Non-surgical Treatments for Urinary Incontinence in Adult Women: Diagnosis and Comparative Effectiveness
Conclusions About Benefits and Adverse Effects (1 of 2)
Nonpharmacological interventions, (notably PFMT and bladder training), promote continence and lessen severity in patients with stress or mixed UI, and lessen the severity of urgency UI, with low risk of adverse effects.
Drug treatments for UI show similar effectiveness; dry mouth and constipation are common adverse effects.
Withdrawal from drug treatment is typically due to adverse effects, but for nonpharmacological interventions, reasons for discontinuation and methods to improve adherence are not understood or systematically investigated.
- Shamliyan T, Wyman J, Sainfort F, et al. Nonsurgical Treatments for Urinary Incontinence in Adult Women: Diagnosis and Comparative Effectiveness. Comparative Effectiveness Review No. 36 (Prepared by the Minnesota Evidence-based Practice Center under Contract No. 290-2007-10064-I). Rockville, MD: Agency for Healthcare Research and Quality; April 2012. AHRQ Publication No. 11(12)-EHC074-EF. Available at www.effectivehealthcare.ahrq.gov/ui.cfm.
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