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Long-term efficacy of nonsurgical urinary incontinence in elderly women
Author(s)Michael W Weinberger, Brian M Goodman, Molly Carnes
Journal titleThe Journals of Gerontology Series A: Biological sciences and Medical Sciences, vol 54A, no 3, March 1999
Pagespp M117-121
KeywordsIncontinence ; Older women ; Therapeutics ; Long term ; United States of America.
AnnotationUrinary incontinence affects up to 35% of community-dwelling older women, but the long-term efficacy of treatments is unknown. From April 1991 to January 1994, 81 women aged 60+ underwent non-surgical continence treatment including pelvic muscle exercises, bladder retraining, hormone replacement therapy (HRT), biofeedback, functional electrical stimulation, and pharmacological therapy. Information about intercurrent medical problems, urogynaecological diagnoses, treatment recommendations and outcome were collected from medical records. Questionnaires evaluating persistent incontinence, treatment efficacy, interval therapy, and quality of life were sent to women who had last attended clinic at least 1 year before; 53 (65%) replied. At follow-up, 43% of women reported that incontinence was not a problem or mild, 33% reported moderate incontinence, and 21% severe incontinence. When patients compared their initial with current incontinence severity, improvement was significant. Subjects considered pelvic muscle exercise, delayed voiding, and caffeine restriction as most effective in reducing incontinence severity. Younger patients and those with more severe incontinence are most likely to respond to treatment. (RH).
Accession NumberCPA-990825324 A
ClassmarkCTM: BD: LL: 4Q: 7T

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