Mayo Clinic Talks13 Jul 2021

Identifying and Treating Urinary Urge Incontinence

Guest: Brian J. Linder, M.D. (@brianjlinder)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

Patients rarely mention urinary incontinence to us as a problem as many assume it’s a normal change of aging. However, it’s a major quality-of-life issue. Many with incontinence are reluctant to go out in public and those who do, usually know the location of all the nearby restrooms. Yet, with proper evaluation and treatment, essentially all patients can be helped, and in many cases, they can be cured. In this podcast, we’ll discuss urgency urinary incontinence, one of the most common forms of incontinence. We’ll cover the questions you should ask your patients to make a diagnosis, what evaluation you should do, and what treatment options are available. Our guest for this topic is Dr. Brian Linder, a urologist at the Mayo Clinic.

Specific topics:

The various types of urinary incontinence
Important questions to ask patients to make a diagnosis
Effective use of a voiding diary
Physical exam recommendations
Helpful laboratory tests
When urodynamic studies are indicated
Non-pharmacologic treatment options
Medications useful in treating urgency incontinence
Treatment options for the refractory patient

Additional resource:

https://www.auanet.org/guidelines/overactive-bladder-(oab)-guideline

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

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