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    Urinary incontinence

    • Of every 10 women, 4 have suffered from incontinence at some time in their adult life
    • Incontinence costs the UK National Health Service about £242 million/year
    • In the USA, 20 million people have incontinence of urine. The annual cost is about $12.4 billion for women and $3.8 billion for men
    • In the USA, at least $4.5 billion is spent on incontinence pads alone

    Incontinence is leakage of urine from the bladder. It may be just a few drops or a dribble, or may be a stream.

    How common is urinary incontinence?
    People often keep the problem to themselves, so incontinence is much more common than most people realize. A few years ago the broadcaster Claire Rayner spoke on TV about incontinence; afterwards, the programme received more than 12,000 letters asking for more information. In fact, there are probably about 3 million people in Britain with this problem. In 1995, the Royal College of Physicians estimated that the following numbers of women were affected:
    • 5–7% of women aged 15–44 years
    • 8–15% of women aged 45–64 years
    • about 15% of women aged 65 years or over.

    The true numbers are probably much higher. For example, in 1999, a survey in Sweden found that 1 in 8 women under the age of 30 has urinary incontinence. And when a family doctor in the UK sent a questionnaire to 1000 women in his practice aged 44–65 years, he found that 22% had moderate urinary incontinence and 9% had a severe problem. A huge study in the USA (the Nurses’ Health study) found that 34% of women aged 50–70 years leaked urine at least once a month (American Journal of Obstetrics and Gynecology 2002;100:719–23).

    Incontinence is not a personal failure, nor is it something that ‘women should expect’; it can often be cured. Sadly, most women simply put up with it and do not get the help they need. A survey in the USA found that 6 out of 10 women with urinary incontinence had never talked to their doctor about it (Journal of Women’s Health 2003;12:687–98). Another survey showed that over 1.1 million women are using sanitary towels or panty liners just to cope with leakage of urine. A quarter of women with incontinence wait at least 5 years before going to their doctor.


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    Comments on this article:

    Posted by simone at 02/04/2009 10:56:00

    I used to get cystitis when i used to be in school and not had it in years. I woke up a week ago with it and still have it, I went to my doctors on monday and he tested my urine and said it was fine! So why have I still got it? Please help

    Posted by Seaside at 29/12/2008 10:19:00

    I am about to give up and just try to live with urinary incontinence. I suddenly developed this problem after having abdominal surgery to open a blocked abdominal aorta. It has been two years now and I have been under the care of a urologist for the past year. I have had every test, scan, etc. known to man. Nothing. None of the prescription medications have been effective. Now my urogogist wants me to see a Dr. in another town about the possibility of having electrical stimulation of the nerves that control the bladder. Has anyone tried this?? Did it work??

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