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Managing urinary incontinence: what works?

I Giarenis1, L Cardozo

  • 1Department of Urogynaecology, King's College Hospital NHS Foundation Trust , London , UK.

Climacteric : the Journal of the International Menopause Society
|September 9, 2014
PubMed
Summary
This summary is machine-generated.

Urinary incontinence affects many women, impacting quality of life. This review covers conservative, medical, and surgical treatments for urinary incontinence, from lifestyle changes to advanced procedures.

Keywords:
ANTIMUSCARINICSBOTULINUM TOXINCOLPOSUSPENSIONMID-URETHRAL SLINGSMIRABEGRONNEUROMODULATIONPELVIC FLOOR MUSCLE TRAININGREFRACTORYREOPERATIONSTRESS URINARY INCONTINENCEURGENCYURINARY INCONTINENCE

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Area of Science:

  • Urology
  • Gynecology
  • Geriatrics

Background:

  • Urinary incontinence is a prevalent condition significantly affecting women's quality of life.
  • Basic assessment is standard for all women with incontinence, with urodynamic studies beneficial for complex cases.

Purpose of the Study:

  • To review conservative, medical, and surgical management options for urinary incontinence.
  • To provide an evidence-based overview of current treatment strategies.

Main Methods:

  • Literature review of conservative, medical, and surgical treatments for urinary incontinence.
  • Analysis of evidence supporting various management modalities.

Main Results:

  • Conservative treatments include lifestyle advice, behavioral changes, bladder retraining, and pelvic floor muscle training.
  • Surgical options range from minimally invasive mid-urethral slings to reconstructive surgery.
  • Medical management includes antimuscarinic agents and mirabegron for urgency incontinence, with botulinum toxin and neuromodulation for refractory cases.

Conclusions:

  • A stepwise approach to urinary incontinence management is recommended, starting with conservative measures.
  • Minimally invasive surgical techniques have advanced stress urinary incontinence treatment.
  • Various medical and interventional options exist for urgency urinary incontinence, with reconstructive surgery as a last resort.