The Role Of Conservative Methods In The Today's Treatment of Urinary Incontinence
Abstract
Urinary incontinence (UI) is a condition that aggravates the performance status of the patient, decreases the quality of life, and has a high prevalence. When the incidence of urinary incontinence is observed, stress urinary incontinence (SUI) is the most common (49%), mixed urinary incontinence (MUI) is the second (29%) and urge urinary incontinence (UUI) (21%) is the least frequent in all ages.
Conservative methods are effective, well-tolerated, noninvasive, and safe treatment options for the treatment of UI. Conservative approaches can be summarized as lifestyle changes, bladder training, and pelvic floor muscle training (PFMT). PFMT includes biofeedback, vaginal pressure, PFM exercises, electrical stimulation (ES), electromagnetic stimulation (EMS). The goal of rehabilitation is to achieve urethral stability by increasing the strength of the pelvic floor muscles. These approaches can result in approximately 26% reduction in incontinence episodes.
This article was conducted by examining the latest international literature data available on this subject. In this article, it is aimed to give an overview of conservative treatment in patients diagnosed with urinary incontinence.
Keywords
References
- Referans1 Minassian VA, Drutz HP, Al‐Badr A. Urinary incontinence as a worldwide problem. International Journal of Gynecology & Obstetrics. 2003;82(3):327-338.
- Referans2 Rortveit G, Hannestad YS, Daltveit AK, Hunskaar S. Age-and type-dependent effects of parity on urinary incontinence: the Norwegian EPINCONT study. Obstetrics & Gynecology. 2001;98(6):1004-1010.
- Referans3 Bumsz PA, Pranikoff K, Nochajski TH, Hadley EC, Levy KJ, Ory MG. A comparison of effectiveness of biofeedback and pelvic muscle exercise treatment of stress incontinence in older community-dwelling women. Journal of Gerontology. 1993;48(4):M167-M174.
- Referans4 Abrams P, Cardozo L, Khoury S, Wein A. Third International Consultation on Incontinence; 2005 June 26-29; Mônaco [CD-ROM]. Monaco: International Continence Society. 2005.
- Referans5 Burgio KL, Locher JL, Goode PS. Combined behavioral and drug therapy for urge incontinence in older women. Journal of the American Geriatrics Society. 2000;48(4):370-374.
- Referans6 Davila GW, Guerette N. Current treatment options for female urinary incontinence--a review. International journal of fertility and women's medicine. 2004;49(3):102-112.
- Referans7 Holroyd-Leduc JM, Straus SE. Management of urinary incontinence in women: scientific review. Jama. 2004;291(8):986-995.
- Referans8 Dannecker C, Wolf V, Raab R, Hepp H, Anthuber C. EMG-biofeedback assisted pelvic floor muscle training is an effective therapy of stress urinary or mixed incontinence: a 7-year experience with 390 patients. Archives of Gynecology and Obstetrics. 2005;273(2):93.
Details
Primary Language
English
Subjects
-
Journal Section
Research Article
Authors
Merve Keskin Paker
*
Türkiye
Nermin Akdemir
Türkiye
Selçuk Özden
Türkiye
Arif Serhan Cevrioğlu
Türkiye
Mehmet Sühha Bostancı
Türkiye
Hilal Uslu Yuvacı
This is me
Türkiye
Publication Date
December 30, 2019
Submission Date
October 9, 2019
Acceptance Date
December 23, 2019
Published in Issue
Year 2019 Volume: 5 Number: 4