Improving Treatment of Urinary Incontinence

Article Abstract:

Many patients with urinary incontinence can be successfully treated by one means or another. Urinary incontinence affects more than 15 million people in the US and costs more than $26 billion annually. Many physicians receive little education about incontinence and do not believe it is treatable. Drug therapy is widely used but a 1998 study found that behavioral training using biofeedback was as effective or more so than the drug oxybutynin. Only 14% of the patients receiving biofeedback wanted to switch treatments, compared to 75% of those taking oxybutynin.

Evaluation, Biofeedback training, Biofeedback

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An 89-year-old woman with urinary incontinence

Article Abstract:

Urinary incontinence is common in the elderly but is amenable to treatment. Diseases that impair neurologic functioning are important causes of incontinence but it can also be caused by urinary tract infections and some drugs. It is common in the elderly because of changes in the urinary tract that occur with age. Patients can be taught to go to the bathroom at regular intervals and can use a bedside commode if they wet at night. Kegel exercises can strengthen pelvic muscles. Certain drugs may be effective and surgery is always an option.

Aged, Elderly, Physiological aspects

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Expanding treatment options for stress urinary incontinence in women

Article Abstract:

A study published in 2003 found that Kegel exercises and pelvic floor electric stimulation are both effective in treating urinary incontinence in women. There are also effective drugs and surgical treatments that may help some women. Women with mild incontinence can be taught to adjust their fluid intake and urination frequency. They can also be taught to tighten their pelvic muscles before they cough.

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