Samenvatting van de standaard 'Incontinentie voor urine' (eerste herziening) van het Nederlands Huisartsen Genootschap

- Two years after revision of the practice guideline ‘Urinary incontinence’ from the Dutch College of General Practitioners, it is time for a summary of the most important changes.

- 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;152:2559-63