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.
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*See the atachment for the full chapter summaries.
Phases of Micturition
- BMI, smoking, caffiene, spicy food, heavy lifting, child-bearing, diabetes, pelvic surgeries.
- Oral estrogen/progesterone vs placebo
- 1 out of 4 women over age 80 suffer incontinence.
- Stress incontinence
- Urge incontinence
- Overflow incontinece
- Bladder outlet obstruction
- Voiding diaries
- Assess quality of life
- Physical assessment and pelvic exam
- 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.