Urinary Incontinence in Women: A Review

摘要: Importance Urinary incontinence, the involuntary loss of urine, is a common health condition that may decrease quality life. Ten to twenty percent women and up 77% residing in nursing homes have urinary yet only 25% seek or receive treatment. Observations This review summarizes evaluation therapeutic options for affected by incontinence. The initial assessment should focus on understanding effect incontinence life, patient’s goals preferences treatment, results previous treatments, presence concomitant conditions, such as advanced pelvic organ prolapse, require referral. Infection hematuria need be ruled out. In absence infection serious underlying pathology (such cancer neurologic disease) associated with clinician initiate unsupervised muscle exercises lifestyle modifications appropriate patient reduce her symptoms. These recommendations can include weight loss, adequate hydration, avoidance excessive fluids, regular voiding intervals urgency episodes. Urgency medications, timely reassessment symptoms, started without extensive evaluation. Specialist treatments onabotulinumtoxinA percutaneous implanted neuromodulators. Stress surgery, midurethral sling, symptom improvement 48% 90% has low rates mesh complications ( Conclusions Relevance women, although few care despite many effective treatment options. Clinicians prioritize detection, identify treat modifiable factors, incorporate preference into conservative medical therapy, refer specialists when identified measures are ineffective.