Nonsurgical Management of Urinary Incontinence in Women: A Clinical Practice Guideline From the American College of Physicians

• DOI: 10.7326/m13-2410
• Publication Date: 2014-09-15T22:31:24Z
• Authors: Amir Qaseem; Paul Dallas; Mary Ann Forciea; Melissa Starkey; Thomas D. Denberg; Paul Shekelle
• Keywords: Guideline; Tolerability; Discontinuation

The American College of Physicians (ACP) developed this guideline to present the evidence and provide clinical recommendations on nonsurgical management urinary incontinence (UI) in women.This is based published English-language literature UI women from 1990 through December 2013 that was identified using MEDLINE, Cochrane Library, Scirus, Google Scholar. outcomes evaluated for include continence, improvement UI, quality life, adverse effects, discontinuation due effects. It grades by ACP's grading system. target audience all clinicians, patient population with UI.ACP recommends first-line treatment pelvic floor muscle training stress UI. (Grade: strong recommendation, high-quality evidence).ACP bladder urgency moderate-quality mixed against systemic pharmacologic therapy low-quality if unsuccessful. Clinicians should base choice agents tolerability, effect profile, ease use, cost medication. weight loss exercise obese evidence).