Stress urinary incontinence
- Pelvic-floor muscle training is first-line
- Weight loss/treat cough when contributory
- Pessary can help selected patients
- Midurethral sling is common definitive procedure
- Duloxetine is used in some countries—not U.S. standard
- Antimuscarinics treat urge—not stress—incontinence
Use at a glance
- Pelvic-floor muscle training is first-line
Practical pearls
- Midurethral sling is common definitive procedure
Other practical pearls
- Duloxetine is used in some countries—not U.S. standard
- Antimuscarinics treat urge—not stress—incontinence
Choosing treatment
- Weight loss/treat cough when contributory
- Pessary can help selected patients
Self-check
- What is first-line treatment for stress urinary incontinence?
Pelvic-floor muscle training.
- Do antimuscarinics treat stress incontinence?
No; they treat urge incontinence.
Drugs used for this (1)
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