Clinical practice guidelines for the initial management of urinary incontinence in women: a European‐focused review

Viktrup, Lars; Summers, Kent H.; Dennett, Susan L.

doi:10.1111/j.1464-410x.2004.04810.x

Cited by 15 publications

(6 citation statements)

References 40 publications

(41 reference statements)

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“…The Third International Consultation on Incontinence have produced a treatment algorithm recommending the initial management of urinary incontinence in general practice, using lifestyle interventions, conservative treatments such as pelvic floor muscle exercises and bladder training, and pharmacological interventions for some forms of urinary incontinence (19). However, guidelines for the initial management of women with UI and the types of clinicians involved in their care vary in different European countries depending on their healthcare systems and standards of practice (20).…”

Section: Introductionmentioning

confidence: 99%

The role of general practitioners in the initial management of women with urinary incontinence in France, Germany, Spain and the UK

O'Donnell

Viktrup

Hunskaar

2007

European Journal of General Practice

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Section: Introductionmentioning

confidence: 99%

The role of general practitioners in the initial management of women with urinary incontinence in France, Germany, Spain and the UK

O'Donnell

Viktrup

Hunskaar

2007

European Journal of General Practice

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“…KHQ is a recommended tool by European Clinical Practice Guidelines. 26 King"s Health Questionnaire (KHQ) was formulated by Dr. C. J. Kelleher (along with his colleagues Dr. V. Khullar, Dr. S. Salvator under the guidance of professor Dr. L. D. Cardozo) in 1997 during his tenure as senior registrar in department of urogynaecolgy, King"s College, London. The final version of the questionnaire was the result of six different pilot studies, after testing for validity and reliability using standard psychometric techniques.…”

mentioning

confidence: 99%

Understanding King's Health Questionnaire (KHQ) in assessment of female urinary incontinence

2015

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(UI) in women, according to International Continence Society (ICS) refers to an involuntary, uncontrollable, unwitting leakage of urine causing physical discomfort and problems due to maintenance of feminine hygiene. 1 Urinary incontinence in elderly women is one of the common problems and nearly one third of women face continence problems during their life. 2 Although not life threatening by itself, urinary incontinence brings about distress, anxiety, loss of self-esteem and affects woman"s social, cultural, marital, domestic, physical, psychological and sexual wellbeing. 3 When the symptoms are severe, the affected women are forced to give up many aspects of their lifestyles, retire from social interactions, develop pessimistic attitudes and confine themselves to four walls of the house and some even develop gynaecological problems such as stress related secondary amenorrhoea. 4 Though considered as a problem of older and multiparous women, in recent years urinary incontinence has been reported even in young women involved in sports activity ABSTRACT Urinary incontinence has emerged as one of the leading medical problems for the geriatric population worldwide. Women are affected physically, mentally and socially and face embarrassment, depression and isolation. Increased life expectancy further adds to the prevalence of the condition and social, economic and health care burden. Although not sinister by itself, urinary incontinence has a profound impact on a woman"s quality of life and warrants appropriate management. The efficacy of interventional procedures is measured by the caregiver mainly by improvement in urodynamic parameters. However, these gadgets do not assess the individual's satisfaction and feeling of wellbeing following the therapeutic intervention. Several generic QoL tools have been developed in an attempt to quantify these changes. But ironically, generic QoL questionnaires lack precision when applied to subjects with specific disease condition. In the context of female urinary problems, various QoL tools have been designed and investigated. King"s Health Questionnaire (KHQ), which was formulated as early as 1997 by the group of researchers from King"s College Hospital London still enjoys popularity till today, because of its strong psychometric properties, ease of administration and it adds objectivity to patient"s subjective symptoms. However, the available information about KHQ is somewhat inadequate for the novice research scholar. The following brief essay aims at easy understanding of implementation, documentation, analysis and interpretation of King"s Health Questionnaire in research settings.

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“…The Kings Health Questionnaire (KHQ) is a patient self-administered, self-reporting tool composed of three parts of 21 items that identifies features such as limitations in performing daily activities, social relationships, emotions, sleep, and energy. It is a validated questionnaire recommended by the European Clinical Practice Guidelines to assess the QoL of patients with UI [ 37 ].…”

Section: Resultsmentioning

confidence: 99%

Effectiveness of Pelvic Floor Muscle Training on Quality of Life in Women with Urinary Incontinence: A Systematic Review and Meta-Analysis

Curillo-Aguirre,

Gea-Izquierdo

2023

Medicina

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Background and Objectives: Urinary incontinence (UI) is a condition that is more common in women than men and has an increasing prevalence with age. It provides a range of psychological and physical burdens that negatively affect the patient’s quality of life (QoL). However, the economic burden for the healthcare system is being augmented due to the increasing life expectancy of the population. This article aims to identify the effectiveness of pelvic floor muscle training (PFMT) on the QoL in women with UI. Materials and Methods: A systematic review and meta-analysis were conducted in the PubMed, EMBASE, ProQuest medicine, Cochrane Library, and Google Scholar databases. The terms selected according to components of PICOS were women with urinary incontinence, pelvic floor muscle training, watchful or other types of therapies, quality of life, randomized controlled trials, and interventional or observational studies. The articles included were those published between November 2018 and November 2022. Ten articles were found for the systematic review and eight for the meta-analysis. Results: The QoL moderately increased when PFMT was used on women with UI, the results indicating an overall small effect on the QoL across the controlled studies and a moderate effect on the QoL across the one-group pre-post-studies. Conclusions: Specific QoL domains, such as social activities and general health, also demonstrated benefits from PFMT interventions. This study confirmed the effectiveness of PFMT on the QoL in women with UI, mainly for patients with stress urinary incontinence.

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Clinical practice guidelines for the initial management of urinary incontinence in women: a European‐focused review

Cited by 15 publications

References 40 publications

The role of general practitioners in the initial management of women with urinary incontinence in France, Germany, Spain and the UK

The role of general practitioners in the initial management of women with urinary incontinence in France, Germany, Spain and the UK

Understanding King's Health Questionnaire (KHQ) in assessment of female urinary incontinence

Effectiveness of Pelvic Floor Muscle Training on Quality of Life in Women with Urinary Incontinence: A Systematic Review and Meta-Analysis

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