Skip to main content

Main menu

  • HOME
  • ARTICLES
    • Current Issue
    • Abstracts In Press
    • Archives
    • Special Issue Archive
    • Subject Collections
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • The Editing Fellowship
    • Editorial Board
    • Indexing
    • Editors' Blog
  • CLASSIFIEDS
  • Other Publications
    • abfm

User menu

Search

  • Advanced search
American Board of Family Medicine
  • Other Publications
    • abfm
American Board of Family Medicine

American Board of Family Medicine

Advanced Search

  • HOME
  • ARTICLES
    • Current Issue
    • Abstracts In Press
    • Archives
    • Special Issue Archive
    • Subject Collections
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • The Editing Fellowship
    • Editorial Board
    • Indexing
    • Editors' Blog
  • CLASSIFIEDS
  • JABFM on Bluesky
  • JABFM On Facebook
  • JABFM On Twitter
  • JABFM On YouTube
Research ArticleClinical Review

Non-Surgical Management of Urinary Incontinence

Ranna Al-Dossari, Monica Kalra, Julie Adkison and Bich-May Nguyen
The Journal of the American Board of Family Medicine September 2024, 37 (5) 909-918; DOI: https://doi.org/10.3122/jabfm.2023.230471R1
Ranna Al-Dossari
From the Memorial Family Medicine Residency, Sugar Land, TX (RAD); Memorial Family Medicine Residency, Sugar Land, TX (MK); Memorial Family Medicine Residency, Sugar Land, TX (JA); Department of Health Systems and Population Health Sciences, University of Houston Tilman J. Fertitta Family College of Medicine, Houston, TX (BMN).
DO
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Monica Kalra
From the Memorial Family Medicine Residency, Sugar Land, TX (RAD); Memorial Family Medicine Residency, Sugar Land, TX (MK); Memorial Family Medicine Residency, Sugar Land, TX (JA); Department of Health Systems and Population Health Sciences, University of Houston Tilman J. Fertitta Family College of Medicine, Houston, TX (BMN).
DO
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Julie Adkison
From the Memorial Family Medicine Residency, Sugar Land, TX (RAD); Memorial Family Medicine Residency, Sugar Land, TX (MK); Memorial Family Medicine Residency, Sugar Land, TX (JA); Department of Health Systems and Population Health Sciences, University of Houston Tilman J. Fertitta Family College of Medicine, Houston, TX (BMN).
PharmD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Bich-May Nguyen
From the Memorial Family Medicine Residency, Sugar Land, TX (RAD); Memorial Family Medicine Residency, Sugar Land, TX (MK); Memorial Family Medicine Residency, Sugar Land, TX (JA); Department of Health Systems and Population Health Sciences, University of Houston Tilman J. Fertitta Family College of Medicine, Houston, TX (BMN).
MD, MPH
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • References
  • Info & Metrics
  • PDF
Loading

