Identification and Management of Urinary Incontinence in Midlife Women

Linda Brubaker, MD


Menopause. 2019;26(11):1324-1326. 

In This Article

Abstract and Introduction


Urinary incontinence is a common bladder health problem that disproportionately affects women, especially midlife women. In the absence of alarming signs or symptoms, a step-wise evaluation aligned with patient treatment preferences is appropriate. Initial interventions can include simple behavior therapies, lifestyle modifications, and toileting habits. Systemic medication, surgery, and specialty treatment also can be offered.


Bladder health problems affect many adult women, and urinary incontinence (UI) affects nearly 50%. Once UI is identified, a step-wise evaluation is aligned with patient treatment preference. Therapeutic recommendations are generally based on the presence of two common UI subtypes: stress urinary incontinence (SUI) and urgency urinary incontinence (UUI). There is a growing appreciation that these common UI subtypes often coexist in affected women with varying degrees of severity; the coexistence is typically referred to as mixed urinary incontinence (MUI).[1]