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

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

Author Leal Freitas da Costa, Anderson Adriano Autor UNIFESP Google Scholar
Vasconcellos, Igor Martins Autor UNIFESP Google Scholar
Pacheco, Rafael Leite Autor UNIFESP Google Scholar
Katalin de Jarmy di Bella, Zsuzsanna Ilona Autor UNIFESP Google Scholar
Riera, Rachel Autor UNIFESP Google Scholar
Abstract BACKGROUND: 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. DESIGN AND SETTING: Review of systematic reviews, conducted in the Discipline of Evidence-Based Medicine, Escola Paulista de Medicina, Universidade Federal de Sao Paulo (EPM-UNIFESP). METHODS: A sensitive search was conducted to identify all Cochrane systematic reviews that fulfilled the inclusion criteria. Titles and abstracts were screened by two authors. RESULTS: 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. CONCLUSIONS: 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.
Keywords Review
Evidence-based medicine
Evidence-based practice
Urinary incontinence
xmlui.dri2xhtml.METS-1.0.item-coverage Sao Paulo
Language English
Date 2018
Published in Sao Paulo Medical Journal. Sao Paulo, v. 136, n. 1, p. 73-83, 2018.
ISSN 1516-3180 (Sherpa/Romeo, impact factor)
Publisher Associacao Paulista Medicina
Extent 73-83
Origin http://dx.doi.org/10.1590/1516-3180.2017.039420122017
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000428567400011
URI https://repositorio.unifesp.br/handle/11600/53789

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