title: [Practice guideline 'Urinary incontinence in women' from the Dutch College of General Practitioners].
abstract: - The Dutch College of General Practitioners' (NHG) practice guideline 'Urinary incontinence in women' provides guidelines for diagnosis and management of stress, urgency and mixed urinary incontinence in adult women.- General practitioners (GPs) should be alert to signals for urinary incontinence in women and offer active diagnosis and treatment if necessary.- Shared decision making is central in the guideline; the GP and the patient should discuss therapeutic options and decide on treatment policy in mutual consultation.- Women with stress urinary incontinence can choose between pelvic floor exercises or a pessary as initial treatment. Placing a midurethral sling (MUS) will be discussed if initial treatment is insufficiently effective or in the case of serious symptoms.- When bladder training is ineffective in urgency incontinence, the GP will discuss the pros and cons of adding an anticholinergic agent.- Exercise therapy can take place in the GPs practice or under supervision of a pelvic physical therapist.
authors.affiliation: Nederlands Huisartsen Genootschap, afd. Richtlijnontwikkeling en Wetenschap, Utrecht, The Netherlands
authors.forename: Z
authors.initials: Z
authors.lastname: Damen-van Beek
authors.forename: D
authors.initials: D
authors.lastname: Teunissen
authors.forename: J H
authors.initials: JH
authors.lastname: Dekker
authors.forename: A L M
authors.initials: AL
authors.lastname: Lagro-Janssen
authors.forename: L C M
authors.initials: LC
authors.lastname: Berghmans
authors.forename: J H J M
authors.initials: JH
authors.lastname: Uijen
authors.forename: G H C
authors.initials: GH
authors.lastname: Mientjes
authors.forename: Tj
authors.initials: T
authors.lastname: Wiersma
mesh_terms: D000328:Adult; D005081:Exercise Therapy / Q000379:methods; D005260:Female; D058006:General Practice / Q000379:methods*; D058005:General Practitioners; D006801:Humans; D009426:Netherlands; D012955:Societies, Medical; D053825:Suburethral Slings; D014549:Urinary Incontinence / Q000175:diagnosis* / Q000628:therapy*