2012 Update: Guidelines for Adult Urinary Incontinence Collaborative Consensus Document for the Canadian Urological Association

Abstract

Adult urinary incontinence (UI) is a highly prevalentcondition, and one which can have a major impacton patients’ quality of life. It is also a major focus ofa urologist’s workload. As a result, the Canadian UrologicalAssociation (CUA), with the aid of its Guidelines Committee,commissioned the development of a practice guideline documentin 2005 first authored by Dr. Jacques Corcos. As perthe CUA Guidelines Committee’s mandate, all guidelinesare subject to revision after 5 years.

Publicly funded overactive bladder drug treatment patterns in Ontario over 15 years: An ecological study

“…dry mouth, dizziness, and constipation). 6,7 Anticholinergics were the only medications indicated to treat OAB until the approval of mirabegron in 2013 and its listing on the public drug formulary in 2015. Mirabegron is a beta-3 adrenoceptor agonist and is the first alternative to anticholinergics for the treatment of OAB.…”

“…4,5 Medications are second-line treatments for OAB, after non-pharmacological options, with disease management generally relying on the use of anticholinergic agents. 6 Currently in Canada there are six anticholinergic drugs approved for treatment of OAB symptoms: darifenacin, fesoterodine, oxybutynin, solifenacin, tolterodine and trospium. Three (darifenacin, fesoterodine and mirabegron) of these were approved in the last 10 years.…”

Urinary urgency and frequency in a 53-year-old woman

“…2 Overactive bladder affects 14% of Canadians, with equal prevalence among males and females. 2 Of patients with the condition, two-thirds experience no incontinence and are generally dry. 3 Urgency is a defining symptom of overactive bladder and is described as a sudden desire to void that is often difficult to defer, which causes fear of leakage and incontinence.…”

“…Urge urinary incontinence is leakage immediately associated with a sudden desire to void. 2 Overactive bladder is defined as urgency, with or without urge incontinence, usually associated with frequency and nocturia. 2 Overactive bladder affects 14% of Canadians, with equal prevalence among males and females.…”

“…2 Overactive bladder is defined as urgency, with or without urge incontinence, usually associated with frequency and nocturia. 2 Overactive bladder affects 14% of Canadians, with equal prevalence among males and females. 2 Of patients with the condition, two-thirds experience no incontinence and are generally dry.…”