Acog Pb 63

Front 1

What treatment options exist urinary incontinence?

Back 1

A number of treatment options exist, including behavioral, medical, and surgical approaches.

Front 2

What is prevalence of urinary incontinence?

Back 2

Urinary incontinence affects 10–70% of women living in a community setting and up to 50% of nursing home residents

Front 3

What is differential Diagnosis of Urinary Incontinence in Women?

Back 3

Genitourinary etiology

* Filling and storage disorders
o Urodynamic stress incontinence
o Detrusor overactivity (idiopathic)
o Detrusor overactivity (neurogenic)
o Mixed types
* Fistula
o Vesical
o Ureteral
o Urethral
* Congenital
o Ectopic ureter
o Epispadias
Nongenitourinary etiology

* Functional
o Neurologic
o Cognitive
o Psychologic
o Physical impairment
* Environmental
* Pharmacologic
* Metabolic

Front 4

How do you diagnose Urinary Incontinence?

Back 4

The history and physical examination are the first and most important steps in evaluation. A preliminary diagnosis can be made with simple office and laboratory tests, with initial therapy based on these findings. If complex conditions are present, the patient does not improve after initial therapy, or surgery is being considered, definitive, specialized studies may be necessary.

Front 5

What is history and Voiding Diary

Back 5

Urinary diaries of diurnal voiding frequency, nocturnal voiding frequency, and number of incontinence episodes have been shown to be highly reproducible and correlated well with urodynamic diagnosis. documentation of symptoms for a 3- to 7-day period