Which anticholinergic medication is primarily used to treat urinary bladder urgency and incontinence?

Oxybutynin is primarily used to treat urinary bladder urgency and incontinence due to its antispsmodic properties. It works by inhibiting the action of acetylcholine on muscarinic receptors in the bladder, which helps to relax the bladder muscle and reduce urinary urgency and frequency. This makes it especially effective for patients experiencing overactive bladder symptoms.

Dicyclomine, while also an anticholinergic, is mainly used to treat gastrointestinal conditions like irritable bowel syndrome, and its effects on bladder function are not the primary use. Ipratropium is an anticholinergic used mainly for respiratory conditions, particularly to relieve bronchospasms, and does not target bladder symptoms. Scopolamine is primarily used for motion sickness and does not have a significant role in managing urinary incontinence. Therefore, oxybutynin stands out as the most appropriate choice for urinary bladder issues, specifically addressing urgency and incontinence.