NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health.
Comparative Effectiveness Review Summary Guides for Consumers [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2005-.
This publication is provided for historical reference only and the information may be out of date.
Options for Treating Urgency Incontinence
| Non-drug Treatments: Lifestyle Changes | |
|---|---|
| Bladder training | Benefits The number of women who became continent was not reported. 4 out of 10 women improved their symptoms using bladder-control exercises.  Combining PFMT with bladder training improved continence in women with urgency incontinence. Side Effects Not known, but most researchers think there are few if any. |
| Non-drug Treatments: Medical Devices | |
| Percutaneous tibial nerve stimulation | Benefits The number of women who became continent was not reported. 3 out of 10 women improved their symptoms using this device.  Side Effects There were no differences in the number of women who reported side effects from using this device than those who reported side effects from using a “sham” treatment (no electrical pulse was given, but women were told they were getting the treatment). |
| Medicines for Treating Urgency Incontinence | |
| Darifenacin (Enablex®) | Benefits About 1 out of 10 women improved their symptoms using this medicine.  Side Effects About 2 out of 10 women had dry mouth using this medicine.  About 1 out of 10 women had constipation using this medicine.  Less than 1 out of 10 women had an upset stomach using this medicine.  |
| Fesoterodine (Toviaz®) | Benefits About 1 out of 10 women became continent using this medicine.  About 1 out of 10 women improved their symptoms using this medicine.  Side Effects About 2 out of 10 women had dry mouth using this medicine.  Less than 1 out of 10 women had constipation using this medicine.  Less than 1 out of 10 women had dry eyes using this medicine.  |
| Oxybutynin (Ditropan®) | Benefits About 1 out of 10 women became continent using this medicine.  About 2 out of 10 women improved their symptoms using this medicine.  Side Effects About 3 to 4 out of 10 women had dry mouth using this medicine.  About 1 out of 10 women had an upset stomach using this medicine.  Constipation: No different from women taking a placebo (sugar pill). |
| Solifenacin (VESIcare®) | Benefits About 1 out of 10 women became continent using this medicine.  About 2 out of 10 women improved their symptoms using this medicine.  Side Effects About 1 to 2 out of 10 women had dry mouth using this medicine.  About 1 out of 10 women had constipation using this medicine.  Less than 1 out of 10 women had blurred vision using this medicine.  |
| Tolterodine (Detrol®) | Benefits About 1 out of 10 women became continent using this medicine.  About 1 out of 10 women improved their symptoms using this medicine.  Side Effects About 1 out of 10 women had dry mouth using this medicine.  Less than 1 out of 10 women had constipation using this medicine.  Less than 1 out of 10 women had upset stomach using this medicine.  |
| Trospium (Sanctura®) | Benefits About 1 out of 10 women became continent using this medicine.  Side Effects About 1 out of 10 women had dry mouth using this medicine.  Less than 1 out 10 women had constipation using this medicine.  Less than 1 out of 10 women had dry eyes using this medicine.  |
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