Physicians' perception of urinary incontinence as a health care problem in women
- 18 Downloads
A mailed questionnaire was sent to 1500 family physicians and general practitioners in Ontario, Canada, to determine the primary care physician's perception of urinary incontinence as a health care problem. Questions involved their exposure to female patients with urinary incontinence, management of urinary incontinence, estimation of the extent of urinary incontinence as a health care problem, and the estimation of treatment success. The response rate to the survey was 18%. Fifty per cent of physicians see more than 1 patient per week with incontinence; 85% of physicians underestimated the prevalence of incontinence in the female population aged 25–64; 29% do not routinely ask about incontinence. In those patients complaining of urinary incontinence, 71% of physicians perform a physical examination and 32% try to demonstrate incontinence. Seventy per cent refer on to local urologists, and 58% to local gynecologists. The mean estimation for cure or significant improvement is 68%. It was concluded that, there is room for improved education of primary care physicians regarding the health care problem of female urinary incontinence.
KeywordsFemale Urinary stress incontinence Urinary symptoms
Unable to display preview. Download preview PDF.
- 2.Holst K, Wilson PD: The prevalence of female urinary incontinence and reasons for not seeking treatment.NZ Med J 1988;101:756–758Google Scholar
- 3.Scotti RJ, Ostergard DR. Practical guide for triage of patients with lower urinary tract symptoms. In: Ostergard DR, Bent AE, eds. Urogynecology and urodynamics. Baltimore. Williams and Wilkins, 1991:87–98Google Scholar
- 5.Borrie MJ, Davidson HJ. Incontinence in institutions: costs and contributing factors.Can Med Assoc J 1992;147:322–328Google Scholar
- 7.Dionko AC, Brock BM, Brown MB, Herzog AR. Prevalence of urinary incontinence and other urological symptoms in the noninstitutionalized elderly.J Urol 136:1022–1025Google Scholar
- 8.Consensus Conference, National Institute of Health. Urinary incontinence in adults.JAMA 1989;261:2685–2690Google Scholar
- 9.Richardson DA. The evaluation of different surgical procedures. In: Ostergard DR, Bent AE, eds. Urogynecology and urodynamics. Baltimore: Williams and Wilkins 1991:413–421Google Scholar