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Urinary Incontinence Drugs May Be More Trouble Than They're Worth
Date:4/10/2012

0 issue of the Annals of Internal Medicine.

Dr. Elizabeth Kavaler, a urologist at Lenox Hill Hospital in New York City, said she always starts with behavioral changes to help women manage urge incontinence. "Kegel exercises, fluid restriction and staying way from bladder irritants such as coffee, tea juices and alcohol are the first-line treatments, and if they don't improve, we move to medication."

"Some women find these drugs work great and don't have any side effects," she added.

Dr. Yvonne K. P. Koch, an assistant professor of urology at the University of Miami Miller School of Medicine, said the findings run counter to what she sees in her practice. "Some women may not be 100 percent dry, but are 50% improved and are pretty happy with that." She said she always starts women at the lowest dose of the drug with the fewest side effects.

"There is a lot of trial-and-error," she said. "Most people do try two or three before they find one that works."

More information

Learn more about the causes and treatments of urge incontinence at U.S. National Institutes of Health.

SOURCES: Elizabeth Kavaler, M.D., urologist, Lenox Hill Hospital, New York City; Yvonne K. P. Koch, M.D., assistant professor, urology, University of Miami Miller School of Medicine; April 10, 2012, Annals of Internal Medicine


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