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18 Questions

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Urinary Incontinence in Females

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Questions and Answers

What is the main reason for late seeking help for urinary incontinence in females?

Lack of available treatments

Belief that bladder control loss is normal after childbirth

Physical discomfort in seeking help

Embarrassment and ignorance (correct)

Which muscle innervates the bladder?

Sympathetics

Parasympathetics (correct)

Striated muscle

Smooth muscle fibers

What is the composition of the trigone in the lower urinary tract?

Devoid of any muscle fibers

Composed of two smooth layers that continue with the smooth layer of the urethra (correct)

Composed of skeletal muscles

Composed of transitional cells only

What contributes approximately 1/3 of the urethral pressure?

Rich layer of collagen Signup and view all the answers

Which type of muscle is located in the middle third of the urethra?

Striated muscle Signup and view all the answers

What lines the proximal half of the normal urethra?

Transitional cells Signup and view all the answers

What is the term for the involuntary loss of urine that is objectively demonstrable and is a social or hygienic problem?

Stress incontinence Signup and view all the answers

What is the main cause of genuine Stress Incontinence?

Urethral sphincter mechanism dysfunction Signup and view all the answers

What are the associated features of stress incontinence?

Urgency, frequency, dysuria Signup and view all the answers

What is the etiology of stress incontinence?

Advanced age, previous pelvic surgeries, menopause Signup and view all the answers

What is the capacity of the bladder during the storage phase?

$400-500$ ml Signup and view all the answers

Which sphincter has no direct connection with the urethra and is situated at the middle and lower thirds of the urethra?

Levator ani Signup and view all the answers

What causes genuine Stress Incontinence according to the text?

$Intraurethral$ pressure exceeds intavesical pressure Signup and view all the answers

What is the classification of stress incontinence according to its severity?

$Grade 3$ - Under mild stress like standing, being continent in supine position Signup and view all the answers

How is the bladder capacity defined during the storage phase?

$150-250$ ml till $10$ cm water to $300$ ml till $15$ cm water for $500$ ml Signup and view all the answers

What supports the urethra according to the text?

Pudourethral ligament and its surrounding fascia Signup and view all the answers

Which group of muscles relaxes during the voiding phase?

Pelvic floor muscles and intrinsic sphincter Signup and view all the answers

What happens at a suitable time and place during the voiding phase?

Cortical inhibition is released and relaxation of pelvic floor occur Signup and view all the answers