References

  1. 1.↵
    1. Tran LN,
    2. Puckett Y
    . Urinary incontinence. In: StatPearls. StatPearls Publishing; 2022. Accessed February 28, 2023. http://www.ncbi.nlm.nih.gov/books/NBK559095/.
  2. 2.↵
    1. Gormley EA,
    2. Lightner DJ,
    3. Burgio KL
    , Society of Urodynamics, Female Pelvic Medicine & Urogenital Reconstructionet al. Diagnosis and treatment of overactive bladder (non-neurogenic) in adults: AUA/SUFU guideline. J Urol . 2012;188:2455–63.
    OpenUrlCrossRefPubMedWeb of Science
  3. 3.↵
    1. Burgio KL,
    2. Kraus SR,
    3. Johnson TM,
    4. et al
    . Effectiveness of combined behavioral and drug therapy for overactive bladder symptoms in men: a randomized clinical trial. JAMA Intern Med 2020;180:411–9.
    OpenUrlPubMed
  4. 4.↵
    1. Carlson K,
    2. Civitarese A,
    3. Baverstock R
    . OnabotulinumtoxinA for the treatment of idiopathic overactive bladder is effective and safe for repeated use. Can Urol Assoc J 2017;11:E179–E183.
    OpenUrlPubMed
  5. 5.↵
    1. Eldred-Evans D,
    2. Sahai A
    . Medium- to long-term outcomes of botulinum toxin A for idiopathic overactive bladder. Ther Adv Urol 2017;9:3–10.
    OpenUrlPubMed
  6. 6.↵
    1. Szymański JK,
    2. Słabuszewska-Jóźwiak A,
    3. Zaręba K,
    4. Jakiel G
    . Neuromodulation - a therapeutic option for refractory overactive bladder. A recent literature review. Wideochir Inne Tech Maloinwazyjne 2019;14:476–85.
    OpenUrlPubMed
  7. 7.↵
    1. Xia L,
    2. Yan H,
    3. Sun Y,
    4. et al
    . Pooled analysis of the efficacy and safety of tibial nerve stimulation versus antimuscarinic agents in the management of overactive bladder syndrome. Medicine (Baltimore) 2021;100:e27745.
    OpenUrlPubMed
  8. 8.↵
    1. Charalampous I,
    2. Tailor VK,
    3. Digesu A
    . Vaginal laser for overactive bladder syndrome. Int Urogynecol J 2020;31:1515–7.
    OpenUrlPubMed
  9. 9.↵
    1. Hafidh B,
    2. Baradwan S,
    3. Latifah HM,
    4. et al
    . CO 2 laser therapy for management of stress urinary incontinence in women: a systematic review and meta-analysis. Ther Adv Urol 2023;15:17562872231210216.
    OpenUrlPubMed
  10. 10.↵
    1. Hargreaves E,
    2. Baker K,
    3. Barry G,
    4. et al
    . Acupuncture for treating overactive bladder in adults. Cochrane Database Syst Rev 2022;9:CD013519.
    OpenUrlPubMed
  11. 11.↵
    1. Stoniute A,
    2. Madhuvrata P,
    3. Still M,
    4. Barron-Millar E,
    5. Nabi G,
    6. Omar MI
    . Oral anticholinergic drugs versus placebo or no treatment for managing overactive bladder syndrome in adults. Cochrane Incontinence Group, ed. Cochrane Database Syst Rev 2023;5:CD003781.
    OpenUrlPubMed
  12. 12.↵
    1. Yeowell G,
    2. Smith P,
    3. Nazir J,
    4. Hakimi Z,
    5. Siddiqui E,
    6. Fatoye F
    . Real-world persistence and adherence to oral antimuscarinics and mirabegron in patients with overactive bladder (OAB): a systematic literature review. BMJ Open 2018;8:e021889.
    OpenUrlAbstract/FREE Full Text
  13. 13.↵
    1. Kennelly MJ
    . A comparative review of oxybutynin chloride formulations: pharmacokinetics and therapeutic efficacy in overactive bladder. Rev Urol 2010;12:12–9.
    OpenUrlPubMed
  14. 14.↵
    1. Wani MM,
    2. Sheikh MI,
    3. Bhat T,
    4. Bhat Z,
    5. Bhat A
    . Comparison of antimuscarinic drugs to beta adrenergic agonists in overactive bladder: a literary review. Curr Urol 2021;15:153–60.
    OpenUrlPubMed
  15. 15.↵
    1. Staskin D,
    2. Frankel J,
    3. Varano S,
    4. Shortino D,
    5. Jankowich R,
    6. Mudd PN
    . International phase III, randomized, double-blind, placebo and active controlled study to evaluate the safety and efficacy of Vibegron in patients with symptoms of overactive bladder: EMPOWUR. J Urol 2020;204:316–24.
