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[Therapy for urinary incontinence in general practice]
1Urologische Abteilung, Evangelisches Krankenhaus Witten, Lehrstuhl für Geriatrie der Universität Witten/Herdecke. awiedemann@dwr.de
Aktuelle Urologie
|June 4, 2009
Summary
General practitioners in Germany frequently manage urinary incontinence, often referring patients to specialists or prescribing medications and absorbent products. Improved medical education is needed for better diagnosis and treatment of urinary incontinence.
Area of Science:
- Urology
- General Practice
- Public Health
Context:
- General practitioners (GPs) are crucial for diagnosing and treating urinary incontinence (UI) per guidelines.
- Limited data exists on UI management in German primary care.
- This study surveyed GPs and gynaecologists on UI management practices.
Purpose:
- To assess the current situation of urinary incontinence management in German general practice.
- To identify diagnostic methods and therapeutic approaches used by GPs.
- To understand knowledge acquisition sources for GPs regarding UI.
Summary:
- The largest European survey on UI in primary care involved 2530 GPs.
- GPs frequently encounter UI (57.3%), particularly in elderly patients or those with risk factors.
- Commonly used diagnostics include anamnesis and urine evaluation; sonography and micturition diaries are less frequent.
- Referral to specialists (76.6%) and prescription of anticholinergic drugs (59.4%) or absorbent products (45.4%) are common management strategies.
- GPs primarily gain UI knowledge through continuing medical education (72.2%), with medical school training being a less significant source (35%).
Impact:
- Provides a realistic overview of UI management in German primary care.
- Highlights the significant engagement of GPs in managing UI.
- Suggests a need for enhanced undergraduate and postgraduate training for GPs in diagnosing and treating UI.
- Informs future educational strategies to improve primary care for urinary incontinence patients.
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