Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Evidence-Based Treatment for Mixed Urinary Incontinence

Evidence-Based Treatment for Mixed Urinary Incontinence Editorial Opinion Ingrid E. Nygaard, MD, MS One in 6 women in the United States reports symptoms of mod- midurethral synthetic mesh sling procedure. In contrast to erate to severe urinary incontinence. The primary types are studies examining older surgical methods, more recent stud- stress urinary incontinence, in which involuntary loss of urine ies, generally small, reported that urgency incontinence symp- occurs with effort or physical exertion, and urgency urinary toms improve in 30% to 85% of women with mixed inconti- incontinence, in which leak- nence after midurethral sling surgery, which is less obstructive age is associated with a sen- as well. Related article page 1066 sation of urgency. Of women The Effects of Surgical Treatment Enhanced With Exer- with urinary incontinence, approximately one-third have cise for Mixed Urinary Incontinence (ESTEEM) randomized mixed incontinence, that is, symptoms of both stress and ur- clinical trial, reported by Sung and colleagues in this issue of 3 10 gency incontinence. JAMA, was executed by an experienced clinical trials net- Some women with incontinence respond to lifestyle work dedicated to pelvic floor disorders and fills an impor- changes, behavioral therapy, pelvic floor muscle training, phar- tant evidence gap by evaluating whether women with http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Evidence-Based Treatment for Mixed Urinary Incontinence

JAMA , Volume 322 (11) – Sep 17, 2019

Loading next page...
 
/lp/american-medical-association/evidence-based-treatment-for-mixed-urinary-incontinence-8TGYrOrRsx
Publisher
American Medical Association
Copyright
Copyright 2019 American Medical Association. All Rights Reserved.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.2019.12659
Publisher site
See Article on Publisher Site

Abstract

Editorial Opinion Ingrid E. Nygaard, MD, MS One in 6 women in the United States reports symptoms of mod- midurethral synthetic mesh sling procedure. In contrast to erate to severe urinary incontinence. The primary types are studies examining older surgical methods, more recent stud- stress urinary incontinence, in which involuntary loss of urine ies, generally small, reported that urgency incontinence symp- occurs with effort or physical exertion, and urgency urinary toms improve in 30% to 85% of women with mixed inconti- incontinence, in which leak- nence after midurethral sling surgery, which is less obstructive age is associated with a sen- as well. Related article page 1066 sation of urgency. Of women The Effects of Surgical Treatment Enhanced With Exer- with urinary incontinence, approximately one-third have cise for Mixed Urinary Incontinence (ESTEEM) randomized mixed incontinence, that is, symptoms of both stress and ur- clinical trial, reported by Sung and colleagues in this issue of 3 10 gency incontinence. JAMA, was executed by an experienced clinical trials net- Some women with incontinence respond to lifestyle work dedicated to pelvic floor disorders and fills an impor- changes, behavioral therapy, pelvic floor muscle training, phar- tant evidence gap by evaluating whether women with

Journal

JAMAAmerican Medical Association

Published: Sep 17, 2019

References