Conservative management for female urinary incontinence and pelvic organ prolapse review 2013 : summary of the 5th International Consultation on Incontinence


Autoria(s): Dumoulin, Chantale; Hunter, Kathleen F.; Moore, Katherine; Bradley, Catherine S.; Burgio, Kathryn L.; Hagen, S.; Imamura, M.; Thakar, R.; Williams, K.; Chambers, T.
Contribuinte(s)

Faculté de médecine - École de réadaptation

Data(s)

12/01/2017

31/12/1969

12/01/2017

01/01/2016

Resumo

Aims The objective of the 5th International Consultation on Incontinence (ICI) chapter on Adult Conservative Management was to review and summarize the new evidence on conservative management of urinary incontinence (UI) and pelvic organ prolapse (POP) in order to compile a current reference source for clinicians, health researchers, and service planners. In this paper, we present the review highlights and new evidence on female conservative management. Methods Revision and updates of the 4th ICI Report using systematic review covering years 2008–2012. Results Each section begins with a brief definition and description of the intervention followed by a summary, where possible, of both the state and level of evidence for prevention and treatment, and ends with a “grade of recommendation.” The paper concludes with areas identified as requiring further research. Conclusions For UI, there are no prevention trials on lifestyle interventions. There are, however, few new intervention trials of lifestyle interventions involving weight loss and fluid intake with improved levels of evidence and grade of recommendation. Outside of pre- and post-natal pelvic floor muscle training (PFMT) trials for the prevention of female UI, there is a dearth of PFMT prevention trials for women with UI. PFMT remains the first-line treatment for female UI with high levels of evidence and grades of recommendation. Bladder training levels of evidence and grades of recommendation are maintained. For POP, new evidence supports the effectiveness of physiotherapy in the treatment of POP and there are now improved levels of evidence and grades of recommendation.

Identificador

Dumoulin, Chantal ; Hunter, Kathleen F. ; Moore, Katherine ; Bradley, Catherine S. ; Burgio, Kathryn L ; Hagen, S ; Imamura, M ; Thakar, R ; Williams, K ; Chambers, T. (2016). Conservative management for female urinary incontinence and pelvic organ prolapse review 2013 : summary of the 5th International consultation on incontinence. Neurourology and Urodynynamics, 35(1), 15-20.

1520-6777

0733-2467

http://hdl.handle.net/1866/16376

10.1002/nau.22677

Idioma(s)

en

Relação

Neurourology and Urodynynamics;Vol. 35, no 1

Palavras-Chave #pelvic organ prolapse #urinary incontinence #women
Tipo

Article