum creatinine…
, Jenny Rex2 and Patrick Stewart3 (1) Department of Colorectal Surgery, Concord Repatriation General Hospital, Sydney, NSW, Australia (2) Stomotherapy Unit, Royal Prince Alfred Hospital, Sydney, NSW, Australia (3) University of NSW…
Reduced Bladder sensation Detrusor contractility Ability to postpone urination Urinary flow rates (Females) estrogen causing atrophy of urothelium and vaginal mucosa Increased Involuntary detrusor contractions Post-void residuals Nocturnal urine production…
Fig. 2.1 Urinary sphincters in the male and female. BN bladder neck, BU bulbar urethra, EUS external (rhabdo) sphincter, P prostate, PPL puboprostatic ligament, PUL pubourethral ligament, SV seminal vesicle…
1. Conservative (a) Bladder training 2. Anticholinergics (antimuscarinics) (a) Non-uroselective i. Oxybutynin ii. Propantheline (b) Uroselective i. Solifenacin ii. Darifenacin iii. Fesoterodine iv. Trospium v. Propiverine 3. Surgical (a) Botulinum toxin A (b) S3 sacral neuromodulation…
Fig. 1.1 Global prevalence of incontinence (Based on findings from Minassian et al., Urinary Incontinence as a Worldwide Problem (Minassian et al. 2003)) Urinary incontinence increases with age. The prevalence…
