Insertion of a Permanent Electrode for Intractable Detrusor Instability

EDITORIAL COMMENT: We accepted this case report for publication because of the miseries or urinary incontinence in elderly women, and because this problem is so common. Any method of cure or control merits consideration. Also urinary incontinence is often the reason why women with their intellectual facilities apparently intact become institutionalized. The woman portrayed in this report was made of stern stuff So too were her medical attendants, since urinary incontinence resulting from a motor vehicle accident (details of injuries not provided) would be treated by conservative means alone by many practitioners, including the writer of this comment, who would have prescribed the vaginal application of dienoestrol cream, which improves symptoms in many women with urinary incontinence and renders other therapies unnecessary in some (A). In less than 2 years this woman was investigated and treated with urodynamic study x 4, drug regimens x 5 and surgical procedures x 4. The takeaway message is that her urinary incontinence was controlled.
(A) Beischer N A, Grant FT. Management of gynaecological disorders in older women. Update in Geriatric Medicine. Part 2. Merck Sharp and Dohme University Program for General Practitioners pl-12.