Risk factors for urinary incontinence in women are overweight and obesity, pregnancy and child birth, smoking, diabetes, many neurological diseases and, especially among older people, certain medication. Pelvic muscle training reduces stress incontinence. For urge incontinence, anticholinergic drugs and mirabegron are equally effective, but have a different side-effect profile. For postmenopausal women, intravaginal estrogen treatment is recommended. For stress incontinence, retoropubic and trans-obturator operations are equally effective, and they have no absolute contraindications. Surgical treatment for stress incontinence and conservative treatment for urge incontinence may well be combined.
Tomi Mikkola (chair)