Clinical Dilemmas and Unresolved Issues in GynecologyUrinary Incontinence Evaluation and ManagementHANDLER, STEPHANIE J. MD*; ROSENMAN, AMY E. MD*,†Author Information *Department of Obstetrics and Gynecology, Division of Female Pelvic Medicine and Reconstructive Surgery, Harbor-UCLA Medical Center, Torrance †Department of Obstetrics and Gynecology, Division of Female Pelvic Medicine and Reconstructive Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California The authors declare that they have nothing to disclose. Correspondence: Stephanie J. Handler, MD, Department of Obstetrics and Gynecology, Division of Female Pelvic Medicine and Reconstructive Surgery, Harbor-UCLA Medical Center, Box 3, Torrance, CA. E-mail: email@example.com Clinical Obstetrics and Gynecology: December 2019 - Volume 62 - Issue 4 - p 700-711 doi: 10.1097/GRF.0000000000000488 Buy Metrics Abstract Urinary incontinence is a major public health issue in the United States with physical, mental, social, and economic repercussions. History and in-office evaluation are paramount to diagnosis and formation of an appropriate treatment plan. Lifestyle modifications, which include pelvic floor muscle training and behavioral changes, are appropriate for initial management. Patients with overactive bladder syndrome whose symptoms are not adequately controlled with conservative treatment can be offered medical or procedural management. Stress urinary incontinence refractory to first-line treatment can be treated with surgical options such as mesh midurethral slings. Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.