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		U C S F W O M E N ' S H E A L T H : A NATIONALLY DESIGNATED CENTER OF EXCELLENCE

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			A B O U T U S What's New New Providers New Research Educational Programs New Providers MEET THE NEWEST MEMBERS OF OUR CLINICAL TEAM Edward Kim, MD Edward Kim, MD will be joining the Center for Pelvic Floor Physiology in July 2007. Dr. Kim is a colorectal surgeon who did his residency at UCSF. He completed a Fellowship at the University of Minnesota. Back to top New Research UCSF Women's Continence Center providers are continuously conducting research to identify new methods for helping women with incontinence. Here are some highlights from several recent studies. To learn more, visit the Our Research Activities link. URINARY INCONTINENCE LINKED TO FALLS AND FRACTURES Urinary incontinence, falls, and fractures are common health problems in later life, particularly for older women. UCSF Women's Continence Center faculty conducted a study that researched the relationship between incontinence and falls and fractures. The study found that weekly or more frequent urge incontinence was associated with a 24% increased risk of falls and 36% increased risk of fractures in older women who were rushing to the bathroom to avoid urge incontinent episodes, particularly at night. Early diagnosis and appropriate treatment of urge incontinence may decrease the risk of fracture in these cases. To learn more, visit the Our Research Activities link. HYSTERECTOMY MAY INCREASE RISK FOR INCONTINENCE LATER IN LIFE Hysterectomies are the second most common major surgical procedure (after Cesarean Section) performed on women in the United States. UCSF Women's Continence Center faculty performed a meta-analysis (a systematic review of the literature) to determine how hysterectomy might be related to urinary incontinence. The study found that the odds of developing urinary incontinence after hysterectomy were substantial (60% for women over 60), though the condition may not develop for many years. WEIGHT REDUCTION TO TREAT URINARY INCONTINENCE IN OBESE WOMEN Urinary incontinence is a common problem among middle age and older women and overweight women are at significantly greater risk of urinary incontinence. Dr. Leslee Subak, one of the UCSF Women's Continence Center faculty members, conducted a study to evaluate the effect weight reduction has on incontinence in moderately obese women. Incontinence appeared to improve when women lost as little as 5% of their baseline weight, a reasonable treatment goal for many overweight and obese women. Thus, modest weight reduction may be a feasible and effective treatment option for incontinence and should be considered as part of non-surgical therapy for incontinence. To learn more, visit the Our Research Activities link. Back to top Educational Programs MIND OVER BLADDER: UNDERSTANDING FEMALE URINARY INCONTINENCE In conjunction with the UCSF Women's Health Resource Center, the UCSF Women's Continence Center holds an on-going community education program called, "Mind Over Bladder: Understanding Female Urinary Incontinence. This educational program is open to anyone who is experiencing female urinary incontinence and problems of pelvic support (prolapse) as well as concerned family members. Events are free and open to the public. For more information about the program schedules, please call (415) 353-2667. Back to top Questions or comments about this Web site may be sent to Kimberly.Price@ucsfmedctr.org. Last updated: 04/24/06 The University of California, San Francisco, CA 94143, (415) 476-9000 Copyright © 2001, The Regents of the University of California.