In cooperation with

Abstract

Conservative treatment of urinary incontinence

Conservative treatment of urinary incontinence can be done due to the leading symptom without great diagnostic tools. The basic treatment should include changes in behavior in drinking and micturition as well as a sufficient estrogen substitution if necessary and physiotherapy by a subspecialized physiotherapist. Specific medication of stress urinary incontinence is duloxetine and pessaries and anticholinergics in over active bladder. The beginning should be with the onset of symptoms or better a prophylactic check of the functionality of the pelvic floor before or during the first pregnancy.

CME Prakt Fortbild Gynakol Geburtsmed Gynakol Endokrinol 2017; 13(1): 70–80

Keywords
Urinary incontinence, pelvic floor, sonography, functionality of the pelvic floor muscles, prolapse

Rainer Lange
Beckenbodenzentrum Rheinhessen, Alzey/Worms
Reviewer: Johanna Höink, Hamburg,
und Pauline Wimberger, Dresden

Lange R. Konservative ... Gynakol Geburtsmed Gynakol Endokrinol 2017; 13(1): 70–80 publiziert 31.03.2017 www.akademos.de/gyn ©akademos Wissenschaftsverlag 2017 ISSN 1614-8533