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February 23, 2005

Estrogen Treatment for Urinary IncontinenceNever, Now, or in the Future?

Author Affiliations

Author Affiliation: Section of Geriatrics, University of Chicago, Chicago, Ill.

JAMA. 2005;293(8):998-1001. doi:10.1001/jama.293.8.998

Deciding whether to treat postmenopausal women with urinary incontinence (UI) with estrogen has become increasingly difficult. The literature is divided but generally supportive. A Cochrane systematic review concluded that “estrogen treatment can improve or cure incontinence,” especially urge UI.1 Similarly, the International Consultation on Incontinence agreed in 2004 that “it seems reasonable to assume that estrogen therapy may be of benefit for the irritative symptoms of urinary urgency, frequency, and urge UI,” but noted that estrogen had little role in the treatment of stress UI.2

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