ALBERT J KIRSHEN, M.D.
To the editor: By your selection of the article by Williams and Pannill (1) for publication, I assume that academic geriatric medicine has "arrived." Although I agree with their final recommendations, I take issue with two points.
Despite their plea for standardization, Drs. Williams and Pannill digress from the standards recommended by the International Continence Society (2), which they quote. The standards suggest that incontinence be subdivided into two categories, problems with storage and difficulties with emptying, and specified in terms of detrusor dysfunction, outlet dysfunction, and other causes. Thus, Williams and Pannill's category of overflow incontinence, more properly, would
KIRSHEN AJ. Bladder Problems in Elderly Patients. Ann Intern Med. ;98:418. doi: 10.7326/0003-4819-98-3-418_1
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Published: Ann Intern Med. 1983;98(3):418.
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