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. 2013 Aug;5(4):189-200.
doi: 10.1177/1756287213495100.

Diagnosis and office-based treatment of urinary incontinence in adults. Part two: treatment

Anne P Cameron  1 , Masahito Jimbo, Joel J Heidelbaugh
Affiliations

Diagnosis and office-based treatment of urinary incontinence in adults. Part two: treatment

Anne P Cameron et al. Ther Adv Urol. 2013 Aug.

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.

Keywords: Adrenergic beta-3 Receptor Agonists; bladder retraining; lower urinary tract symptoms; muscarinic antagonists; overactive urinary bladder; pelvic floor physical therapy; pessaries; stress urinary incontinence.

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Conflict of interest statement

Conflict of interest statement: The authors have no conflicts of interest to declare.

Figures

Figure 1.
Figure 1.
Female urethral insert. Mineral-oil-filled bulbous sheath holds device in place (on right) after white stylet is removed.
Figure 2.
Figure 2.
Ring pessaries with support with a knob (left) and without (right).
Figure 3.
Figure 3.
Adhesive condom catheter (top) and penile clamp (bottom).
Figure 4.
Figure 4.
Therapeutic options to direct patient care.
See this image and copyright information in PMC

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