We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Importance of Complete Cytometric Evaluation of Vesical Dysfunction in Elderly Diabetic Patients

Jill M. Rabin, MD; Gopal Badlani, MD
Arch Intern Med. 1991;151(1):201-202. doi:10.1001/archinte.1991.00400010181037.
Text Size: A A A
Published online


To the Editor.—  This is in response to the article by Starer and Libow1 entitled "Cystometric Evaluation of Bladder Dysfunction in Elderly Diabetic Patients" that appeared in the April 1990 issue of the ARCHIVES. The authors state that an elderly patient with symptoms of urinary incontinence must be properly evaluated in order to select the appropriate treatment for the urinary incontinence, and we agree with that wholeheartedly. However, they go on to state in the abstract that 61% of their population of elderly diabetic patients were documented to have involuntary contractions of the bladder, and the underlying cause of incontinence in this population was urinary retention secondary to autonomic neuropathy. We feel that this is a partial description of the problem of the diabetic patients with symptoms of urinary incontinence.Diabetic vesical dysfunction is principally the result of segmental demyelination in the peripheral nerve supply to the detrusor muscle


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.