What is the preferred first-line treatment for uncomplicated urge incontinence?

The preferred first-line treatment for uncomplicated urge incontinence is behavioral therapy. This approach focuses on the modification of lifestyle and urination habits, which can lead to significant improvements in symptoms. Techniques may include bladder training, pelvic floor exercises, and bladder diary methods, all aimed at increasing the time between voids and helping individuals regain control over their urination.

Behavioral interventions are often recommended because they are non-invasive, can be easily implemented, and carry minimal risk compared to other treatments. They also emphasize patient education, empowering individuals to take an active role in managing their condition.

In contrast, medications might be considered later if behavioral therapy alone is not sufficient. Surgery is generally reserved for more complex cases or when other treatments fail, and catheterization is typically not a primary treatment for urge incontinence but rather an option for individuals with specific needs, such as those unable to void on their own.