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Overview of the role of different conservative interventions as first-line treatment in the management of urinary incontinence in women
  1. Karthik Rajan,
  2. Arjun K Nambiar
  1. Department of Urology, Freeman Hospital, Newcastle upon Tyne, UK
  1. Correspondence to Dr Arjun K Nambiar, Freeman Hospital, Newcastle upon Tyne, NE7 7DN, UK; arjunknambiar{at}

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Commentary on: Todhunter-Brown A, Hazelton C, Campbell P, Elders A, Hagen S, McClurg D. Conservative interventions for treating urinary incontinence in women: an Overview of Cochrane systematic reviews. Cochrane Database Syst Rev. 2022 Sep 2;9(9):CD012337. doi: 10.1002/14651858.CD012337.pub2.

Implications for practice and research

  • Pelvic floor muscle training is an effective conservative treatment option for managing all types of urinary incontinence (UI) in women in isolation or combined with other measures and should be considered first-line treatment in women with UI.

  • Further research is needed on long-term outcomes of conservative interventions and their impact on quality of life.


Urinary incontinence (UI) is a highly prevalent condition affecting nearly 25% of women, especially in older age groups.1 It is characterised by involuntary leakage of urine and can have a significant impact on quality of life, leading to psychological distress and placing a financial burden both on the individual and the broader health service. Conservative interventions are considered first-line …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.