Retrospective audit on tolerability and efficacy of duloxetine for stress urinary incontinence

This is an audit on medical management of patients with urinary stress incontinence (USI) with Duloxetine. The objective of this audit is to assess the efficacy & tolerability of duloxetine in patients with USI. The audit has shown good efficacy of the medication but due to poor tolerance most of the patients could not continue with it for long. Patient selection, commencing duloxetine at a lower dose and counselling about its side effects are important consideration. Although surgery is also the mode of treatment for USI, the medical treatment is reserved for patients who are elderly and not fit for surgery.