University of Oklahoma Health Sciences Center

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Author/s:

Wu, J. M.

Date Added:

July 8, 2021

Type:

Meta-analyses, Reviews, and Guidelines

DOI (1):

10.1056/NEJMcp1914037

PMID (1):

34161707

MeSH

Adult

Exercise/physiology

exercise therapy

female

Humans

Obesity/complications

urinary incontinence, stress/diagnosis

urinary incontinence, stress/etiology

urinary incontinence, stress/surgery

urinary incontinence, stress/therapy

weight loss

RPR Commentary

A summary of current management recommendations for stress urinary incontinence in women.

Abstract

This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author’s clinical recommendations.

A 43-year-old woman with a history of obesity (body-mass index [the weight in kilograms divided by the square of the height in meters] of 32.0) reports urinary leakage with coughing, sneezing, and exercise. She first noticed these symptoms after delivering her third child 6 years ago. Since then, her symptoms have worsened, and she now soaks through pads when she runs. She is frustrated by her situation because she would like to exercise to lose weight, but exercise exacerbates her urinary leakage. How should this case be evaluated and managed?

Stress Incontinence in Women

Error message

RPR Commentary

Abstract