The most reliable method considered today in the treatment of incontinence is surgery, the success rate of which is curing ~8 in 10 patients. Most other treatments, however, fail to provide the similar success as per a review published on last ten years’ data. Surgery ranks best among other methods, delivering success in 82% of cases. Pelvic floor exercises rank second, with 53%, followed by drug treatment, with 49%. Bottom of the pile was treatment using so-called bulking agents, which was only successful in 37% of cases.

This method involves injections of fillers into damaged tissue around the urethra in order to keep the area tight. Drugs are mainly prescribed to treat urinary incontinence and calm down overactive bladders. Ian Milsom finds it remarkable, including from a financial perspective, that these antimuscarinic drugs are not even helping half of all patients. Urinary and…