Management of urinary incontinence in adults

Shannon Kim, Shuo Liu, Vincent Tse

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)


The two functions of the bladder are storing and voiding urine. Dysfunction of either can cause incontinence. Urgency incontinence is a storage dysfunction most often associated with detrusor overactivity. It can be managed by bladder training and antimuscarinic drugs. Stress incontinence is a storage dysfunction most often associated with poor ligamentous support of the pelvic floor or sphincter deficiency, or both. Drugs have a very limited role in treatment. Surgery is often needed. Voiding dysfunction can be caused by bladder outlet obstruction, such as benign prostatic hyperplasia. Drug treatment may include alpha blockers. Drugs for incontinence only have modest efficacy. They can have adverse effects away from the urinary tract, which may be particularly problematic in older people.

Original languageEnglish
Pages (from-to)10-13
Number of pages4
JournalAustralian Prescriber
Issue number1
Publication statusPublished - Feb 2014
Externally publishedYes


  • antimuscarinic drugs
  • benign prostatic hypertrophy
  • bladder


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