Urinary incontinence requires prompt attention when it impairs patient
's activity level. Sometimes the patient's activities are a contributi
ng factor. Helping patients participate with confidence is the goal of
treatment. Mild stress or urge incontinence can often be treated empi
rically or conservatively. Methods include bladder training, pelvic mu
scle exercises, and medication. The next level includes a more extensi
ve workup or, perhaps, surgery.