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Preventing urinary incontinence in women

Newman, Diane K.; Cardozo, Linda; Sievert, Karl-Dietrich

Current Opinion in Obstetrics and Gynecology: October 2013 - Volume 25 - Issue 5 - p 388–394
doi: 10.1097/GCO.0b013e328364a35d
UROGYNECOLOGY: Edited by Narender Bhatia

Purpose of review This review examines the evidence to date, analyzes specific risk factors and assesses the ability to prevent urinary incontinence in women, while providing clinical recommendations. More extraordinary risk factors such as ethnicity and race, mixed and fecal incontinence, iatrogenic and neurogenic factors should be discussed in a follow-up report.

Recent findings Studies have revealed that certain factors place women at risk for developing urinary incontinence, including age, obesity, diabetes, pregnancy and delivery, high-impact physical exercise factors and estrogen deficiency.

Summary Healthcare providers should screen women who are at risk for developing urinary incontinence and institute specific interventions, specifically behavioral and even rehabilitative techniques, to prevent this prevalent and distressing condition.

Diane Newman, DNP ANP-BC, Adjunct Associate Professor of Urology, Perelman School of Medicine, University of Pennsylvania Co-Director, Penn Center for Continence and Pelvic Health Division of Urology, Penn Medicine Linda Cardozo, Urogynaecology Department, King's College Hospital, London, United Kingdom

Correspondence to Professor Karl-Dietrich Sievert, MD, PhD, FACS, FRCS, Eberhard-Karls University, Hoppe-Seyler-Str. 3, 72076 Tuebingen, Germany. Tel: +49 7071 298 6611; fax: +49 7071 29 5092; e-mail:

© 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins