Objective To measure the willingness to pay for a severity of the symptoms and was worse than that of the sex-and age-matched general Swedish population. reduction in the number of micturitions and urinary leakages for patients with urge incontinence.The median (mean) willingness to pay per month was 240 (530) Swedish krona (SEK, £1=SEK 11.50) for Patients and methods A self-administered questionnaire with a binary willingness-to-pay question was admina 25% reduction in micturitions and leakages and SEK 470 (1030) for a 50% reduction in micturitions istered to 541 patients in Sweden with urge or mixed incontinence; 461 questionnaires were returned. The and leakages. As hypothesized, the willingness to pay was significantly related to the size of the reduction reduction in micturitions and urinary leakages valued in the willingness-to-pay question was varied in micturitions and leakages, the initial number of micturitions and leakages, and income. randomly between 25% and 50% in two diÂerent subsamples. Information was also collected about the Conclusions Patients with incontinence problems are willing to pay substantial amounts for a reduction in number of micturitions and urinary leakages, healthrelated quality of life and socio-economic characterthe number of micturitions and leakages. Keywords Incontinence, willingness to pay, quality of istics of the patients in the study. Results Quality of life was significantly related to the life, contingent valuation lation [6]. The available treatment options for this patient Introduction group include physiotherapy, bladder training, pharmacological treatment and surgery. Available pharmacoUrinary incontinence is a major clinical problem and can be a distressing, depressing and disabling condition logical treatments are of limited eÂectiveness, partly due to reduced compliance as a consequence of anticholiwith profound eÂects on quality of life and activities of daily living [1]. Reported prevalence rates vary between nergic side-eÂects [7]. In the absence of an eÂective treatment or cure, sanitary protection is widely used. As 8% and 51% depending on age and gender [2]. The prevalence increases with age and it is currently more eÂective treatments become available, it is important to compare the costs of these treatments with the estimated that half of nursing-home residents suÂer from urinary incontinence [2]. In addition, two surveys value of the health improvements (the benefits). Such economic evaluations to assess value for money are found that 30% of community-dwelling middle-aged women suÂer from urinary incontinence [3,4]. Urinary increasingly used in the healthcare field [8]. Economic evaluations are especially important for interventions in incontinence is caused by disturbances of the storage and emptying function of the bladder. fields like incontinence, that involve large patient populations and potentially large costs. Incontinence may be divided into urge incontinence (disturbance of the storage function with symptoms of The aim of this study was to es...