Hormone implants for urinary disorders in postmenopausal women

Urinary disorders associated with the menopause were studied in 300 postmenopausal women between the ages of 45 and 85; 210 were multiparous and 90 nulliparous. The presenting urinary symptom was dysuria in 60 patients and incontinence in 100 patients. In the latter group, 25 had urgency-incontinence, 45 stress-incontinence, and 30 a combined form. The distal part of the urethra, being of the same embryologic origin as the genital tract, is estrogen-dependent. Hormone replacement in the form of implants resulted in improvement in 70 percent of the patients and thus reduced the need for surgical intervention.