{"id":132,"date":"2017-03-23T18:37:59","date_gmt":"2017-03-23T18:37:59","guid":{"rendered":"http:\/\/papergp.com\/index.php\/womens-health\/urinary-incontinence\/"},"modified":"2023-01-24T11:25:26","modified_gmt":"2023-01-24T11:25:26","slug":"urinary-incontinence","status":"publish","type":"page","link":"https:\/\/papergp.com\/index.php\/womens-health\/urinary-incontinence\/","title":{"rendered":"Urinary incontinence"},"content":{"rendered":"<div class=\"content-box-blue\">\n<h4>Differential diagnosis<\/h4>\n<ul>\n<li>Pelvic mass &#8211; Ovarian Ca, fibroids &#8211; weight loss, menstrual history<\/li>\n<li>UTI &#8211; dysuria, fever<\/li>\n<li>Constipation &#8211; bowels<\/li>\n<li>Prolapse &#8211; sensation of something coming down<\/li>\n<li>Stress incontinence &#8211; coughing, sneezing<\/li>\n<li>Urge incontinence &#8211; sudden urge<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4>Data gathering<\/h4>\n<ul>\n<li>Red flags &#8211; Haematuria, weight loss<\/li>\n<li>Others &#8211; coughing\/sneezing, frequency, urgency, dysuria, feeling of something coming down, fluid, caffeine, alcohol, obstetric history<\/li>\n<li>Examine &#8211; Abdominal exam, BMI, prostate, speculum (prolapse)<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4>Clinical management<\/h4>\n<div>\n<ul>\n<li>Investigations\n<ul>\n<li>Bloods &#8211; U+Es<\/li>\n<li>Urine &#8211; dipstick, MSU<\/li>\n<li>USS &#8211; pelvis, KUB<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Explanation\n<ul>\n<li>Stress incontinence &#8211; weak pelvic floor muscles lead to pressure from bladder overcoming the outlet<\/li>\n<li>Urge incontinence &#8211; bladder muscles overly strong contractions leading to an urgent desire to pass urine<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Treatment\n<ul>\n<li>Lifestyle &#8211; weight loss, reduce caffeine and alcohol, incontinence pads<\/li>\n<li>Bladder diary<\/li>\n<li>Pelvic floor training 3 months (stress)\n<ul>\n<li>home exercises &#8211; same movement as stopping passing urine mid stream, hold this for 5-10 seconds followed by a few quick holds &#8211; three times\/day<\/li>\n<li>physiotherapy &#8211; pelvic cones<\/li>\n<\/ul>\n<\/li>\n<li>Bladder training 6 weeks (urge)<\/li>\n<li>Medications &#8211; oxybutynin (urge)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Safety-net \/ Follow-up\n<ul>\n<li>Refer\n<ul>\n<li>failure of conservative management<\/li>\n<li>symptomatic prolapse<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Differential diagnosis Pelvic mass &#8211; Ovarian Ca, fibroids &#8211; weight loss, menstrual history UTI &#8211; dysuria, fever Constipation &#8211; bowels Prolapse &#8211; sensation of something coming down Stress incontinence &#8211; coughing, sneezing Urge incontinence &#8211; sudden urge &nbsp; Data gathering Red flags &#8211; Haematuria, weight loss Others &#8211; coughing\/sneezing, frequency, urgency, dysuria, feeling of something &hellip; <a href=\"https:\/\/papergp.com\/index.php\/womens-health\/urinary-incontinence\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Urinary incontinence<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":122,"menu_order":112,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-132","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/132","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/comments?post=132"}],"version-history":[{"count":8,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/132\/revisions"}],"predecessor-version":[{"id":1968,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/132\/revisions\/1968"}],"up":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/122"}],"wp:attachment":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/media?parent=132"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}