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  1. A study of female urinary incontinence in general practice demography, medical history, and clinical findings.

    Article - En anglais

    The aim of this study was to provide valid data on the demography, medical history and clinical findings among adult women presenting with urinary incontinence to general practitioners.

    In a rural community in Norway, all women>20 years who consulted their general practitioner for urinary incontinence during a 3 year period were included in a prospective study.

    A thorough medical history and both a general and focused clinical examination were undertaken.

    Gynecological examination, stress provocation test, and 48 h frequency/volume chart and pad weighing test were also performed. 105 women were included (4.4% of women>20 years in the total population).

    Mean age was 57 years, 64% were postmenopausal.

    A lot of comorbidity was reported.

    Duration of incontinence was>5 years in 49%. By a severity index, 64% were classified as severe, 28% as moderate and 8% as having slight incontinence. 59% were using protective pads or garments.

    Mean leakage per 24 h was 31 g. 38% had significant genital prolapse.

    Contractility of the pelvic floor muscles was weak in 28%. Diagnostic classification revealed 50% stress incontinence, 10% urge and 40% mixed incontinence. 42% of the patients were a great deal or much bothered by their incontinence.

    Patients with stress incontinence were less bothered than others.

    Women presenting with urinary incontinence at a primary care level are prevalent, and often have significant incontinence. (...)

    Mots-clés Pascal : Incontinence urinaire, Cystométrie, Médecin généraliste, Norvège, Europe, Exploration, Epidémiologie, Adulte, Homme, Femelle, Appareil urinaire pathologie, Voie urinaire pathologie, Vessie pathologie, Trouble miction

    Mots-clés Pascal anglais : Urinary incontinence, Cystometry, General practitioner, Norway, Europe, Exploration, Epidemiology, Adult, Human, Female, Urinary system disease, Urinary tract disease, Bladder disease, Voiding dysfunction

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0136769

    Code Inist : 002B14E02. Création : 21/05/1997.