Camille P. Vaughan, MD, MS; Alayne D. Markland, DO, MSc
CME Objective: To review current evidence for risk factors, causes, diagnosis, treatment, and practice improvement of urinary incontinence in women.
Funding Source: American College of Physicians.
Disclosures: Dr. Vaughan, ACP Contributing Author, reports grants from the U.S. Department of Veterans Affairs and the National Institutes of Health and other support from Kimberly-Clark and the Agency for Healthcare Research and Quality outside the submitted work. Dr. Markland, ACP Contributing Author, reports grants from the National Institutes of Health and the U.S. Department of Veterans Affairs during the conduct of the study. Disclosures can also be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M19-2791.
Editors' Disclosures: Christine Laine, MD, MPH, Editor in Chief, reports that her spouse has stock options/holdings with Targeted Diagnostics and Therapeutics. Darren B. Taichman, MD, PhD, Executive Editor, reports that he has no financial relationships or interests to disclose. Cynthia D. Mulrow, MD, MSc, Senior Deputy Editor, reports that she has no relationships or interests to disclose. Jaya K. Rao, MD, MHS, Deputy Editor, reports that she has stock holdings/options in Eli Lilly and Pfizer. Christina C. Wee, MD, MPH, Deputy Editor, reports employment with Beth Israel Deaconess Medical Center. Sankey V. Williams, MD, Deputy Editor, reports that he has no financial relationships or interests to disclose. Yu-Xiao Yang, MD, MSCE, Deputy Editor, reports that he has no financial relationships or interest to disclose.
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Urinary incontinence (UI) is common among women and contributes to decreased quality of life. Several effective treatment options are available for the most common types of UI (stress, urge, and mixed), including lifestyle and behavioral therapy, drug therapy, and minimally invasive procedures. Most women improve with treatment, and UI is not an inevitable part of aging. To maximize the opportunity for successful treatment, it is critical to align the treatment approach with patient goals and expectations for care, including an assessment of patient-driven priorities regarding potential adverse effects, costs, and expected benefit of different treatment approaches.
Vaughan CP, Markland AD. Urinary Incontinence in Women. Ann Intern Med. 2020;172:ITC17–ITC32. doi: https://doi.org/10.7326/AITC202002040
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Published: Ann Intern Med. 2020;172(3):ITC17-ITC32.
Nephrology, Urological Disorders.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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