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Urinary Incontinence: Nonsurgical Treatments

  • Diane K. NewmanEmail author
  • Kathryn L. Burgio
  • Alayne D. Markland
  • Patricia S. Goode
Chapter

Abstract

Nonsurgical treatments for urinary incontinence can be effective in reducing symptoms and incontinence episodes in older men and women. Behavioral interventions include toileting programs with scheduled, timed, or prompted voiding and habit or bladder training; caffeine and fluid management; pelvic floor muscle training; stress and urge reduction strategies; nocturia reduction strategies; constipation management; and functional and environmental changes. These can be selectively combined into an individualized therapeutic regimen that is recommended as first-line treatment. Devices and medication, including antimuscarinic and beta-3 adrenoreceptor agonists, alpha-blockers, and/or 5-alpha-reductase inhibitors in men and topical vaginal estrogen in women, can be added to behavioral interventions if needed to optimize efficacy. Frail older adults and those with dementia require particular caution in instituting drug therapy for incontinence.

Keywords

Urinary Incontinence Stress Urinary Incontinence Lower Urinary Tract Symptom Pelvic Floor Muscle Nursing Home Resident 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Diane K. Newman
    • 1
    Email author
  • Kathryn L. Burgio
    • 2
    • 3
  • Alayne D. Markland
    • 2
    • 3
  • Patricia S. Goode
    • 2
    • 3
  1. 1.Division of Urology, Department of SurgeryUniversity of Pennsylvania Medical CenterPhiladelphiaUSA
  2. 2.Department of Medicine, Division of Gerontology, Geriatrics and Palliative CareUniversity of Alabama at BirminghamBirminghamUSA
  3. 3.Department of Veterans Affairs Medical CenterBirmingham/Atlanta Geriatric Research, Education, and Clinical Center (GRECC); VA Medical CenterBirminghamUSA

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