The antidepressant duloxetine was not found to be effective and carried a high risk of side effects.
With some drugs for urinary incontinence, women often discontinued their use because of bothersome side effects.
You can find details on the study at http://www.effectivehealthcare.ahrq.gov/
Your search for solutions to urinary incontinence might lead you not only to pelvic floor exercises and drug therapies, but also to biofeedback sessions, nerve stimulation devices, herbal remedies and even surgery. In any case, it's an awkward and sometimes debilitating problem, although not untreatable.
Kegels and similar exercises involve contracting the muscles around the vagina, as if you are trying to stop the flow of urine. You have to hold the contraction for several seconds to get the benefits, and you have to do the exercises on a regular basis.
If you want to get going with pelvic floor exercises and are the kind of person who likes to fill out food and activity journals, then you might want to download a chart from womensbladderhealth.com.
It gives you a way to record the number of contractions you do during each daily exercise set. The website also gives clear instructions for doing Kegels.
Pilates classes are another idea for training in pelvic floor exercises, although Pilates moves alone might not help urinary incontinence. Try Pilates moves for overall strengthening of core muscles and use them in conjunction with pelvic floor exercises.
Another possibility for building Kegels into your day involves your smartphone or tablet computer. Yes, there's an app for it. Just check the app store for your particular device.
"Muscle Training Effective in Treating Urinary Incontinence for Women." Agency for Healthcare Research and Quality press release. Web. 9 May 2012. http://www.ahrq.gov/news/press/pr2012/muscleuipr.htm
"Pelvic Floor Exercises (Kegel's)." Women'sBladderHealth.com, PDF download. Web. 9 May 2012. http://www.womensbladderhealth.com/pdf/pelvicfloorexercises.pdf
Ogle, Marguerite. "The Pelvic Floor Muscles." About.com/Pilates. Web. 9 May 2012.