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STRESS INCONTINENCE

STRESS INCONTINENCE According to Kegel1 stress incontinence affects about 5.5% of all adult women. Although the patient is usually a multipara with a cystocele,2 Nemir and Middleton3 found some degree of stress incontinence in 52.4% of 1,327 otherwise healthy nulliparous young college women. Many women with mild degrees of urinary incontinence do not complain of this symptom or even mention it in the course of giving a gynecologic history, and unless a complaint is made the examining physician may make no special effort to detect evidence of it. This would account for the wide discrepancy in reported incidence. The types of stress that result in urinary leakage include coughing, sneezing, laughing, lifting heavy objects, and walking downhill. Laughing is apt to be most troublesome because it consists of a series of repeated stresses. These patients have no nocturnal enuresis, but they tend to avoid social contacts during the day http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

STRESS INCONTINENCE

JAMA , Volume 157 (17) – Apr 23, 1955

STRESS INCONTINENCE

Abstract


According to Kegel1 stress incontinence affects about 5.5% of all adult women. Although the patient is usually a multipara with a cystocele,2 Nemir and Middleton3 found some degree of stress incontinence in 52.4% of 1,327 otherwise healthy nulliparous young college women. Many women with mild degrees of urinary incontinence do not complain of this symptom or even mention it in the course of giving a gynecologic history, and unless a complaint is made the examining physician may make...
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Publisher
American Medical Association
Copyright
Copyright © 1955 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1955.02950340030010
Publisher site
See Article on Publisher Site

Abstract

According to Kegel1 stress incontinence affects about 5.5% of all adult women. Although the patient is usually a multipara with a cystocele,2 Nemir and Middleton3 found some degree of stress incontinence in 52.4% of 1,327 otherwise healthy nulliparous young college women. Many women with mild degrees of urinary incontinence do not complain of this symptom or even mention it in the course of giving a gynecologic history, and unless a complaint is made the examining physician may make no special effort to detect evidence of it. This would account for the wide discrepancy in reported incidence. The types of stress that result in urinary leakage include coughing, sneezing, laughing, lifting heavy objects, and walking downhill. Laughing is apt to be most troublesome because it consists of a series of repeated stresses. These patients have no nocturnal enuresis, but they tend to avoid social contacts during the day

Journal

JAMAAmerican Medical Association

Published: Apr 23, 1955

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