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Chapter 26 - Thyroid disorders
from Section 6 - Common medical problems
- By William J. Hueston
Edited by Jo Ann Rosenfeld, The Johns Hopkins University School of Medicine
Book:

Handbook of Women's Health

Published online:

26 December 2009

Print publication:

22 October 2009, pp 297-306
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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.