Urinary incontinence natural history, complications and prognosis: Difference between revisions

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==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==
Physical complications are rare. However, psychological and social problems may arise, particularly if one is unable to get to the bathroom when there is urge.
*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 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
***considering [[urinary incontinence]] as a normal symptom of aging
***inaccessible medical intervention
***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>
**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==
==Prognosis==
How well one does depends on symptoms, an accurate diagnosis, and proper treatment. Many patients must try different therapies (some at the same time) to reduce symptoms.
*The prognosis associated with [[urinary incontinence]] depends on the underlying cause and associated conditions such as accurate diagnosis, and proper treatment.
 
Instant improvement is unusual. Perseverance and patience are usually required to see improvement. A small number of patients need surgery to control their symptoms.


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
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[[Category:Urology]]
[[Category:Signs and symptoms]]
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[[Category:Up-To-Date]]
 
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Latest revision as of 02:40, 8 March 2021

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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

Prognosis

  • The prognosis associated with urinary incontinence depends on the underlying cause and associated conditions such as accurate diagnosis, and proper treatment.

References

  1. ↑ 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.
  2. ↑ 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.
  3. ↑ 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.
  4. ↑ 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.
  5. ↑ 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.
  6. ↑ 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.

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