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Evidence to Practice
August 12/26, 2013

Nonsurgical Treatments for Urinary Incontinence in WomenSummary of Primary Findings and Conclusions

Author Affiliations
  • 1Department of Medicine, University of California, San Francisco
JAMA Intern Med. 2013;173(15):1463-1464. doi:10.1001/jamainternmed.2013.7818

This review was commissioned by the Agency for Healthcare Research and Quality (AHRQ) and conducted by the University of Minnesota Evidence-Based Practice Center for the AHRQ Comparative Effectiveness Review series.1

Urinary incontinence affects more than a quarter of women and can have adverse effects on women’s physical, psychological, and social well-being. Clinicians rely to varying extents on patient-reported measures and clinical tests to diagnose incontinence and guide treatment in the ambulatory setting. Available nonsurgical treatments include pharmacological therapies such as antimuscarinic, serotonin-noradrenalin reuptake inhibitor, and estrogen-based medications, as well as nonpharmacological treatments such as lifestyle changes, pelvic floor muscle training, bladder training, electrical stimulation, magnetic stimulation, and intravaginal or intraurethral devices.

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