Urinary incontinence: Difference between revisions
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Urinary incontinene is defined as "Involuntary loss of urine, such as leaking of urine. It is a symptom of various underlying pathological processes."<ref>{{cite web |url=http://www.nlm.nih.gov/cgi/mesh/2007/MB_cgi?mode=&index=14006 |title= |accessdate=2007-10-26 |format= |work=}}</ref> | |||
==Classification== | |||
===Urge incontinence=== | |||
===Stress incontinence=== | |||
==Causes== | |||
Incontinence is more common after a hysterectomy.<ref name="pmidpending">Hysterectomy and risk of stress-urinary-incontinence surgery: nationwide cohort study. Lancet 2007. {{doi|10.1016/S0140-6736(07)61635-3}}</ref> | |||
==Treatment== | ==Treatment== | ||
===Exercises=== | ===Exercises=== | ||
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===Medications=== | ===Medications=== | ||
A [[randomized controlled trial]] found that [[trospium]] is effective.<ref name="pmid17632131">{{cite journal |author=Staskin D, Sand P, Zinner N, Dmochowski R |title=Once daily trospium chloride is effective and well tolerated for the treatment of overactive bladder: results from a multicenter phase III trial |journal=J. Urol. |volume=178 |issue=3 Pt 1 |pages=978–83; discussion 983–4 |year=2007 |pmid=17632131 |doi=10.1016/j.juro.2007.05.058}}</ref> | A [[randomized controlled trial]] found that [[trospium]] is effective.<ref name="pmid17632131">{{cite journal |author=Staskin D, Sand P, Zinner N, Dmochowski R |title=Once daily trospium chloride is effective and well tolerated for the treatment of overactive bladder: results from a multicenter phase III trial |journal=J. Urol. |volume=178 |issue=3 Pt 1 |pages=978–83; discussion 983–4 |year=2007 |pmid=17632131 |doi=10.1016/j.juro.2007.05.058}}</ref> | ||
===Surgery=== | |||
Among surgical options, a [[randomized controlled trial]] found greater benefit, but more complications from Fascial sling surgery as compared to Burch colposuspension.<ref name="pmid17517855">{{cite journal |author=Albo ME, Richter HE, Brubaker L, ''et al'' |title=Burch colposuspension versus fascial sling to reduce urinary stress incontinence |journal=N. Engl. J. Med. |volume=356 |issue=21 |pages=2143–55 |year=2007 |pmid=17517855 |doi=10.1056/NEJMoa070416}}</ref> | |||
==References== | ==References== | ||
Revision as of 09:32, 26 October 2007
Urinary incontinene is defined as "Involuntary loss of urine, such as leaking of urine. It is a symptom of various underlying pathological processes."[1]
Classification
Urge incontinence
Stress incontinence
Causes
Incontinence is more common after a hysterectomy.[2]
Treatment
Exercises
Kegel exercises to strengthen or retrain pelvic floor muscles and sphincter muscles can reduce stress leakage.[3] Patients younger than 60 years old benefit the most.[3] The patient should do at least 24 daily contractions for at least 6 weeks. [3]
Medications
A randomized controlled trial found that trospium is effective.[4]
Surgery
Among surgical options, a randomized controlled trial found greater benefit, but more complications from Fascial sling surgery as compared to Burch colposuspension.[5]
References
- ↑ Error on call to Template:cite web: Parameters url and title must be specified. Retrieved on 2007-10-26.
- ↑ Hysterectomy and risk of stress-urinary-incontinence surgery: nationwide cohort study. Lancet 2007. DOI:10.1016/S0140-6736(07)61635-3
- ↑ 3.0 3.1 3.2 Choi H, Palmer MH, Park J (2007). "Meta-analysis of pelvic floor muscle training: randomized controlled trials in incontinent women". Nursing research 56 (4): 226-34. DOI:10.1097/01.NNR.0000280610.93373.e1. PMID 17625461. Research Blogging.
- ↑ Staskin D, Sand P, Zinner N, Dmochowski R (2007). "Once daily trospium chloride is effective and well tolerated for the treatment of overactive bladder: results from a multicenter phase III trial". J. Urol. 178 (3 Pt 1): 978–83; discussion 983–4. DOI:10.1016/j.juro.2007.05.058. PMID 17632131. Research Blogging.
- ↑ Albo ME, Richter HE, Brubaker L, et al (2007). "Burch colposuspension versus fascial sling to reduce urinary stress incontinence". N. Engl. J. Med. 356 (21): 2143–55. DOI:10.1056/NEJMoa070416. PMID 17517855. Research Blogging.