Diagnosis and office-based treatment of urinary incontinence in adults. Part two: treatment. (August 2013)

• Record Type: Journal Article
• Authors: Cameron, Anne P.; Jimbo, Masahito; Heidelbaugh, Joel J.
• Is Part Of: Therapeutic advances in urology. Volume 5:Number 4(2013)
• Page Start: 189
• Page End: 200
• Publication Date: 2013-08
• Subjects: Adrenergic beta-3 Receptor Agonists -- bladder retraining -- lower urinary tract symptoms -- muscarinic antagonists -- overactive urinary bladder -- pelvic floor physical therapy -- pessaries -- stress urinary incontinence; Urology -- Periodicals; Urologic Diseases -- therapy -- Periodicals; Genital Diseases, Male -- therapy -- Periodicals; Urologie -- Périodiques; 616.6005
• DOI: 10.1177/1756287213495100
• Languages: English
• ISSNs: 1756-2872

Abstract

Urinary incontinence is a common problem in both men and women. In this review article we address treatment of the various forms of incontinence with conservative treatments, medical therapy, devices and surgery. The US Preventive Services Task Force, The Cochrane Database of Systematic Reviews, and PubMed were reviewed for articles focusing on urinary incontinence. Conservative therapy with education, fluid and food management, weight loss, timed voiding and pelvic floor physical therapy are all simple office-based treatments for incontinence. Medical therapy for incontinence currently is only available for urgency incontinence in the form of anticholinergic medication. Condom catheters, penile clamps, urethral inserts and pessaries can be helpful in specific situations. Surgical therapies vary depending on the type of incontinence, but are typically offered if conservative measures fail.