title: [Urinary incontinence in women: management in primary care].
abstract: Urinary incontinence in women is a largely under-evaluated problem that affects nearly one out of two adult women. Even thouh its physiopathology is complex and its etiologies are multiple (and often intricate), urodynamic investigations are not considered necessary before starting a conservative therapy, which can be initiated by the primary care physician. Conservative management is based upon lifestyle modifications, specialized physiotherapy, and in certain cases medication. In the case of insufficient response after three months, the patient should be recommended to a specialist who can evaluate the need for a surgical procedure.
authors.affiliation: Service de gynécologie et obstétrique, CHUV, 1011 Lausanne. ariane.gonthier@chuv.ch
authors.forename: Ariane
authors.initials: A
authors.lastname: Gonthier
authors.forename: Olivier
authors.initials: O
authors.lastname: Pasche
authors.forename: Chahin
authors.initials: C
authors.lastname: Achtari
authors.forename: Patrice
authors.initials: P
authors.lastname: Jichlinski
authors.forename: Jacques
authors.initials: J
authors.lastname: Cornuz
mesh_terms: D005260:Female; D006801:Humans; D011320:Primary Health Care; D012017:Referral and Consultation; D014549:Urinary Incontinence / Q000145:classification / Q000628:therapy*