Urinary incontinence in women: management in primary care
Gonthier, A.; Pasche, O.; Achtari, C.; Jichlinski, P.; Cornuz, J.
Revue Medicale Suisse 4(181): 2569-2570; 2572-2574
2008
ISSN/ISBN: 1660-9379 PMID: 19066144 Document Number: 616624
Urinary incontinence in women is a largely under-evaluated problem that affects nearly one out of two adult women. Even thouh its physiopathology is complex and its etiologies are multiple (and often intricate), urodynamic investigations are not considered necessary before starting a conservative therapy, which can be initiated by the primary care physician. Conservative management is based upon lifestyle modifications, specialized physiotherapy, and in certain cases medication. In the case of insufficient response after three months, the patient should be recommended to a specialist who can evaluate the need for a surgical procedure.