Options for Treating Urgency Incontinence

Non-drug Treatments: Lifestyle Changes
Bladder trainingBenefits
The number of women who became continent was not reported.
4 out of 10 women improved their symptoms using bladder-control exercises.
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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 stimulationBenefits
The number of women who became continent was not reported.
3 out of 10 women improved their symptoms using this device.
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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.
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Side Effects
About 2 out of 10 women had dry mouth using this medicine.
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About 1 out of 10 women had constipation using this medicine.
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Less than 1 out of 10 women had an upset stomach using this medicine.
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Fesoterodine (Toviaz®)Benefits
About 1 out of 10 women became continent using this medicine.
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About 1 out of 10 women improved their symptoms using this medicine.
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Side Effects
About 2 out of 10 women had dry mouth using this medicine.
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Less than 1 out of 10 women had constipation using this medicine.
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Less than 1 out of 10 women had dry eyes using this medicine.
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Oxybutynin (Ditropan®)Benefits
About 1 out of 10 women became continent using this medicine.
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About 2 out of 10 women improved their symptoms using this medicine.
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Side Effects
About 3 to 4 out of 10 women had dry mouth using this medicine.
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About 1 out of 10 women had an upset stomach using this medicine.
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Constipation: No different from women taking a placebo (sugar pill).
Solifenacin (VESIcare®)Benefits
About 1 out of 10 women became continent using this medicine.
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About 2 out of 10 women improved their symptoms using this medicine.
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Side Effects
About 1 to 2 out of 10 women had dry mouth using this medicine.
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About 1 out of 10 women had constipation using this medicine.
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Less than 1 out of 10 women had blurred vision using this medicine.
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Tolterodine (Detrol®)Benefits
About 1 out of 10 women became continent using this medicine.
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About 1 out of 10 women improved their symptoms using this medicine.
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Side Effects
About 1 out of 10 women had dry mouth using this medicine.
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Less than 1 out of 10 women had constipation using this medicine.
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Less than 1 out of 10 women had upset stomach using this medicine.
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Trospium (Sanctura®)Benefits
About 1 out of 10 women became continent using this medicine.
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Side Effects
About 1 out of 10 women had dry mouth using this medicine.
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Less than 1 out 10 women had constipation using this medicine.
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Less than 1 out of 10 women had dry eyes using this medicine.
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