Urinary incontinence natural history, complications and prognosis: Difference between revisions
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==Overview== | ==Overview== | ||
Common complications of [[urinary incontinence]] include increased risk of falling and [[fractures]], [[urinary tract infection]], sleep disorders, [[depression]]. The prognosis associated with [[urinary incontinence]] depends on the underlying cause and associated conditions such as accurate diagnosis, and proper treatment. | |||
==Complications== | ==Complications== | ||
*One | *One in four women with [[urinary incontinence]] seek treatment. <ref name="pmid22527544">{{cite journal| author=Minassian VA, Yan X, Lichtenfeld MJ, Sun H, Stewart WF| title=The iceberg of health care utilization in women with urinary incontinence. | journal=Int Urogynecol J | year= 2012 | volume= 23 | issue= 8 | pages= 1087-93 | pmid=22527544 | doi=10.1007/s00192-012-1743-x | pmc=3905313 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22527544 }} </ref> | ||
**Common causes of low follow up | **Common causes of low follow up rates in patients with [[urinary incontinence]] include:<ref name="pmid11145628">{{cite journal| author=Shaw C, Tansey R, Jackson C, Hyde C, Allan R| title=Barriers to help seeking in people with urinary symptoms. | journal=Fam Pract | year= 2001 | volume= 18 | issue= 1 | pages= 48-52 | pmid=11145628 | doi=10.1093/fampra/18.1.48 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11145628 }} </ref> | ||
***insufficient information about available therapeutic options | ***insufficient information about available therapeutic options | ||
***considering [[urinary incontinence]] as a normal symptom of aging | ***considering [[urinary incontinence]] as a normal symptom of aging | ||
***inaccessible medical intervention | ***inaccessible medical intervention | ||
***feeling embarrassed about [[urinary]] problems | ***feeling embarrassed about [[urinary]] problems | ||
* | *The symptoms of stress or urgent [[urinary incontinence]] are usually milder than mixed [[urinary incontinence]]. <ref name="pmid18528608">{{cite journal| author=Minassian VA, Stewart WF, Hirsch AG| title=Why do stress and urge incontinence co-occur much more often than expected? | journal=Int Urogynecol J Pelvic Floor Dysfunct | year= 2008 | volume= 19 | issue= 10 | pages= 1429-40 | pmid=18528608 | doi=10.1007/s00192-008-0647-2 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18528608 }} </ref><ref name="pmid18491026">{{cite journal| author=Dooley Y, Lowenstein L, Kenton K, FitzGerald M, Brubaker L| title=Mixed incontinence is more bothersome than pure incontinence subtypes. | journal=Int Urogynecol J Pelvic Floor Dysfunct | year= 2008 | volume= 19 | issue= 10 | pages= 1359-62 | pmid=18491026 | doi=10.1007/s00192-008-0637-4 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18491026 }} </ref> | ||
*Common complications of [[urinary incontinence]] include <ref name="pmid28471525">{{cite journal| author=Gibson W, Hunter KF, Camicioli R, Booth J, Skelton DA, Dumoulin C | display-authors=etal| title=The association between lower urinary tract symptoms and falls: Forming a theoretical model for a research agenda. | journal=Neurourol Urodyn | year= 2018 | volume= 37 | issue= 1 | pages= 501-509 | pmid=28471525 | doi=10.1002/nau.23295 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28471525 }} </ref><ref name="pmid16086679">{{cite journal| author=Hu TW, Wagner TH| title=Health-related consequences of overactive bladder: an economic perspective. | journal=BJU Int | year= 2005 | volume= 96 Suppl 1 | issue= | pages= 43-5 | pmid=16086679 | doi=10.1111/j.1464-410X.2005.05654.x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16086679 }} </ref> | *Common complications of [[urinary incontinence]] include <ref name="pmid28471525">{{cite journal| author=Gibson W, Hunter KF, Camicioli R, Booth J, Skelton DA, Dumoulin C | display-authors=etal| title=The association between lower urinary tract symptoms and falls: Forming a theoretical model for a research agenda. | journal=Neurourol Urodyn | year= 2018 | volume= 37 | issue= 1 | pages= 501-509 | pmid=28471525 | doi=10.1002/nau.23295 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28471525 }} </ref><ref name="pmid16086679">{{cite journal| author=Hu TW, Wagner TH| title=Health-related consequences of overactive bladder: an economic perspective. | journal=BJU Int | year= 2005 | volume= 96 Suppl 1 | issue= | pages= 43-5 | pmid=16086679 | doi=10.1111/j.1464-410X.2005.05654.x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16086679 }} </ref> | ||
