BMJ 1995;310:802 (25 March)

Letters

Ignoring urinary incontinence may reduce long term satisfaction

EDITOR,--The prevalence of urinary incontinence among the women treated for dysfunctional uterine bleeding in S B Pinion and colleagues' study was high (50%).1 This is considerably higher than estimates of urinary incontinence in the general population.2 It is disturbing that despite this finding none of the women seem to have been considered for urodynamic investigations and surgery for incontinence at the time of hysterectomy.

For many reasons a large number of women with urinary incontinence never receive help for their condition, although considerable evidence indicates that it greatly impairs the quality of their life. Research has shown that many doctors feel uneasy about discussing urinary problems and feel poorly trained to manage them.3

Pinion and colleagues' data show that 80% of the incontinent women had symptoms of stress incontinence alone, and therefore genuine stress incontinence is a likely diagnosis for many in this group. A recent meta-analysis confirmed the efficacy . . . [Full text of this article]


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