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August 27, 1997

An 89-Year-Old Woman With Urinary Incontinence, 1 Year Later

JAMA. 1997;278(8):679. doi:10.1001/jama.1997.03550080089045

In September 1996, at Medicine Grand Rounds, Dr Neil Resnick discussed an 89-year-old woman who had experienced urinary incontinence for 14 years and had tried multiple approaches to improve it.1 Dr Resnick discussed the prevalence and causes of female geriatric urinary incontinence along with the diagnostic and management approach. For Mrs S, he recommended that treatment address her nocturia, arthritis, and detrusor overactivity.

MRS S, THE PATIENT  I turned 90 a few weeks ago. I wish I could say I was doing well, but I'm not. I've developed a problem with my neck and spine and I'm uncomfortable and all bent over; it's affecting my spinal cord. My neurologist says I'm healthy enough to consider surgery, so I have an appointment to see a neurosurgeon next week. This problem has only made my incontinence worse. Now I'm losing control during the day as well as at night. I have

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