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Chapter 18 - Urinary incontinence and infections

from Section 3 - Genitourinary concerns

Published online by Cambridge University Press:  26 December 2009

By
Jo Ann Rosenfeld
Edited by
Jo Ann Rosenfeld
Jo Ann Rosenfeld
Affiliation:
The Johns Hopkins University School of Medicine
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Summary

This chapter discusses the risk factors, clinical definitions, diagnosis, and treatment of urinary incontinence (UI) and urinary tract infections (UTIs). In institutionalized women, UI is much more common. Approximately one-half of postmenopausal women develop UI while exercising. The four forms of urinary incontinence include: stress incontinence, urge incontinence, overflow bladder and functional incontinence. There are medical, behavioral, electrical, magnetic, and surgical treatments of UI. Every type of treatment has a success rate of 50% or greater. Family and general physicians can diagnose and treat UI in women with a great deal of efficacy using a history, physical examination and simple test in the office, using a variety of methods including behavioral therapy and medication. The risk factors for recurrent UTI include a personal history of UTI, incontinence, and presence of a cystocele. UTIs are common, and must be identified and treated.
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Handbook of Women's Health , pp. 193 - 204
Publisher: Cambridge University Press
Print publication year: 2009

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