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Neil M. Resnick, MD

JAMA. 1996;276(22):1832-1840.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

DR DALEY:

Mrs S is an 89-year-old widow and retired accountant who has had urinary incontinence for 14 years. She lives in a suburb of Boston.

Mrs S's incontinence occurs once or twice each night, when after being in bed for several hours, she awakens needing to void. As soon as she arises from bed, she wets herself, the 2 pads that she wears constantly, and her clothing. By the time she has reached the toilet, she has also wet the bedclothes, the bedroom floor, and the bathroom floor. She cleans herself, her clothing, and her bedroom and bathroom and returns to bed. She often remains in bed until 10 AM because of fatigue and lack of sleep. During the day, she notes only occasional "leaking," but never when she coughs or sneezes.

When her urinary incontinence began, she was treated for a urinary tract infection. She saw a urologist . . . [Full Text PDF of this Article]

Footnotes
Dr Resnick is affiliated with the Gerontology Division, Brigham and Women's Hospital; Urology and GRECC Divisions, Brockton/West Roxbury Veterans Affairs Medical Center; Hebrew Rehabilitation Center for Aged; and Harvard Medical School, Boston, Mass.

This conference took place at the Medicine Grand Rounds of the Beth Israel Hospital, Boston, Mass, on September 26, 1996.

Correspondence: Neil M. Resnick, MD, Chief, Gerontology Division, Brigham and Women's Hospital, 75 Francis St, Boston, MA 02115.

Reprints: Erin E. Hartman, MS, Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, East Campus, 330 Brookline Ave, LY339, Boston, MA 02215.

Clinical Crossroads at Beth Israel Deaconess Medical Center is produced and edited by Thomas L. Delbanco, MD, and Jennifer Daley, MD; Erin E. Hartman, MS, is managing editor. Clinical Crossroads section editor: Margaret A. Winker, MD, Senior Editor, JAMA.

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