A 67-year-old man is evaluated in follow-up for urinary incontinence. Six months ago, he began tamsulosin for occasional nocturia, frequency, and urgency related to benign prostatic hyperplasia. Tamsulosin decreased the frequency of nocturia, but he continued to have daytime urinary urgency with a few occasions of urine leakage. Following a physical exam and bladder ultrasonography, what is the most appropriate treatment?
20 Oct 2020
This issue covers topics including urinary incontinence, the new drug class of SGLT2 inhibitors for diabetes, and more on the principles of diabetes care.
1 Feb 2015
An 82-year-old woman is evaluated for a 1-week history of urinary incontinence with lower abdominal discomfort. She reports no dysuria, fever, or back pain. Medical history is significant for hypertension and allergic reaction to sulfa drugs, which cause a generalized rash. Her only medication is amlodipine. Following a physical exam and urine dipstick result, what is the most appropriate management?
24 Jul 2018
Given the prevalence of urinary incontinence, that women do not volunteer symptoms, and the multiple and frequently changing risk factors associated with incontinence, annual testing is reasonable, a clinical guideline concluded.
14 Aug 2018
Joint criteria offer a practical tool to help physicians choose between therapy and intervention for chest pain, and other news.
1 Mar 2009
Behavioral therapy appears more effective than pharmacologic therapy for urinary incontinence outcomes
The systematic review and network meta-analysis compared first-, second-, and third-line pharmacologic and nonpharmacologic interventions for improvement or cure of stress, urgency, or mixed incontinence.
19 Mar 2019
A 68-year-old woman is evaluated for involuntary urine loss that occurs with coughing, sneezing, and laughing and occasionally with physical exertion. She has no dysuria, urinary frequency, hematuria, or nocturia but does report vaginal dryness and dyspareunia. She performs pelvic floor muscle training exercises four times daily. Following a physical exam and pelvic exam, what is the most appropriate management?
21 Jun 2022
Women may suffer debilitating quality-of-life issues from urinary incontinence yet never mention it to their primary care physicians. The condition can be successfully managed by nonsurgical and nonpharmacological means, if physicians can tactfully bring up the subject first.
1 Feb 2015
Urinary incontinence affects young, nulligravid women and significantly impacts their psychological well-being, a recent survey found.
17 Jul 2012
Anticholinergic therapy and onabotulinumtoxinA appear equally effective for urgency urinary incontinence
Oral anticholinergic therapy and injection onabotulinumtoxinA appear to be equally effective for treating urgency urinary incontinence, according to a new trial.
16 Oct 2012