Urinary Incontinence – Underestimated and Undertreated
DOI: 10.3238/zfa.2013.0358-0363german translation / full article
Summary: Female urinary incontinence is a frequent and underestimated disease. It is a progressive, age-related problem. Main types are stress urinary incontinence, overactive bladder and mixed urinary incontinence. The diagnosis requires a medical history, ruling out an infection, measurement of postvoid residual volume and a mictuition diary. In some cases cystoscopy, urodynamics or ultrasound can be necessary. Firstline therapy for stress urinary incontinence is pelvic floor muscle training. If this is not successful, a tension free vaginaltape, a minimalinvasive procedure, can be inserted under the urethra. An overactive bladder (OAB) is treated with behavioural strategies and antimuscarinics.