Korean J Fam Pract 2020; 10(4): 248-255  https://doi.org/10.21215/kjfp.2020.10.4.248
Urinary Incontinence and Dysfunction in Primary Care
Ye Seul Yang, Young-Sang Kim*
Department of Family Medicine, CHA Bundang Medical Center, Seongnam, Korea
Young-Sang Kim
Tel: +82-31-780-5360, Fax: +82-31-780-5944
E-mail: zeroup@cha.ac.kr
ORCID: http://orcid.org/0000-0002-7397-5410
Received: April 17, 2020; Accepted: May 16, 2020; Published online: August 20, 2020.
© The Korean Academy of Family Medicine. All rights reserved.

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Urinary disorders are important factors that affect the quality of life. Urinary incontinence refers to urine leakage against will and is categorized into stress incontinence, urge incontinence, and other types. The prevalence of incontinence increases with aging. Since most patients hesitate talking about urinary problems, it is important to proactively ask questions to ensure proper care. The diagnostic approach includes history taking, physical examination, and urinalysis. The use of specific questionnaires and voiding diaries is also beneficial. The first management option for patients with incontinence is conservative treatment, especially training for strengthening the pelvic floor muscles. Anti-cholinergic medications and mirabegron are used for treating urge incontinence. To minimize adverse events, starting medications at low doses, with follow-up at short intervals, is recommended. For treating stress incontinence, surgical approaches like sling surgery are preferred to medications. Primary physicians need to pay attention to urinary problems to help older patients address their difficulties and to promote their quality of life.
Keywords: Urinary Incontinence; Urinary Incontinence, Stress; Urinary Incontinence, Urge; Prostatic Hyperplasia
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