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#53: Urinary Incontinence: Tips and strategies to stay dry.: Doctors Matthew Watto, Stuart Brigham, and Paul Williams: Internal Medicine Podcast for Primary Care, Family Medicine

#53: Urinary Incontinence: Tips and strategies to stay dry.: Doctors Matthew Watto, Stuart Brigham, and Paul Williams: Internal Medicine Podcast for Primary Care, Family Medicine

A partir deThe Curbsiders Internal Medicine Podcast


#53: Urinary Incontinence: Tips and strategies to stay dry.: Doctors Matthew Watto, Stuart Brigham, and Paul Williams: Internal Medicine Podcast for Primary Care, Family Medicine

A partir deThe Curbsiders Internal Medicine Podcast

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Comprimento:
59 minutos
Lançado em:
Aug 21, 2017
Formato:
Episódio de podcast

Descrição

Get control of urinary incontinence with tips from Internist and Women’s Health Specialist, Dr. Molly Heublein, Assistant Clinical Professor of Medicine at UCSF. This is a must listen if you’re still uncomfortable managing urinary incontinence. We learn nonpharmacologic strategies like pelvic floor muscle therapy, bladder training, timed voiding, foods to avoid, and run through the available medical therapies, their efficacy and side effects. Plus, a brief review of next line therapies like percutaneous tibial nerve stimulation, and botox injections for overactive bladder. Full show notes available at http://thecurbsiders.com/podcast Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com. Case: 79 yo F with at least 10 years of urinary urgency with occasional loss of small amounts of urine and rare full bladder emptying. She drinks 1 cup of coffee every morning and about 2-3 glasses of water per day. She tries to minimize liquids due to her incontinence. She has HTN and takes HCTZ. Has been on oxybutynin for 10 years and wants to try something else. Time Stamps 00:00 Intro 01:06 Listener feedback 02:43 Announcements 03:43 Picks of the week 09:07 Getting to know our guest 14:27 Case of urinary incontinence (UI) 15:30 Epidemiology of UI 16:34 Screening for UI 17:30 The 3IQ Questionnaire 18:44 Additional testing in UI 21:23 Classifying UI 24:00 Nonpharmacologic therapy for UI 32:42 Effectiveness of pharmacologic versus nonpharmacologic therapy 34:50 Case continued. Changing medications 37:42 Mirabegron as an alternative to anticholinergics 40:18 More options for stress UI management 41:40 Next line therapies for urge UI, overactive bladder 44:38 Surgery for stress urinary incontinence 45:50 Botox therapy for urge UI, overactive bladder 48:30 Do we need any more fancy diagnostic tests? 50:30 Take home points 55:05 Stuart schools us on urinary incontinence in men and timing of BPH meds 56:40 Outro Tags: urinary, urine, incontinence, urge, stress, mixed, bladder, training, kegels, pelvic, floor, muscle, therapy, anticholinergic, botox, assistant, care, education, doctor, family, foam, foamed, health, hospitalist, hospital, internal, internist, nurse, medicine, medical, primary, physician, resident, student
Lançado em:
Aug 21, 2017
Formato:
Episódio de podcast