title: [Urinary incontinence and menopause].
abstract: OBJECTIVE
  The aim of this review was to examine the relationship between menopause and urinary incontinence (UI).
  
  
  METHODS
  Our work is based on a review of the literature on the epidemiology of UI in women and the effects of hormone therapy on symptoms of urinary leakage. A search of the Medline database between January 2000 and April 2012 was performed by crossing the keywords "urinary incontinence, stress urinary incontinence (SUI), urge incontinence, over active bladder, menopause, estrogen therapy".
  
  
  RESULTS
  Twenty-nine articles over the 482 articles were initialy selected. The UI was a common symptom during menopause, with a prevalence of 15 to 30% and an annual incidence of 5 to 10%. The association between UI and menopause was controversial. Indeed, although underpinned by pathophysiological mechanisms such as the sensitivity of tissues of the urogenital sinus to estrogen, the epidemiological data available were contradictory and should be interpreted, if possible, depending on the type of UI. Thus, it remained difficult to distinguish the effect of menopause of the aging. The effects of estrogen on IU differed depending on the route of administration and of the type of UI. Randomized trials showed that oral administration of estrogen after menopause increased the occurrence of UI or SUI. However a vaginal administration of estrogen improved urge urinary incontinence (UUI) and overactive bladder.
  
  
  CONCLUSIONS
  The data of this review were consistent with the French and European guidelines.
authors.affiliation: Service de gynécologie-obstétrique, hôpital de Bicêtre, Assistance publique-Hôpitaux de Paris, 94276 Le Kremlin-Bicêtre cedex, France. guillaume.legendre@bct.aphp.fr
authors.forename: G
authors.initials: G
authors.lastname: Legendre
authors.forename: X
authors.initials: X
authors.lastname: Fritel
authors.forename: V
authors.initials: V
authors.lastname: Ringa
authors.forename: M
authors.initials: M
authors.lastname: Lesavre
authors.forename: H
authors.initials: H
authors.lastname: Fernandez
mesh_terms: D005260:Female; D020249:Hormone Replacement Therapy; D006801:Humans; D015994:Incidence; D008593:Menopause / Q000502:physiology*; D015995:Prevalence; D053201:Urinary Bladder, Overactive / Q000503:physiopathology / Q000628:therapy; D014549:Urinary Incontinence / Q000209:etiology / Q000503:physiopathology* / Q000628:therapy