Please enable JavaScript.

Coggle requires JavaScript to display documents.

Urinary Incontinence And Overactive Bladder, Overactive Bladder - Coggle…

- - - - Fluid restriction
      - Smoking cessation
      - Weight reduction
    - - 8 contractions 3x day for 3 months
  - - - Indication
        
        Unsuitable for surgery
      - MOA
        
        Promotes urine storage by relaxing bladder and increasing sphincter resistance
    - - Indication
        
        In menopause
      - MOA
        
        Less irritation
  - - - Macroscopic haematuria
      - Asymptomatic microscopic haematuria >40yo
      - Symptomatic microscopic haematuria in absence of UTI
      - Concern for structural lower urinary tract abnormalities
  - - - Bottom up approach (TVT)
        Top down NOT recommended
    - - Use in specific contraindications to retropubic tape
        Higher surgical risk
    - - Open > laproscopic
      - Suspend anterior vaginal wall near neck of bladder
    - - May need revision
- - - - S/E
        
        Dry mouth
        
        Blurred vision
      - C/I
        
        Glaucoma
        
        Myasthenia Gravis
        
        Urainry obstruction
        
        Severe UC
        
        GI Obtruction
      - Drugs
        
        Mirabegron (Betmiga)
        
        Fesoteridine (Toviaz
        
        Tolteridine (Detrusitol)
        
        Oxybutynin
        Oral / patch
        Avoid in elderly
        
        Trospium
        Consider in neuro disorders
    - - Stiffens bladder muscles
      - Intermittent self catheterisiation to help void urine
      - Need top ups
    - - Sacral / tibial nerve stimulation
      - Percutaneous wire deliver signals
      - MOA unclear - stops signals
    - - Reduces nocturian
      - C/I
        
        Caution in CF
        
        CVD / HTN