© 2014 Springer Science+Business Media New York. All rights reserved. Nonsurgical treatments for urinary incontinence can be effective in reducing symptoms and incontinence episodes in older men and women. Behavioral interventions include toileting programs with scheduled, timed, or prompted voiding and habit or bladder training; caffeine and fluid management; pelvic floor muscle training; stress and urge reduction strategies; nocturia reduction strategies; constipation management; and functional and environmental changes. These can be selectively combined into an individualized therapeutic regimen that is recommended as first-line treatment. Devices and medication, including antimuscarinic and beta-3 adrenoreceptor agonists, alpha-blockers, and/or 5-alpha-reductase inhibitors in men and topical vaginal estrogen in women, can be added to behavioral interventions if needed to optimize efficacy. Frail older adults and those with dementia require particular caution in instituting drug therapy for incontinence.