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Urologic Dysfunction After Menopause (cont.)

Urologic Dysfunction After Menopause Prognosis

Urinary tract infection

While urinary tract infection treatment is generally uncomplicated, if not treated promptly, these infections can cause permanent scarring of the urinary tract. In a very severe infection, pyelonephritis can allow spread of bacteria to the bloodstream and cause a severe infection (sepsis) requiring hospitalization. An estimated 1% to 3% of people with pyelonephritis die; though death is rare in otherwise healthy people, factors associated with poor outcome or death include poor health, kidney stones, recent hospitalizations, diabetes, sickle cell disease, cancer, or chronic kidney disease.

Bladder control problems

The good news for women with bladder control problems is that while treatment may not result in cure, symptoms are reduced in most cases. An estimated 90% of people with stress incontinence experience either improvement or cure. An estimated 44% of people with urge incontinence experience cure and 83% have an improvement in symptoms.

Bladder prolapse

Most cases of prolapsed bladder are mild and can be treated with or without surgery. Severely prolapsed bladders can be completely corrected with surgery. This condition is rarely life threatening.

REFERENCE:

National Kidney and Urologic Diseases Information Clearinghouse (NKUDIC). National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), National Institutes of Health (NIH). 1 July 2011. <http://kidney.niddk.nih.gov/>.

Previous contributing authors and editors: Author: George Lazarou, MD, FACOG, Director, Urogynecology and Reconstructive Pelvic Surgery, Jack D Weiler Hospital/Montefiore Medical Center; Assistant Professor, Department of Obstetrics and Gynecology and Women's Health, Albert Einstein College of Medicine. Coauthor(s): Sonja Carberry, Medical Writer, eMedicine.com, Inc. Editors: Bryan D Cowan, MD, Director, Division of Reproductive Endocrinology, Professor, Department of Obstetrics and Gynecology, University of Mississippi College of Medicine; Mary L Windle, Pharm D, Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Pharmacy Editor, eMedicine.com, Inc; Lee P Shulman, MD, Professor of Obstetrics and Gynecology, Head, Section of Reproductive Genetics, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.


Last Editorial Review: 5/2/2012

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