title: Diagnosis and office-based treatment of urinary incontinence in adults. Part two: treatment.
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.
authors.affiliation: University of Michigan Department of Urology, 3875 Taubman Center, 1500 East Medical Center Drive, Ann Arbor, MI 48109-5330, USA.
authors.forename: Anne P
authors.initials: AP
authors.lastname: Cameron
authors.forename: Masahito
authors.initials: M
authors.lastname: Jimbo
authors.forename: Joel J
authors.initials: JJ
authors.lastname: Heidelbaugh
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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