    OpenUrlPubMed
  16. 16.↵
    1. Kinjo M,
    2. Masuda K,
    3. Nakamura Y,
    4. Miyakawa J,
    5. Tambo M,
    6. Fukuhara H
    . Comparison of Mirabegron and Vibegron in women with treatment-naive overactive bladder: a randomized controlled study. Urology 2023;175:67–73.
    OpenUrlPubMed
  17. 17.↵
    1. Herschorn S,
    2. Chapple CR,
    3. Abrams P,
    4. et al
    . Efficacy and safety of combinations of mirabegron and solifenacin compared with monotherapy and placebo in patients with overactive bladder (SYNERGY study). BJU Int 2017;120:562–75.
    OpenUrlCrossRefPubMed
  18. 18.↵
    1. Overby Z,
    2. Persons RK,
    3. Carrillo MJ
    . Clinical inquiries. What is the best nonsurgical therapy for pelvic organ prolapse? J Fam Pract 2014;63:471–479.
    OpenUrlPubMed
  19. 19.↵
    1. Hsieh MF,
    2. Tsai HW,
    3. Liou WS,
    4. et al
    . Long-term compliance of vaginal pessaries: does stress urinary incontinence matter? Medicine (Baltimore) 2019;98:e15063.
    OpenUrlPubMed
  20. 20.↵
    1. Malinauskas AP,
    2. Bressan EFM,
    3. de Melo A,
    4. Brasil CA,
    5. Lordêlo P,
    6. Torelli L
    . Efficacy of pelvic floor physiotherapy intervention for stress urinary incontinence in postmenopausal women: systematic review. Arch Gynecol Obstet 2022;308:13–24. Published online July 13.
    OpenUrlPubMed
  21. 21.↵
    1. Todhunter-Brown A,
    2. Hazelton C,
    3. Campbell P,
    4. Elders A,
    5. Hagen S,
    6. McClurg D
    . Conservative interventions for treating urinary incontinence in women: an overview of Cochrane systematic reviews. Cochrane Incontinence Group, ed. Cochrane Database Syst Rev 2022;9:CD012337.
    OpenUrlPubMed
  22. 22.↵
    1. Yang N,
    2. Ge X,
    3. Ye J,
    4. et al
    . Efficacy of acupuncture for urinary incontinence in middle-aged and elderly women: a systematic review and meta-analysis of randomized controlled trials. Eur J Obstet Gynecol Reprod Biol 2021;257:138–43.
    OpenUrlPubMed
  23. 23.↵
    1. Kannan P,
    2. Bello UM
    . Efficacy of various forms of acupuncture for the treatment of urinary incontinence in women: a systematic review and meta-analysis. Explore (NY) 2023;19:26–35.
    OpenUrlPubMed
  24. 24.↵
    1. Bardsley A
    . An overview of urinary incontinence. Br J Nurs Mark Nurs 2016;25:S14–S21.
    OpenUrl
  25. 25.↵
    1. Lerner LB,
    2. McVary KT,
    3. Barry MJ,
    4. et al
    . Management of lower urinary tract symptoms attributed to benign prostatic hyperplasia: AUA guideline part I—initial work-up and medical management. J Urol 2021;206:806–17.
    OpenUrlCrossRefPubMed
  26. 26.↵
    1. Teunissen TAM,
    2. de Jonge A,
    3. van Weel C,
    4. Lagro-Janssen ALM
    . Treating urinary incontinence in the elderly—conservative measures that work: a systematic review. J Fam Pract 2004;53:25–30, 32.
    OpenUrlPubMedWeb of Science
  27. 27.↵
    1. Verhamme KMC,
    2. Sturkenboom MCJM,
    3. Stricker BHC,
    4. Bosch R
    . Drug-induced urinary retention: incidence, management and prevention. Drug Saf 2008;31:373–88.
    OpenUrlCrossRefPubMedWeb of Science
  28. 28.↵
    1. Ginsberg DA,
    2. Boone TB,
    3. Cameron AP,
    4. et al
    . The AUA/SUFU Guideline on adult neurogenic lower urinary tract dysfunction: diagnosis and evaluation. J Urol 2021;206:1097–105.
    OpenUrlPubMed
  29. 29.↵
    Self-catheterization (clean intermittent catheterization): how to. Cleveland Clinic. Accessed March 4, 2023. Available at: https://my.clevelandclinic.org/health/treatments/15434-clean-intermittent-catheterization.
  30. 30.↵
    1. Campeau L,
    2. Shamout S,
    3. Baverstock RJ,
    4. et al
    . Canadian Urological Association best practice report: catheter use. Can Urol Assoc J 2020;14:E281–E289.
    OpenUrlPubMed
  31. 31.↵
