For women who need relief from bladder control problems, behavioral therapies are a better bet than medication, a new research review finds. In an analysis of 84 clinical trials, researchers found that overall, women were better off with behavioral approaches to easing urinary incontinence than relying on medication. Study patients were over five times more likely to see their symptoms improve with behavioral therapy, compared with no treatment. Medication also helped, but not as much. Women treated with drugs alone were twice as likely to improve, compared to doing nothing. “I think women with urinary incontinence should be encouraged to seek treatment,” said senior researcher Dr. Peter Jeppson, a urogynecologist at the University of New Mexico in Albuquerque. “There are a variety of treatment options, almost all of which are better than doing nothing,” Jeppson said. The findings were published online March 18 in Annals of Internal Medicine. Almost half of women have problems with urine leakage at some point in their lives, according to the U.S. National Institutes of Health. And while men develop urinary incontinence, too, it’s more common among women, often arising during or after pregnancy, or after menopause. The good news is, lifestyle changes often help, said Dr. Brian Stork. He’s a urologist and assistant clinical professor at Michigan Medicine West Shore Urology in Muskegon, Mich. Stork, who is also a… read on >







