title: Simple practical techniques in the management of urinary incontinence.
abstract: Surgery for incontinence should be reserved for specific indications where its value as a primary treatment has been proven. Otherwise surgery should not be employed until a wide range of conservative treatments have been tried and have failed. The conservative methods of management outlined below include "bladder training' using frequency/volume charts to monitor, and alter, the pattern of micturition and number of episodes of incontinence, re-education of the pelvic floor muscles, intermittent self-catheterization, hormone replacement therapy, regulation of fluid intake and bowel habit, discriminate use of diuretics and hypnotics and adjustments to domestic conditions.
mesh_terms: D004599:Electric Stimulation Therapy; D004864:Equipment and Supplies; D004967:Estrogens / Q000172:deficiency / Q000627:therapeutic use; D006801:Humans; D009732:Nursing Care; D010502:Perineum / Q000601:surgery; D012648:Self Care; D014546:Urinary Catheterization; D014549:Urinary Incontinence / Q000209:etiology / Q000628:therapy*; D014550:Urinary Incontinence, Stress / Q000628:therapy*
chemical_list: D004967:Estrogens