Urinary incontinence in community-dwelling women: clinical, urodynamic, and severity characteristics

Article Abstract:

Urinary incontinence affects half the women residing in nursing homes and a third of those still living in the community. Although methods used to assess women having urinary incontinence have improved, effective management strategies have been limited. A complete medical history was taken and comprehensive physical examination was performed for 145 elderly women (average age 67 years old) who were independent, mentally stable residents living within the community. Urinary incontinence was defined as at least one episode of urine leakage per week. The stability of the detrusor muscle, the muscle layer surrounding the bladder, and the functioning of the sphincter muscle controlling the flow of urine were characterized in each woman. Sphincteric incompetence was the cause of the urine leakage in 90 (62 percent) women, detrusor instability was present in 17 (12 percent) women, 23 (16 percent) had both complications and 15 (10 percent) women did not meet the diagnostic criteria of either group. Impairment of the urethra, the tube leading from the bladder, and the detrusor muscle was the greatest among women with both detrusor instability and sphincteric incompetence. Therefore, there is a relationship between the functioning of the urethra and the detrusor muscle, and the severity of urinary incontinence. (Consumer Summary produced by Reliance Medical Information, Inc.)

Diagnosis, Diseases, Aged women, Elderly women, Urination disorders

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Effects of sacrocolposuspension on the lower urinary tract

Article Abstract:

Surgical suspension of the vagina by attaching it to the sacral ligament may not cause or worsen lower urinary tract dysfunction. Researchers compared the urinary tract symptoms of 45 women with collapsed vaginas before and after surgery to correct the problem. Four to 80 months after surgery to suspend the vagina by attaching it to the ligaments above it, 49% of the patients experienced urinary tract dysfunction, as compared to 87% before surgery. Certain symptoms of urinary tract dysfunction may not be corrected by this surgery. Surgeons should thoroughly evaluate patients before surgery to maximize chances of successful surgery and treatment of urinary tract symptoms.

Physiological aspects, Surgery, Vagina, Urinary organs, Urinary tract

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Urinary incontinence and pelvic organ prolapse in women with Marfan or Ehlers-Danlos syndrome

Article Abstract:

Urinary incontinence and pelvic organ prolapse could be signs of a connective tissue disease. Of 12 women with Marfan syndrome, 42% had urinary incontinence and 33% had pelvic organ prolapse. Of eight women with Ehlers-Danlos syndrome, half had urinary incontinence and 75% had pelvic organ prolapse.

Health aspects, Connective tissue diseases, Uterus, Uterine prolapse

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