    1. Grigoriadis T,
    2. Kalantzis C,
    3. Zacharakis D,
    4. et al
    . Platelet-rich plasma for the treatment of stress urinary incontinence—a randomized trial. Urogynecology (Phila) 2024;30:42–9.
    OpenUrlPubMed
  32. 32.
    1. Burgio KL,
    2. Locher JL,
    3. Goode PS,
    4. et al
    . Behavioral vs drug treatment for urge urinary incontinence in older women: a randomized controlled trial. JAMA 1998;280:1995–2000.
    OpenUrlCrossRefPubMedWeb of Science
  33. 33.
    1. Liu P,
    2. Li Y,
    3. Shi B,
    4. Zhang Q,
    5. Guo H
    . Comparison of different types of therapy for overactive bladder: a systematic review and network meta-analysis. Front Med (Lausanne) 2022;9:1014291.
    OpenUrlPubMed
  34. 34.
    1. Finazzi-Agrò E,
    2. Petta F,
    3. Sciobica F,
    4. Pasqualetti P,
    5. Musco S,
    6. Bove P
    . Percutaneous tibial nerve stimulation effects on detrusor overactivity incontinence are not due to a placebo effect: a randomized, double-blind, placebo controlled trial. J Urol 2010;184:2001–6.
    OpenUrlCrossRefPubMedWeb of Science
  35. 35.
    1. Lin YH,
    2. Hsieh WC,
    3. Huang L,
    4. Liang CC
    . Effect of non-ablative laser treatment on overactive bladder symptoms, urinary incontinence and sexual function in women with urodynamic stress incontinence. Taiwan J Obstet Gynecol 2017;56:815–20.
    OpenUrlPubMed
  36. 36.
    1. Seki AS,
    2. Bianchi-Ferraro AMHM,
    3. Fonseca ESM,
    4. Sartori MGF,
    5. Girão MJBC,
    6. Jarmy-Di Bella ZIK
    . CO2 Laser and radiofrequency compared to a sham control group in treatment of stress urinary incontinence (LARF study arm 3). A randomized controlled trial. Int Urogynecol J 2022;33:3535–42.
    OpenUrlPubMed
  37. 37.
    1. Oefelein MG
    . Safety and tolerability profiles of anticholinergic agents used for the treatment of overactive bladder. Drug Saf 2011;34:733–54.
    OpenUrlCrossRefPubMedWeb of Science
  38. 38.
    Myrbetriq [Drug Label]. Published online April 2018. Available at: https://www.accessdata.fda.gov/drugsatfda_docs/label/2018/202611s011lbl.pdf.
  39. 39.
    Gemtesa [Drug Label]. Published online December 2020. Available at: https://www.accessdata.fda.gov/drugsatfda_docs/label/2020/213006s000lbl.pdf.
  40. 40.
    1. Castro RA,
    2. Arruda RM,
    3. Zanetti MRD,
    4. Santos PD,
    5. Sartori MGF,
    6. Girão MJBC
    . Single-blind, randomized, controlled trial of pelvic floor muscle training, electrical stimulation, vaginal cones, and no active treatment in the management of stress urinary incontinence. Clinics (Sao Paulo) 2008;63:465–72.
    OpenUrlPubMed
  41. 41.
    1. Aksac B,
    2. Aki S,
    3. Karan A,
    4. Yalcin O,
    5. Isikoglu M,
    6. Eskiyurt N
    . Biofeedback and pelvic floor exercises for the rehabilitation of urinary stress incontinence. Gynecol Obstet Invest 2003;56:23–7.
    OpenUrlCrossRefPubMedWeb of Science
  42. 42.
    1. Liu Z,
    2. Liu Y,
    3. Xu H,
    4. et al
    . Effect of electroacupuncture on urinary leakage among women with stress urinary incontinence: a randomized clinical trial. JAMA 2017;317:2493–501.
    OpenUrlCrossRefPubMed
  43. 43.
    1. Narayan P,
    2. Tunuguntla HSGR
    . Long-term efficacy and safety of tamsulosin for benign prostatic hyperplasia. Rev Urol 2005;7 Suppl 4:S42–48.
    OpenUrl
  44. 44.
    1. Belayneh M,
    2. Korownyk C
    . Treatment of lower urinary tract symptoms in benign prostatic hypertrophy with α-blockers. Can Fam Physician 2016;62:e523.
    OpenUrlFREE Full Text
  45. 45.
    1. Dimitropoulos K,
    2. Gravas S
    . Fixed-dose combination therapy with dutasteride and tamsulosin in the management of benign prostatic hyperplasia. Ther Adv Urol 2016;8:19–28.
    OpenUrlCrossRefPubMed
PreviousNext
Back to top

