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  #1  
Old 04-16-2013
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Help Getting through incontinence topic

guys....i'm getting sick of studying this topic with various terms.....i need a clear info about all incontinence types.....

i made 3 questions wrong abt this topic in latest nbme i did

i'm clear abt stress incontinence and funtional incontinence....

i want the other types.......overflow incontinence, hyperactive/overactive bladder, detrusor instability,urge incontinence, detrusor inactivity , detrusor sphincter dyssynergia, hypotonic bladder , diabetic neuropathy(neurogenic bladder),

thanks alot...goodluck
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Old 04-16-2013
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Default I had the same problem

First aid summarizes this topic better than MTB
besides UW of course
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  #3  
Old 04-16-2013
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Quote:
Originally Posted by dralan View Post
First aid summarizes this topic better than MTB
besides UW of course

got it thanks...hope it clears everything.....
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  #4  
Old 04-16-2013
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Quote:
Originally Posted by dralan View Post
First aid summarizes this topic better than MTB
besides UW of course
i read it...but i got few more doubts which i need to clear from you...

1)do overflow incontinence and retention in diabetic neuropathy the same...?

2)can you explain me terms overactive bladder and neurogenic bladder(do neurogenic bladder and urge incontinence mean the same...?)

oh ! man ,this confusing me alot ,i hope my doubts wont confuse you....

thanks
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Old 04-16-2013
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Quote:
Originally Posted by venky2600 View Post
i read it...but i got few more doubts which i need to clear from you...

1)do overflow incontinence and retention in diabetic neuropathy the same...?

2)can you explain me terms overactive bladder and neurogenic bladder(do neurogenic bladder and urge incontinence mean the same...?)

oh ! man ,this confusing me alot ,i hope my doubts wont confuse you....

thanks
1) In diabetic neuropathy , an acontractile bladder causes urine retention which in turn leads to the overflow incontinence

2)Detrusor hyper reflexia is the most important cause for urge incontinence ( other causes : neurogenic and sphincter dysfunction )
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  #6  
Old 04-16-2013
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Quote:
Originally Posted by dralan View Post
1) In diabetic neuropathy , an acontractile bladder causes urine retention which in turn leads to the overflow incontinence

2)Detrusor hyper reflexia is the most important cause for urge incontinence ( other causes : neurogenic and sphincter dysfunction )
thanks again...

have problem with 4 terms ,get them correct
1)detrusor sphincter dyssynergia ----detrusor contract and sphincter also contract (due to loss of coordination)...problem with initiation of micturition
2)detrusor inactivity-------detrusor has parasympathetic control....loss of innervation due to anticholinergics,TCA's
3)detrusor hyperreflexia /overactive------due to unremitting contractions of bladder and sphincter hypotonia

4)detrusor instability----- unregulated spontaneous contraction of bladder due to unresponsive cortical inhibition

if this clears,i'm done with incontinence topic......thanks
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  #7  
Old 04-17-2013
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venky actually i also had the same problem .....that post will made me easy when i study later....thanx
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Old 04-17-2013
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no guys....this is what i annotated from uworld

my doubts are-----detrusor inactive due to loss of parasympathetic control....then what's the cause of detrusor overactive/hyperreflex type..?

and also i read that anticholinergics are treatment for detrusor instability/urge incontinence.....how would they work here..?

and also post void residual urine is high in overflow type and less in urge type/overactive type?......am i correct...?
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Old 04-17-2013
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the basic funda is
bladder has 3 control
a)cholinergic >>>thats contracts bladder via detrusor
b)B2 adrenergic>>>thats relaxes bladder
c)alpha1 adrenergic >>>thats contracts spincture

the treatment and mechanism is based on this funda...
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  #10  
Old 04-17-2013
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1. Overflow(aka:hypotonic) incontinence simply means the bladder is over filled with urine. and the cause can be from a bladder that has poor nerve innervation or systemic medications that make the bladder hypoactive. So in DM and Multiple sclerosis, they both lead to poor nerve innervation thus leading to overflow(aka:hypotonic) incontinence. so dont get confused the cause and the name of the continence.

if you have Kaplan OBGYN book look at it because it does nicely explain well.
Quote:
Originally Posted by venky2600 View Post
i read it...but i got few more doubts which i need to clear from you...

1)do overflow incontinence and retention in diabetic neuropathy the same...?

2)can you explain me terms overactive bladder and neurogenic bladder(do neurogenic bladder and urge incontinence mean the same...?)

oh ! man ,this confusing me alot ,i hope my doubts wont confuse you....

thanks
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venky2600 (04-17-2013)
  #11  
Old 04-17-2013
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Quote:
Originally Posted by Dr.Dream View Post
1. Overflow(aka:hypotonic) incontinence simply means the bladder is over filled with urine. and the cause can be from a bladder that has poor nerve innervation or systemic medications that make the bladder hypoactive. So in DM and Multiple sclerosis, they both lead to poor nerve innervation thus leading to overflow(aka:hypotonic) incontinence. so dont get confused the cause and the name of the continence.

if you have Kaplan OBGYN book look at it because it does nicely explain well.
dude....am very thankful to you........gr8 info in kaplan gynec obs-----cleared totally......goodluck
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