Urinary Incontinence
SX â Urgency, frequency, nocturia.
PE â abdomen, vaginal, rectal.
Next Steps
DX â U/A w/ Cx, glucose. Bladder scan (normal volume 300ml). Post void residual volume (normal PVRV < 50) via Ultrasound.
Health Tips
Urge incontinence w/ detrusor overactivity. SX â abrupt urge. TX â Detrol LA (tolterodine) 2-4mg QD, Ditropan XL (oxybutynin) 5-15mg PO QD, Flavoxate or hyoscyamine for bladder spasms. Bladder diary, relaxation techniques.