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Urinary Incontinence. No Financial Disclosures. Objectives. Overview of Urinary Incontinence in Women: Dr. AblovePresentation of Cases: Dr. WilkInitial Management Issues:Urodynamic testing for all women? OR Therapy trials based on history and exam only: medication, pelvic floor exercises, pes
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1. Urinary Incontinence Tova Ablove, Alev Wilk
Primary Care Conference, 6/22/05
2. Urinary Incontinence
No Financial Disclosures
3. Objectives Overview of Urinary Incontinence in Women: Dr. Ablove
Presentation of Cases: Dr. Wilk
Initial Management Issues:
Urodynamic testing for all women? OR
Therapy trials based on history and exam only: medication, pelvic floor exercises, pessary? Review clinical types and presentations of urinary incontinence
Initial evaluation
Sensitivity/specificity of symptoms
Examination
Initial Treatment
When and Where to refer for further evaluation:
Urodynamic testing?
Urethral cystoscopy?
Review clinical types and presentations of urinary incontinence
Initial evaluation
Sensitivity/specificity of symptoms
Examination
Initial Treatment
When and Where to refer for further evaluation:
Urodynamic testing?
Urethral cystoscopy?
4. Incontinence 14% of healthy postmenopausal have daily incontinence.
41% of healthy postmenopausal have incontinence at least once per month.
Brown et al. obstetrics and gynecology 1996