Current Bladder Dysfunction Reports

, Volume 5, Issue 3, pp 163–167

Nonsurgical Interventions for Incontinence: Where Is the Evidence?


  • Ian Thompson
    • Department of Urologic SurgeryVanderbilt University Medical Center
    • Department of Urologic SurgeryVanderbilt University Medical Center

DOI: 10.1007/s11884-010-0054-7

Cite this article as:
Thompson, I. & Kaufman, M.R. Curr Bladder Dysfunct Rep (2010) 5: 163. doi:10.1007/s11884-010-0054-7


Urinary incontinence is a remarkably common urologic condition that results in significant clinical and economic sequelae. Although it is likely underestimated, the overall prevalence of urinary incontinence is projected to be between 15% and 38%. Evaluation frequently can be completed without invasive testing. Conservative therapy for incontinence often employs a multimodal approach that can include behavioral therapy, pelvic floor muscle training, external stimulation, medical devices, and pharmacologic treatment. Herein we present an overview of several conservative treatment options for stress and mixed urinary incontinence and review the available literature regarding these therapies. Despite substantial research into conservative incontinence treatment, few robust studies exist to guide practitioner interventions, and great opportunity exists for future evaluation to advance our knowledge regarding nonsurgical incontinence therapy.


Stress urinary incontinenceMixed urinary incontinenceConservative managementPelvic floor muscle trainingBehavioral therapyDuloxetineTopical hormone therapy

Copyright information

© Springer Science+Business Media, LLC 2010