Three months pelvic floor exercises should be the first line of treatment offered to women presenting with stress or mixed urinary incontinence, new NICE guidelines on the condition say.
The exercises should also be promoted to women during their first pregnancy as a preventative measure, the guidance adds.
Drugs should only be given for urge, and not normally for stress incontinence, but six weeks bladder training should be offered before medication is considered.
The guidance also stresses the need for good communication with women and the importance of taking into account each woman's needs and preferences.
It does not cover incontinence caused by diseases of the nervous system, incontinence in men and children, or faecal incontinence.