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Transdermal estrogen for female stress urinary incontinence in postmenopause
J I Mäkinen1, Y A Pitkänen, T A Salmi
1Turku University Central Hospital, Department of Obstetrics and Gynecology, Finland.
Objective:
To evaluate the effect of transdermal estrogen for stress urinary incontinence in postmenopause.
Study Design:
An open within patient, dose-finding study with transdermal 17-beta-estradiol combined with cyclic medroxyprogesterone acetate was conducted over 9 months in 21 patients (mean age 57.3 years) suffering from urodynamically verified mild to moderate stress incontinence without detrusor instability.
Results:
Subjective improvement was noted in 16 out of 21 patients (76%). The dose level of 50 micrograms was better tolerated than 100 micrograms and sufficient enough to achieve continence.
Conclusion:
Transdermal estrogen therapy plays an adjuvant role in conservative therapy for mild to moderate stress urinary incontinence in postmenopausal women.