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A practical approach to perimenopausal and postmenopausal urinary incontinence
1Department of Obstetrics and Gynecology, University of Massachusetts, Worcester.
Obstetrics and Gynecology Clinics of North America
|June 1, 1994
Summary
This article outlines evaluating and managing urinary incontinence in perimenopausal and postmenopausal women. It covers the climacteric
Area of Science:
- Urology
- Gynecology
- Women's Health
Background:
- The climacteric significantly impacts female anatomy and physiology, affecting the continence mechanism.
- Urinary incontinence is a common concern for perimenopausal and postmenopausal women.
Purpose of the Study:
- To provide a logical approach to the evaluation and management of urinary incontinence in perimenopausal and postmenopausal women.
- To address the climacteric's impact on the female continence mechanism.
- To offer guidelines for primary office evaluation and referrals.
Main Methods:
- Review of the anatomical and physiological changes associated with the climacteric.
- Guidelines for clinical assessment and diagnostic workup in primary care settings.
- Discussion of available surgical and nonsurgical treatment options.
Main Results:
- A structured approach to diagnosing and managing urinary incontinence in this demographic.
- Identification of key factors related to menopausal status affecting continence.
- Illustrative cases demonstrating treatment outcomes.
Conclusions:
- Effective management of urinary incontinence in perimenopausal and postmenopausal women requires understanding menopausal changes.
- A systematic evaluation leads to appropriate treatment selection, including surgical and nonsurgical options.
- This approach aims to improve quality of life by addressing incontinence concerns.