Drug therapy for urinary incontinence

Therapeutic components: Mictional disorders are a common complaint. Medical treatment of urinary incontinence is often given in complement to surgical treatment and physical therapy. Mechanisms: The lower urinary tract is controlled by the sympathetic and th e parasympathetic system. Smooth muscle fiber relaxation or contraction can be achieved by stimulation of the receptors. Drug classes: Certain drugs have marketing approval for this indication and others have a potential effect on the lower urinary tract. Synergetic or a ntagonist effects may appear in case of combined prescription. Certain drug s, particularly anticholinergic agents have demonstrated their effect on th e bladder muscle. Inversely improvement of sphincter insufficiency appears to be limited. Currently, few drugs have received marketing approval for th e treatment of urinary incontinence.