title: [Conservative treatment of female urinary incontinence].
abstract: Female urinary incontinence can be improved by nonsurgical pharmacologic as well as non-pharmacologic treatments. Hygiene and dietary rules apply to all forms of incontinence. If overweight, weight loss improves stress urinary incontinence. There are levels of evidence to show that pelvic floor muscle training and behavioral therapy improve incontinence. Duloxetine is better than placebo for improvement of quality of life and for the impression of an improvement, but its place is still not determined in the algorithm of conservative treatments. The effects of vaginal electrostimulation and oestrogen are inconsistent or inhomogeneous. In case of urgency incontinence, anticholinergics remain the first line treatment and the place of stimulation of posterieur tibial nerve is still to be defined.
authors: Centre mutualiste de Kerpape, 56275 Ploemeur Cedex. jkerdraon@kerpape.mutualite56.fr
authors: Jacques
authors: J
authors: Kerdraon
authors: Pierre
authors: P
authors: Denys
authors: Gérard
authors: G
authors: Amarenco
mesh_terms: D000465:Algorithms; D018680:Cholinergic Antagonists / Q000627:therapeutic use; D005260:Female; D006801:Humans; D026741:Physical Therapy Modalities; D017367:Selective Serotonin Reuptake Inhibitors / Q000627:therapeutic use; D014549:Urinary Incontinence / Q000628:therapy*
chemical_list: D018680:Cholinergic Antagonists; D017367:Selective Serotonin Reuptake Inhibitors