Document Detail


Pseudoincontinence secondary to unopposed estrogen replacement in the surgically castrate premenopausal female.
MedLine Citation:
PMID:  2819796     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Over a four-year period, approximately 200 patients were evaluated for incontinence at the Urogynecology Clinic of the University of Minnesota Hospitals. Seven women between the ages of 26-56 complained of incontinence beginning shortly after hysterectomy-oophorectomy for benign disease. Each gave a history of continuous leakage of urine per vagina. Urodynamics, provocative testing, and home pad tests with urinary dye all failed to prove incontinence. A common historic feature was replacement therapy with unopposed conjugated estrogen. Addition of a progestational agent to the estrogen replacement regimen eliminated the fluid loss per vagina in six of the seven women and improved it in the remaining patient. Unnecessary surgery and evaluation might have been prevented had this condition been recognized earlier.
Authors:
T M Julian
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  70     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  1987 Sep 
Date Detail:
Created Date:  1987-09-28     Completed Date:  1987-09-28     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  382-3     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Diagnosis, Differential
Estrogens, Conjugated (USP) / adverse effects*,  therapeutic use
Female
Humans
Leukorrhea / chemically induced*
Menopause
Middle Aged
Ovariectomy*
Postoperative Care
Urinary Incontinence / diagnosis*
Chemical
Reg. No./Substance:
0/Estrogens, Conjugated (USP)

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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