Screening and Treating Urinary Incontinence in Primary Care: A Missed Opportunity.

OBM Geriat

Kaiser Permanente, Department of Obstetrics and Gynecology, 3250 Fordham Street, San Diego, CA, USA.

Published: October 2023

AI Article Synopsis

  • * Many women with UI don't seek medical help, and healthcare providers rarely screen for the condition, despite existing surveys about patient satisfaction.
  • * The review proposes a practical algorithm for primary care providers to better manage UI, discussing its prevalence, risk factors, screening methods, and non-surgical treatment options.

Article Abstract

More than 60% of adult women in the United States have urinary incontinence (UI), with the prevalence increasing to over 80% in women over age 65. Despite its high prevalence, most patients do not seek care and few clinicians screen for UI. The Medicare Health Outcomes Survey queries patients about satisfaction with their provider's discussion and management of UI, but formal recommendations about screening, diagnosis, and treatment are lacking. This review presents a practical algorithm for primary care providers to incorporate management of UI into routine preventive care for women, and outlines UI prevalence, risk factors, screening, and non-surgical treatment options.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10986360PMC
http://dx.doi.org/10.21926/obm.geriatr.2304252DOI Listing

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