The authors present the results of an inquiry into urinary stress incontinence in 415 women chosen at random, in whom the genital prolapse or stress incontinence were not complaints for hospitalization. The analysis also excluded all states of pregnancy or puerperium. As in other statistics, the frequency of urinary stress incontinence proved very high (39.2%). It is particularly interesting that 52.8% of the women questioned considered it as a completely normal event. A progressive increase in the frequency of stress incontinence related to aging. Stress incontinence was also twice as frequent in manual workers and housewives as in office workers, school girls, and students. In relation to obstetric traumatism, the disease is more frequent in parous women, showing a progressive increase with parity and the delivery of higher-weight newborns, whereas, quite unexpectedly, it proved rare in women with deliveries in intervals shorter than three years. A high incidence was recorded of stress incontinence having appeared in pregnancy for the first time (23.9%); in 59.0% of these women it persisted also after childbirth, which is very significant. Although the trouble is more frequent in menopausal patients, the effect of this period can hardly be separated from the effects related to senile involution. Besides emphasizing the role of the gynecologist, urologist, and general practitioner in the diagnosis of urinary stress incontinence in women, the data obtained raise the question of the revision of the existing views on the physiology of this disorder.

Adult↗

PubMedDate not supplied

[Leiomyoma of the round ligament of the uterus].

A 53-year-old patient was surgically treated for a tumour the size of a female fist, located on the left of the uterus and appeared to be either a uterine myoma or an ovarian tumour, and also for urine incontinence. Laparotomy revealed a solid tumour on the uterine round ligament, about 2 cm from the uterine horn, and histologically diagnosed as leiomyoma. In the differential diagnosis the authors refer to Kleinwachter's sign having been known for a long time.

Adnexal Diseases↗

PubMedDate not supplied

[Terminology problems in connection with urinary stress incontinence].

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Female↗