In this issue

The Journal of the American Board of Family     Medicine: 37 (5)
The Journal of the American Board of Family Medicine
Vol. 37, Issue 5
September-October 2024
  • Table of Contents
  • Table of Contents (PDF)
  • Cover (PDF)
  • Index by author
  • Back Matter (PDF)
  • Front Matter (PDF)
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on American Board of Family Medicine.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Non-Surgical Management of Urinary Incontinence
(Your Name) has sent you a message from American Board of Family Medicine
(Your Name) thought you would like to see the American Board of Family Medicine web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
20 + 0 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
Citation Tools
Non-Surgical Management of Urinary Incontinence
Ranna Al-Dossari, Monica Kalra, Julie Adkison, Bich-May Nguyen
The Journal of the American Board of Family Medicine Sep 2024, 37 (5) 909-918; DOI: 10.3122/jabfm.2023.230471R1

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Non-Surgical Management of Urinary Incontinence
Ranna Al-Dossari, Monica Kalra, Julie Adkison, Bich-May Nguyen
The Journal of the American Board of Family Medicine Sep 2024, 37 (5) 909-918; DOI: 10.3122/jabfm.2023.230471R1
Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Abstract
    • Practice Recommendations
    • Introduction
    • Nonpharmacologic Management for OAB
    • Urge Incontinence and Overactive Bladder
    • Stress Urinary Incontinence
    • Overflow Incontinence
    • Neurogenic Bladder
    • Conclusion
    • Acknowledgments
    • Notes
    • References
  • Figures & Data
  • References
  • Info & Metrics
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • Clinically Relevant Family Medicine Research: Board Certification Updates
  • Google Scholar

More in this TOC Section

  • Diagnosis and Management of Post-Bariatric Hypoglycemia
  • Interpretating Normal Values and Reference Ranges for Laboratory Tests
Show more Clinical Review

Similar Articles

Keywords

  • Family Medicine
  • Overactive bladder
  • Stress Urinary Incontinence
  • Urge Urinary Incontinence
  • Urinary Incontinence

Navigate

  • Home
  • Current Issue
  • Past Issues

Authors & Reviewers

  • Info For Authors
  • Info For Reviewers
  • Submit A Manuscript/Review

Other Services

  • Get Email Alerts
  • Classifieds
  • Reprints and Permissions

Other Resources

  • Forms
  • Contact Us
  • ABFM News

© 2025 American Board of Family Medicine

Powered by HighWire