What do Cochrane systematic reviews say about non-surgical interventions for urinary incontinence in women?

Urinary incontinence is a highly prevalent condition that impacts self-esteem and overall quality of life. Many non-surgical treatment options are available, ranging from pharmacological approaches to pelvic exercises. We aimed to summarize the available evidence regarding these non-surgical interve...

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Bibliographic Details
Published in:São Paulo medical journal 2018-01, Vol.136 (1), p.73-83
Main Authors: Costa, Anderson Adriano Leal Freitas da, Vasconcellos, Igor Martins, Pacheco, Rafael Leite, Bella, Zsuzsanna Ilona Katalin de Jármy Di, Riera, Rachel
Format: Article
Language:English
Subjects:
Clinical Trials as Topic
Evidence-Based Medicine
Evidence-based practice
Female
Humans
MEDICINE, GENERAL & INTERNAL
Narrative Review
Quality of Life
Review
Therapeutics
Urinary incontinence
Urinary Incontinence - therapy
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Summary:Urinary incontinence is a highly prevalent condition that impacts self-esteem and overall quality of life. Many non-surgical treatment options are available, ranging from pharmacological approaches to pelvic exercises. We aimed to summarize the available evidence regarding these non-surgical interventions. Review of systematic reviews, conducted in the Discipline of Evidence-Based Medicine, Escola Paulista de Medicina, Universidade Federal de São Paulo (EPM-UNIFESP). A sensitive search was conducted to identify all Cochrane systematic reviews that fulfilled the inclusion criteria. Titles and abstracts were screened by two authors. We included 20 Cochrane systematic reviews: 4 assessing methods of vesical training, 3 evaluating pharmacological interventions, 4 studying pelvic floor muscle training approaches and 9 aimed at other alternatives (such as urethral injections, weighted vaginal cone use, acupuncture, biostimulation and radiofrequency therapy). The reviews found that the evidence regarding the benefits of these diverse interventions ranged in quality from low to high. This review included 20 Cochrane systematic reviews that provided evidence (of diverse quality) for non-pharmacological interventions for patients with urinary incontinence. Moderate to high quality of evidence was found favoring the use of pelvic floor muscle training among women with urinary incontinence. To establish solid conclusions for all the other comparisons, further studies of good methodological quality are needed.
ISSN:1516-3180
1806-9460
1806-9460
DOI:10.1590/1516-3180.2017.039420122017