This page has moved. Click here to view. Urinary Incontinence Incontinence and urinary tract complaints are common among women. One in five women with urinary incontinence also suffer from anal incontinence. The two most common forms of urinary incontinence in ambulatory women are genuine stress incontinence and detrusor overactivity.
Vaginal delivery alters the support in the vagina, especially the anterior wall.
The use or avoidance of episiotomy does not appear to influence the incidence of stress incontinence. Every obstetrician-gynecologist has patients with urinary incontinence. Physicians can detect this condition by inquiring about it regularly. Once urinary incontinence is reported, office evaluation should follow a stepwise progression. Initial evaluation should focus on the severity of urinary leakage and the patient's goals for resolution of the problem.