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