Management of Stress Incontinence

First-line treatment usually consists of alpha-agonists, with or without estrogen, and if the patient is physically able, pelvic floor exercises (Kegel's exercises) should be performed. These treatments are effective in 60-80% of patients. The best combination of treatments is unknown.

Behavioral

• Kegel's exercise

• Biofeedback

• Habit training

Medications

• Estrogens

Local

Systemic

• Alpha-agonists

Devices and Procedures

• Incontinence pads/collecting devices

• Pessaries

• Procedures for intrinsic sphincter deficiency

• Needle bladder neck suspension

• Retropubic suspension

• A Chart on the Outcome of Stress Incontinence