Clinical Case Database / Category: Clinical Care
Bladder training urinary incontinence
Publication details
Amit Mevcha MBBS MRCS (Ed), Hashim Hashim MBBS, MRCS (Eng) FRCS (Urol), Faiz Mumtaz MD FRCS (Eng) FRCS(Urol)
Foundation Years Journal, volume 3, issue 5, p.30 (123Doc Education, London, June 2009)
Abstract
A 42-year-old lady with a history of diet controlled diabetes mellitus and well-controlled hypertension was referred to the urology outpatients. She has hourly daytime micturition frequency, associated with urgency and occasional involuntary urine leakage. She previously had two normal vaginal deliveries. These symptoms are affecting her life significantly and stopping her from indulging in social activities and gatherings. The patient is keen to have active intervention (operation) and wants to get better soon.
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Authors
Amit Mevcha MBBS MRCS (Ed)
Urology Clinical Research Fellow
Bristol Urological Institute
drmevcha@yahoo.co.uk
Hashim Hashim MBBS, MRCS (Eng) FRCS (Urol)
Urology Specialist Registrar
Bristol Urological Institute
hashim@doctors.org.uk
Faiz Mumtaz MD FRCS (Eng) FRCS(Urol)
Urology Department
Chase farm Hospital, The Ridgeway, Enfield, EN2 8JL
References
1. NICE guidelines. Urinary incontinence, October 2006. www.nice.org.uk.
2. Dumoulin C, Hay-Smith J. Pelvic floor muscle training versus no treatment for urinary incontinence in women. A Cochrane systemic review. Eur J Phys Rehabil Med, March 2008, 44(1): 47–63.
3. Wilson PD, Bo K, Bourcier A, Hay-Smith J, et al. Conservative management in women. Incontinence, pp. 579–636.
4. Alhasso AA, McKinlay J, Patrick K, Stewart L. Anticholinergic drugs versus non-drug active therapies for overactive bladder syndrome in adults. Cochrane Database Syst Rev, October 2006, 18(4):CD003193.
5. Novara G, Galfano A, Secco S, D'Elia C et al. A systemic review and meta-analysis of randomised controlled trials with antimuscarinic drugs for overactive bladder. European Urology, October 2008, 54(4):740–763.
6. Burgio KL, Kraus SR, Menefee S, Borello-France D et al. Behavioral therapy to enable women with urge incontinence to discontinue drug treatment: a randomised trial. Ann Intern Med, August 2008, 5;149(3):161–169.
7. Mattiasson AJ, Blaakaer J, Hoye K, Wein AJ, Tolterodine Scandinavian Study Group. Simplified bladder training augments the effectiveness of tolterodine in patients with an overactive bladder. BJU Int, 2003, 91:54–60.
8. Burns PA, Pranikoff K, Nochajski T, Desotelle P, Harwood MK. Treatment of stress incontinence with pelvic floor exercise and biofeedback. J Am Geriatr Soc, 1990, 38:341–344.
9. Freeman RM, Baxby K. Hypnotherapy for incontinence caused by the unstable detrusor. Br Med Journal, 1982, 284:1831–1834.
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The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
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