Pamplete.pdf

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pamplete

Health & Medicine

MANAGEMENT
OF URINARY
INCONTIENECE










Surgical
 Lifting & stabilizing the bladder
or urethra to restore the normal
urethra vesicle angle or lengthen
the urethra.
 Periurethral bulking agents
(periurethral injection of
collagen, fat or silicone)
 Diapers or pads
 Chronic catheterization
Periurethral or suprapubic
Indwelling or intermittent
 Pessaries
Pharmacological:-
1. Oesrogen(Dec. obstruction
of urine flow by restoring the
mucosal, vascular & muscular
integrity of urethra)
Eg. Quinstrediol & estrol
(orally, I/D)
2. Anticholinergic agents
(Dec.Spasticity of bladder,
inhibit bladder contraction)
Eg. Oxybutynine
3. Alpha adrenergic blocker
(Reduce Spasticity of bladder
neck) Eg. Prazocine,
phenoxybenzamine
4. Calcium channel blocker
(Reduce destrusor
contraction) Eg. Nifidipin
Behavioural:-
 Bladder training
Patient education
Scheduled voiding
Positive
reinforcement
 Pelvic floor exercises
(Kegel Exercises)
 Biofeedback
 Caregiver
interventions
Scheduled toileting
Habit training
Prompted voiding

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Pamplete.pdf

1. MANAGEMENT OF URINARY INCONTIENECE         

2. Surgical  Lifting & stabilizing the bladder or urethra to restore the normal urethra vesicle angle or lengthen the urethra.  Periurethral bulking agents (periurethral injection of collagen, fat or silicone)  Diapers or pads  Chronic catheterization Periurethral or suprapubic Indwelling or intermittent  Pessaries Pharmacological:- 1. Oesrogen(Dec. obstruction of urine flow by restoring the mucosal, vascular & muscular integrity of urethra) Eg. Quinstrediol & estrol (orally, I/D) 2. Anticholinergic agents (Dec.Spasticity of bladder, inhibit bladder contraction) Eg. Oxybutynine 3. Alpha adrenergic blocker (Reduce Spasticity of bladder neck) Eg. Prazocine, phenoxybenzamine 4. Calcium channel blocker (Reduce destrusor contraction) Eg. Nifidipin Behavioural:-  Bladder training Patient education Scheduled voiding Positive reinforcement  Pelvic floor exercises (Kegel Exercises)  Biofeedback  Caregiver interventions Scheduled toileting Habit training Prompted voiding

Pamplete.pdf

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