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Urinary incontinence in women
What's new
Updated 2024 EAU and 2024 CUA guidelines for the diagnosis and management of urinary incontinence in women .
Background
Overview
Definition
UI is defined as involuntary or abnormal leakage of urine.
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Pathophysiology
UI has multiple possible causes, including age-related functional changes (overactive detrusor, impaired bladder contractility, decreased pressure in urethra closure, atrophy of urethral areas, prostatic hypertrophy), lesions in the CNS, excess urine output, restricted mobility, stool impaction, UTI, delirium, and medications (α-adrenergic agonists, α-adrenergic antagonists, anticholinergics, cancer drugs, calcium-channel blockers, diuretics, opiates, sedatives).
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Epidemiology
The prevalence of any symptom UI is high in the adult population, with an estimated age-standardized prevalence of 51.1% in women and 13.9%, in men respectively.
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Disease course
Clinical manifestations include urine leakage and, depending on the etiology, associated LUTS of urgency, frequency, nocturia, weak urination, and incomplete emptying associated.
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Prognosis and risk of recurrence
UI is a predictor of death in the general population and geriatric population. UI is associated with psychological morbidity and may lead to substantial impairment of QoL.
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Guidelines
Key sources
The following summarized guidelines for the evaluation and management of urinary incontinence in women are prepared by our editorial team based on guidelines from the American Academy of Family Physicians (AAFP 2024,2019), the Canadian Urological Association (CUA 2024), the European Association of Urology (EAU/EAUN 2024), the American Physical Therapy Association (APTA 2023), the Society of Obstetricians and Gynaecologists of Canada ...
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