Urology: urinary incontinence

Question 1

What is the NICE recommended first line treatment for Stress urinary incontinence in women?

Answer 1

Guided pelvic floor muscle training with specialist women’s health physio.
Treats 50% sufficiently.
(No evidence for self directed)

Question 2

What is the first line treatment for urinary symptoms (e.g. frequency and urgency) in MS?

Answer 2

• anticholinergics e.g. oxybutynin and tolterodine
• desmopressin can be used - mostly for night problems (not to be used more than once in 24h)