In cases of urinary incontinence, what is the first-line treatment recommendation?

The first-line treatment recommendation for urinary incontinence focuses on behavioral interventions, including bladder training and pelvic floor exercises. These approaches are non-invasive and have been shown to effectively improve bladder control and reduce episodes of incontinence for many patients.

Behavioral interventions, such as bladder training, teach patients to recognize their bladder's signals and gradually extend the intervals between voiding. This helps to improve bladder capacity and control, thus reducing the frequency of incontinence. Pelvic floor exercises, often referred to as Kegel exercises, strengthen the pelvic muscles that support the bladder and improve muscle tone, which can contribute to better urinary control.

These strategies are typically recommended before considering pharmacological treatments, surgical procedures, or reliance on absorbent products. This is due to their safety profile, lower cost, and potential positive lifestyle impact for patients. Engaging in these behaviors empowers patients, providing them with tools to manage their condition effectively and often leads to lasting improvements in quality of life.