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Urethroplexy for Urinary Incontinence

There are three main types of urinary incontinence: stress incontinence, urge incontinence, and urinary fistula. Stress incontinence involves involuntary urine leakage during physical activity like coughing or sneezing. It is often caused by weakened pelvic floor muscles after childbirth or menopause. Urge incontinence involves frequent and sudden urges to urinate along with leakage and is caused by an overactive bladder. Urinary fistula is a continuous leakage of urine through an abnormal connection between the bladder or urethra and another organ, often caused by complications from childbirth, surgery, or radiation treatment.

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27 views1 page

Urethroplexy for Urinary Incontinence

There are three main types of urinary incontinence: stress incontinence, urge incontinence, and urinary fistula. Stress incontinence involves involuntary urine leakage during physical activity like coughing or sneezing. It is often caused by weakened pelvic floor muscles after childbirth or menopause. Urge incontinence involves frequent and sudden urges to urinate along with leakage and is caused by an overactive bladder. Urinary fistula is a continuous leakage of urine through an abnormal connection between the bladder or urethra and another organ, often caused by complications from childbirth, surgery, or radiation treatment.

Uploaded by

Ziyad
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Stress Incontinence Urinary Incontinence Urge Incontinence

Involuntary leakage of urine in response to Involuntary loss of urine that is objectively Involuntary leakage of urine accompanied by
physical exertion, sneezing, or coughing. demonstrable & a social or hygienic problem a strong desire to pass urine and nocturia.

Multiparity Factor Stress Incontinence Etiolo Urethral hypermobility due to vaginal


s gy wall relaxation  bladder neck
Treatm moves down  loss of angle  no
Menopause (estrogen deficiency)
ent equal distribution of pressure

Urogenital surgery Conservative: Kegel Exercises Diagnosi


Stress Test, Cutton Swab (Q-Tip)
s
Pelvic radiation Medical: Estrogen / Pessaries
Urethrocystoscopy, Cytometrogram

Medication (diuretics or α-blockers) Surgical: Urethroplexy and Slings Uroflowmetery, Voiding

Treatm
Obesity Older age Factor Urge Incontinence Behavioral:  fluid intake & avoid
ent
s liquids at night, increasew intervals
btw voiding, Kegel exercises.
Menopause (estrogen deficiency)
Overactive bladder due to detruser Etiolo Medical: Antimuscarinics,
muscle instability. gy anticholinergics, e.g. oxybutunin
Chronic disorders (e.g. DM)
(Ditropan), tolterodine (Detrol).
Urgency, urge incontinence, Symptoms
Pelvic surgery Pregnancy frequency, and nocturia Others: Functional Electrical
Stimulation, Butalinum toxin
Smoking Immobility Cystometrogram Diagnosi
injection.
s

Neglected labor & pressure necrosis Factor Urinary Fistula Sympto Hx of painless, continuous vaginal
s ms leakage of urine soon after offending
Treatm incident.
Operative delivery
ent Diagnosi
s Methylene blue dye with vaginal
Pelvic surgery and irradiation Latzko’s operation pack

Hysterectomy (devascularization) Ureteric stent

Surgical comp. or urethra or ant.


vaginal wall

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