van Pinxteren B, Lagro-Janssen AL, Wiersma T, Goudswaard AN
This article summarises the most important changes to the practice guideline 'Urinary incontinence' from the Dutch College of General Practitioners since it's publication two years ago. The use of a bladder diary is recommended. In primary care, a stress test does not provide more information than history taking. Routine urodynamic testing is not indicated for patients presenting to their general practitioner with urinary incontinence. Treatment of stress, urge and mixed incontinence can usually be commenced in primary care; pelvic floor exercises and bladder training are preferred. If bladder training is not effective for urge incontinence, anticholinergic drugs should be considered. The use of oral and vaginal oestrogens and flavoxate is no longer recommended.
Ned Tijdschr Geneeskd, 2008, 152(47), 2559-63