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CURRENT Diagnosis & Treatment Obstetrics & Gynecology, 10e Chapter 45. Urinary Incontinence Sections: Urinary Incontinence: Introduction, Anatomy, Urinary IncontinenceOverview, Stress Urinary Incontinence, Urge Urinary Incontinence, Mixed Incontinence, Overflow Incontinence, Bypass Incontinence, Diverticulum, Functional and Transient Incontinence, References, Website Resources. Topics Discussed: incontinence, urinary. Excerpt:"Urinary incontinence affects well
over 13 million adult women in the United States. It is estimated
to affect 3040% of American women during their
lifetime. Despite its prevalence and estimated costs in excess of $19.5
billion annually, up to 70% of women do not seek help for incontinence,
primarily because of social embarrassment or because they are unaware
that help is available. Because of increasing awareness by both
patients and physicians, the societal concept that incontinence
is part of the "normal" aging process is no longer
acceptable. Advances in modern medicine during the last 80 years
have increased the life expectancy of women well into the eighth
and ninth decades. We are caring for patients longer and better
than ever, effectively managing chronic medical problems such as
hypertension, cardiovascular disease, and diabetes, enabling women
to enjoy longer and more productive lives. This results in a large
population of women living up to one-third of their life after menopause,
thereby introducing a whole host of medical issues and health concerns.
A prime example of this is the problem of urinary incontinence,
which has become more prevalent as the population of aging women
grows. In this chapter we focus on the..."
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