**increased risk of falling and [[fractures]] | **increased risk of falling and [[fractures]] | ||
| Line 25: | Line 25: | ||
**sleep disorders | **sleep disorders | ||
**[[depression]] | **[[depression]] | ||
* However, psychological and social problems may arise, particularly if one is unable to get to the bathroom when there is urge. | * However, psychological and social problems may arise, particularly if one is unable to get to the bathroom when there is an urge. | ||
==Prognosis== | ==Prognosis== | ||
| Line 38: | Line 38: | ||
[[Category:Urology]] | [[Category:Urology]] | ||
[[Category:Needs content]] | [[Category:Needs content]] | ||
[[Category: | [[Category:Up-To-Date]] | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Nasrin Nikravangolsefid, MD-MPH [2]
Overview
Common complications of urinary incontinence include increased risk of falling and fractures, urinary tract infection, sleep disorders, depression. The prognosis associated with urinary incontinence depends on the underlying cause and associated conditions such as accurate diagnosis, and proper treatment.
Complications
- One in four women with urinary incontinence seek treatment. [1]
- Common causes of low follow up rates in patients with urinary incontinence include:[2]
- insufficient information about available therapeutic options
- considering urinary incontinence as a normal symptom of aging
- inaccessible medical intervention
- feeling embarrassed about urinary problems
- Common causes of low follow up rates in patients with urinary incontinence include:[2]
- The symptoms of stress or urgent urinary incontinence are usually milder than mixed urinary incontinence. [3][4]
- Common complications of urinary incontinence include [5][6]
- increased risk of falling and fractures
- urinary tract infection
- sleep disorders
- depression
- However, psychological and social problems may arise, particularly if one is unable to get to the bathroom when there is an urge.
Prognosis
- The prognosis associated with urinary incontinence depends on the underlying cause and associated conditions such as accurate diagnosis, and proper treatment.
References
- ↑ Minassian VA, Yan X, Lichtenfeld MJ, Sun H, Stewart WF (2012). "The iceberg of health care utilization in women with urinary incontinence". Int Urogynecol J. 23 (8): 1087–93. doi:10.1007/s00192-012-1743-x. PMC 3905313. PMID 22527544.
- ↑ Shaw C, Tansey R, Jackson C, Hyde C, Allan R (2001). "Barriers to help seeking in people with urinary symptoms". Fam Pract. 18 (1): 48–52. doi:10.1093/fampra/18.1.48. PMID 11145628.
- ↑ Minassian VA, Stewart WF, Hirsch AG (2008). "Why do stress and urge incontinence co-occur much more often than expected?". Int Urogynecol J Pelvic Floor Dysfunct. 19 (10): 1429–40. doi:10.1007/s00192-008-0647-2. PMID 18528608.
- ↑ Dooley Y, Lowenstein L, Kenton K, FitzGerald M, Brubaker L (2008). "Mixed incontinence is more bothersome than pure incontinence subtypes". Int Urogynecol J Pelvic Floor Dysfunct. 19 (10): 1359–62. doi:10.1007/s00192-008-0637-4. PMID 18491026.
- ↑ Gibson W, Hunter KF, Camicioli R, Booth J, Skelton DA, Dumoulin C; et al. (2018). "The association between lower urinary tract symptoms and falls: Forming a theoretical model for a research agenda". Neurourol Urodyn. 37 (1): 501–509. doi:10.1002/nau.23295. PMID 28471525.
- ↑ Hu TW, Wagner TH (2005). "Health-related consequences of overactive bladder: an economic perspective". BJU Int. 96 Suppl 1: 43–5. doi:10.1111/j.1464-410X.2005.05654.x. PMID 16086679.