PHTY306 Lecture Notes - Lecture 5: Tute, Pelvic Floor, Urethra
Document Summary
Confronting: sexual ie focus statements: use more jargon within reason, close ended questions (less intimidating) split the history in subsections (bladder, bowel, don"t use jargon, start with open ended questions (freedom for patient to discuss) Non-confronting: common with orgasm, due to spasticity in the bladder. Stress incontinence due to weakness of the sphincters: pressure or force on bladder ie running or coughing, common with intercourse due to hit on bladder. If at home can make it to toilet quickly, not if out (every second day on average fairly damp ie doesn"t regularly wet the bed at night. Stress incontinence: can cough, sneeze and run, no stress incontinence. Pad use: wear pantyliner when you go out, usually wear 1-2 per day when going out, usually damp when leak. Sexual symptoms: sexually active, once leakage during intercourse (consciously empty bladder prior now). Occurred on orgasm: fairly high volume, pain with intercourse prior to birth (sometimes lubricant is required)
