Feb 25, 2022
In this podcast, Dr. Lioudmila Sitnikova, a urologist with Minnesota Urology, discusses micturition, pathology of incontinence including stress, urge and neurological, as well as various treatments available.
Enjoy the podcast!
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SHOW
NOTES:
*See the atachment for the full
chapter summaries.
Phases of Micturition
- Storage
- Evacuation
Risk
Factors
- BMI, smoking, caffiene, spicy food, heavy lifting, child-bearing,
diabetes, pelvic surgeries.
Hormone Replacement
Therapy (HRT)
- Oral estrogen/progesterone vs
placebo
Prevalence
- 1 out of 4 women over age 80 suffer incontinence.
Types &
identification
- Stress incontinence
- Urge incontinence
- Overflow incontinece
- Bladder outlet obstruction
Evaluation for
incontinence
- Questionnaires
- Voiding diaries
- Assess quality of life
- Physical assessment and pelvic exam
Treatment
- Stress incontinence: physical therapy, surgical, bulking agents,
Burch procedure
- Urge incontinence: biofeedback, antimuscarinics and Beta 3
agonists, Botox, nerve stimulator
- Hypotonic bladder (non-obstructive urinary retention): nerve
stimulator
*For links to reference materials please see the full show notes.