Identifying and treating urinary incontinence. The crucial role of the primary care physician.

Urinary incontinence is a widespread problem that often goes undiagnosed and untreated. Many patients are unwilling to discuss it with their physician because of embarrassment or the belief that nothing can be done. Consequently, physicians need to routinely inquire about symptoms so incontinent patients can be identified. Physicians should reassure patients that urinary incontinence is usually a symptom of a correctable problem. Careful evaluation and office tests to determine the type and cause of urinary incontinence, together with appropriate treatment, often lead to improvement in symptoms or return to continence.