Two years after revision of the practice guideline 'Urinary incontinence' from 
the Dutch College of General Practitioners, it is time for a summary of the most 
important changes. The use of a bladder diary is recommended. In primary care, a 
stress test does not provide more information than history taking. Routine 
urodynamic testing is not indicated for patients presenting to their general 
practitioner with urinary incontinence. Treatment of stress, urge and mixed 
incontinence can usually be commenced in primary care; pelvic floor exercises 
and bladder training are preferred. If bladder training is not effective for 
urge incontinence, anticholinergic drugs should be considered. The use of oral 
and vaginal oestrogens and flavoxate is no longer recommended.