At-Risk Older Women Aren’t Discussing Symptoms of Urinary Incontinence with Clinicians

New study points to a missed opportunity to improve quality of life for many women with incontinence.

1:33 PM

Author | Kelly Malcom

stethoscope drawing
Image by Stephanie King

A new study finds that only a fraction of women with urinary incontinence actually discuss their symptoms with their healthcare providers.

Giulia Lane, M.D., M.S., a fellow with the U-M department of urology and a team of experts used data from two ongoing observational Nurses Health Studies. Of the 94,692 women age 49 to 91 with urinary incontinence surveyed, just 34% had had conversations about their condition with their clinician. 

"This rate reflects what has been found in previous research in the general population. Being a healthcare provider doesn't seem to change the rate of discussing incontinence with a clinician, compared to these prior studies," says Lane.

"Other researchers have found that women viewing urinary incontinence as not a big deal or as a normal part of aging tends to be a big reason for not seeking care," she adds.

What's more, women over 80, who are among those with the most severe symptoms, were even less likely to have discussed urinary incontinence, despite their symptom severity.

Lane notes that the study's findings point to an opportunity to screen older women for incontinence, as incontinence is a major risk factor for placement in nursing home care and has been shown to negatively affect quality of life. She hopes this study will help primary care clinicians triage women's preventive health guidelines to screen for urinary incontinence, especially in the oldest patients.

Says Lane, "I'm hopeful that women will start the conversation about urinary incontinence with their clinicians and find the treatment option that's right for them."

Paper cited: "Patient-Provider Discussions about Urinary Incontinence among Older Women", The Journals of Gerontology, Series A. DOI: 10.1093/gerona/glaa107

SEE ALSO: Bladder Leakage? 3 Things Women Should Know About Urinary Incontinence


More Articles About: Lab Notes Geriatrics Incontinence Gynecology Nursing Homes Sexual Health Urology
Health Lab word mark overlaying blue cells
Health Lab

Explore a variety of health care news & stories by visiting the Health Lab home page for more articles.

Media Contact Public Relations

Department of Communication at Michigan Medicine

[email protected]

734-764-2220

Stay Informed

Want top health & research news weekly? Sign up for Health Lab’s newsletters today!

Subscribe
Featured News & Stories Text over image of University of Michigan Health aerial campus
News Release
U-M Health ranked among nation’s best in more specialties than any other Michigan hospital by U.S. News & World Report
University of Michigan Health ranks among the nation’s best hospitals in more specialties than any other Michigan hospital, according to U.S. News and World Report’s Best Hospitals Rankings for 2024-2025.
woman sitting at table in stripe shirt stressed seeming white background window
Health Lab
An unequal toll of financial stress
Inflation rates may have cooled off recently, but a poll shows many older adults are experiencing financial stress – especially those who say they’re in fair or poor physical health or mental health
screen of chart and xray and patient and doctor white coat vague in background at computer sitting at keyboard
Health Lab
Pre-op visits by video? Most surgeons say no – but open to post-op telehealth
A survey of surgeons shows most aren’t in favor of operating on a patient they’ve never seen in person, but many are open to telehealth appointments after a successful operation.
older woman in red long sleeve shirt waving from open door of blue house with other woman leaving with long silver hair and checkered shirt with white undershirt turned towards the door
Health Lab
Most older adults don’t know about resources for navigating aging and caregiving
Social and health services aimed at older adults have low awareness rates among people over 50, suggesting more effort is needed to spread the word to patients and caregivers.
cancer cell blue yellow
Health Lab
Widening inequality seen where cancer clinical trials are available
The availability of clinical trials of new treatments for cancer varies greatly by geography, and a new study shows more socially vulnerable areas have far fewer.
uti written on empty roll of toliet paper on a toliet paper holder with hot pink background
Health Lab
How E. coli get the power to cause urinary tract infections
Research published in PNAS examines how the bacteria Escherichia coli, or E. coli—responsible for most UTIs—is able to use host nutrients to reproduce at an extraordinarily rapid pace during infection despite the near sterile environment of fresh urine.