Clinical Guidelines on the
Management of Urinary Incontinence

SOGC Clinical Guideline: Conservative Management of Urinary Incontinence
J Obstet Gynaecol Can 2006;28(12):1113-8

Abstract
Objective: To outline the evidence for conservative management options for treating urinary incontinence.
Options: Conservative management options for treating urinary incontinence include behavioural changes, lifestyle modification, pelvic floor retraining, and use of mechanical devices.
Outcomes: To provide understanding of current available evidence concerning efficacy of conservative alternatives for managing urinary incontinence; to empower women to choose continence therapies that have benefit and that have minimal or no harm.

Guidelines for the Evaluation and Treatment of Recurrent Urinary Incontinence Following Pelvic Floor Surgery
J Obstet Gynaecol Can 2010;32(9):893–898

Abstract
Objective: To provide general gynaecologists and urogynaecologists with clinical guidelines for the management of recurrent urinary incontinence after pelvic floor surgery.
Options: Evaluation includes history and physical examination, multichannel urodynamics, and possibly cystourethroscopy. Management includes conservative, pharmacological, and surgical interventions.
Outcomes: These guidelines provide a comprehensive approach to the complicated issue of recurrent incontinence that is based on the underlying pathophysiological mechanisms.

SOGC Clinical Guideline: Menopause and Osteoporosis
Update 2009
J Obstet Gynaecol Can 2009;31(1):S1-56

Abstract
Objective: To provide updated guidelines for health care providers on the management of menopause in asymptomatic healthy women as well as in women presenting with vasomotor symptoms or with urogenital, mood, or memory concerns, and on considerations related to cardiovascular disease, breast cancer, and bone health, including the diagnosis and clinical management of postmenopausal osteoporosis.
Outcomes: Lifestyle interventions, prescription medications, and complementary and alternative therapies are presented according to their efficacy in the treatment of menopausal symptoms. Strategies for identifying and evaluating women at high risk of osteoporosis, along with options for the prevention and treatment of osteoporosis, are presented.
Chapter 5: Urogenital Health, par. 5.
"As part of the management of stress incontinence, women should be encouraged to try nonsurgical options, such as weight loss (in obese women), pelvic floor physiotherapy, with or without biofeedback, weighted vaginal cones, functional electrical stimulation, and/or intravaginal pessaries."

Last Update: June 22, 2011