Medical Workforce

In  2013 there were 108 GP’s / 100,000 a diminishing  number  when compared to 113 GP’s / 100,000 from 2007 to 2009  contrasting with the availability of  specialists in 2013 at 130/100,000. Did you also know  that 40.5% of GP’s  are  older than 55 yo. ( Aust.  Inst. Health and  Welfare )

This problem often presents as frequency of urination   or frequent episode of   needing to pass urine at night , or a sense of urgency to void sometimes accompanied by incontinence .involves the use of   anticholinergic   medications and third line referral to a urologist   for consideration of any surgical factors that might be corrected , interventions or consideration of newer therapies like botox.

Diabetes and urinary infection   should be excluded . Urodynamic studies or cystoscopy may be required to exclude rarer causes.

Bladder training and pelvic floor   exercises whilst avoiding caffeine and   treating constipation are the first phase of treatment . Subsequent   treatment