NONOPERATIVE MANAGEMENT OF URINARY-INCONTINENCE

Recent public health policies emphasize managing urinary incontinence nonoperatively, rather than proceeding directly to surgery. Advantages of this approach include decreased cost and risk, Additionally, incon tinence treatment becomes accessible to many more women, by expanding care to nonspecialists. This article reviews data published in the pas t 18-24 months pertaining to conservative management of incontinence. Specific modalities reviewed include pelvic floor muscle exercises, el ectrical stimulation, medication, vaginal devices, and bladder trainin g.