Urinary Incontinence: Guidelines for Nonsurgical Management

The ACP recommends pelvic floor training and bladder training as first-line treatments.

Sponsoring Organization: American College of Physicians (ACP)

Target Population: Clinicians who provide care to adult women

Background and Objective

Urinary incontinence (UI) is common, with a prevalence ranging from 25% in young women (age range, 14–21) to 75% in women aged ≥75. Stress UI results from increased intra-abdominal pressure (e.g., from laughing, coughing, sneezing, or lifting heavy objects). Urgency UI is involuntary loss of urine associated with an acute urge to void. In some women, particularly older patients, the distinction between stress and urgency UI may not be clear. Because many patients do not report UI to their clinicians, women should be asked about these symptoms during routine visits. The ACP has developed recommenda…

Reviewing Author

Andrew M. Kaunitz, MD

Disclosures

RoyaltiesUpToDate

Grant/Research SupportMerck, Mithra, Medicines360

Editorial BoardsContraception; Menopause; Contraceptive Technology Update; OBG Management; Medscape OB/GYN & Women’s Health