Urinary Incontinence

1 The Personal Side of Incontinence 1
2 Urinary Incontinence in America: the Social Significance 4
3 Quality of Life for Those with Urinary Incontinence 7
4 Anatomic Aspects of Urinary Incontinence 16
5 Physiology of Continence 25
6 Central Nervous System Control of Micturition 33
7 Office Evaluation of Incontinence 48
8 The Incontinence History and Physical Examination 54
9 The Urinary Flow Rate 64
10 The Cystometrogram 69
11 Pressure-Flow Studies 77
12 Urethral Pressure in the Evaluation of Female Incontinence 82
13 Leak Point Pressure 93
14 Electromyography in Urodynamics 99
15 Videourodynamics 106
16 Endoscopic Evaluation 115
17 Radiographic Evaluation 122
18 Clinical Management Decisions 131
19 Clinical Evaluation of Children 135
20 Urodynamics 140
21 Enuresis 153
22 Anatomic Incontinence 163
23 Spina Bifida and Other Spinal Lesions 171
24 Practical Urodynamics 181
25 Stress Urinary Incontinence 190
26 Urge Incontinence 197
27 Mixed Urinary Incontinence 202
28 Intrinsic Sphincter Deficiency 207
29 Raz Suspension Procedure 213
30 Nondissected Needle Suspension Procedures 221
31 Intraurethral Injections 228
32 Retropubic Suspension Procedures 234
33 Anterior Vaginal Wall Sling 241
34 Pubovaginal Sling Procedure 247
35 Urethrolysis 253
36 Artificial Urinary Sphincter 258
37 Complications of Incontinence Surgery 265
38 Behavioral Therapy 273
39 Pharmacologic Therapy 277
40 Electrostimulation 287
41 Vesicovaginal Fistula 294
42 Pelvic Prolapse and Lower Urinary Tract Dysfunction in
Females 302
43 Interstitial Cystitis 311
44 Postprostatectomy Incontinence 315
45 Urinary Incontinence After Pelvic Surgery 325
46 Spinal Cord Injuries 331
47 Incontinence Caused by Neurologic Disease 338
48 Bladder Noncompliance 348
49 Continent Diversion 355
50 Neobladder 370
51 Augmentation Cystoplasty 375
52 Management of Complicated Incontinence in Women 384
53 Clean Intermittent Catheterization 390
54 Clinical Management Decisions 395
55 Incontinence Assessment 399
56 Management of Incontinence in Long-Term Care 405
57 Etiology of Urinary Incontinence 414
58 Behavior Therapy 419
59 Pharmacologic Management 424
60 Surgical Management Decisions in Geriatric Incontinence 429
61 Containment of Involuntary Urine Loss 436
62 Nursing Management 439
App. A Quality of Life Questionnaire 445
App. B Incontinence Questionnaire 446
App. C Voiding Diary 447
App. D A Micturition Record 448
App. E AUA Symptom Index 449
App. F SEAPI Incontinence Score - Subjective 450
App. G SEAPI Incontinence Score - Objective Measures 451
App. H Instructions for Biofeedback 452
App. I Sample Voiding Diary 453
App. J Quality of Life Instruments 454
App. K Pelvic Floor Exercises 455
App. L The Urge Strategy in 6 Steps 456
App. M Bladder Training Instructions 457
App. N Incontinence Quiz 458