Non-surgical treatment of female stress urinary incontinence is not as effective as surgical methods but it is very
successful in indicated cases. Rehabilitation of the pelvic floor muscles (Kegel exercises, vaginal cones, and
electrostimulation of the pelvic floor muscles), drug treatment (alfa-mimetics, tricyclic antidepressives, estrogens,
duloxetin), pessarotherapy and uretral obturator devices represent possibilities of conservative therapy of the stress
incontinence. Conservative therapy is the method of choice in the treatment of urge incontinence. The most successful
are anticholinergic drugs but they have very frequent serious side effects (dryness of the mucous membranes,
accommodation disorders, constipation). Spasmolytics, estrogens and tricyclic antidepressives are the other popular
used drugs. Life style modification, bladder training and electrostimulation represent very important parts of the conservative
treatment. Effectiveness of the non-surgical treatment of both urge and stress urinary incontinence can not
reach 100 percent but it helps very much in the quality of life improvement of incontinent women.
female urinary incontinence, conservative therapy, pelvic floor exercises, electrostimulation,
anticholinergic drugs, side effects.