Conservative treatment for female stress urinary incontinence:

Friedman, Boris

doi:10.5489/cuaj.375

Cited by 7 publications

(5 citation statements)

References 15 publications

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“…This pattern may be accounted for by recent recommendations for early SUI to be treated conservatively, and often in primary care . Nonsurgical management of SUI has been demonstrated to be beneficial, cost‐effective and have minimal side effects in the years since the introduction of the MUS . Since 2010, NICE, the Canadian Urological Association and American College of Obstetrics and Gynaecology have amended their guidelines for SUI to emphasise the role of conservative and pharmaceutical management in low‐risk patients prior to offering surgery.…”

Section: Discussionmentioning

confidence: 99%

“…Since 2010, NICE, the Canadian Urological Association and American College of Obstetrics and Gynaecology have amended their guidelines for SUI to emphasise the role of conservative and pharmaceutical management in low‐risk patients prior to offering surgery. Conservative treatment (such as pelvic floor exercises) and lifestyle modifications are now recommended as first line treatment for women with SUI and can temporarily or permanently delay surgical management . As a result, patients with a mild first presentation of SUI are likely to be treated nonsurgically initially, and only escalated to MUS once these measures have failed .…”

Section: Discussionmentioning

confidence: 99%

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Age-stratified trends in 20 years of stress incontinence surgery in Australia

Brown

King

2016

Aust N Z J Obstet Gynaecol

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Age-stratified trends in 20 years of stress incontinence surgery in Australia

Brown

King

2016

Aust N Z J Obstet Gynaecol

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“…Thus far, several studies [19,20,21] have distinguished between conservative treatment and surgical treatment. A conservative treatment is usually used for SUI and several types exist, such as pelvic floor muscle training (PFMT), biofeedback physical therapy, vaginal cones or electro-stimulation.…”

Section: Introductionmentioning

confidence: 99%

What Pelvic Floor Muscle Training Load is Optimal in Minimizing Urine Loss in Women with Stress Urinary Incontinence? A Systematic Review and Meta-Analysis

García-Sánchez

Ávila-Gandía

López-Román

et al. 2019

IJERPH

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Pelvic floor muscle training is commonly used for urine loss. However, research studies have not determined which training load is the most effective for women with stress urinary incontinence (SUI). Moreover, none of the previous reviews or studies have described the total effectiveness of pelvic floor muscle training (PFMT) with an objective test such as the pad test. The objectives were to analyze the effectiveness of pelvic floor muscle training in women with SUI and to determine which training load produces the greatest adaptations for decreasing urine loss. The search was conducted in three databases (PubMed, Web of Science and Cochrane), for randomized controlled trials (RCTs) that evaluated the effects of PFMT. Studies were included if they met the following criteria: participants were women; were older than 18; had SUI; were treated with PFMT; and the assessments of the effects were measured with a pad test. Finally, 10 articles (293 women) analyzed the pad test in women with SUI who performed PFMT. The meta-analysis showed that PFMT, independent of the protocol used in the study, resulted in decreased urine loss in women suffering from SUI. However, for large effects, the program should last 6–12 weeks, with >3 sessions/week and a length of session <45 min.

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“…Currently, the suggested first-line treatments for SUI are pelvic floor muscle training (PFMT), weight loss and, in some cases, pharmacological agents (such as Duloxetine) [9,10]. Many patients will move on to surgical treatment if they do not respond to first-line treatments.…”

Section: Introductionmentioning

confidence: 99%

Is There Outcome Reporting Heterogeneity in Trials That Aim to Assess the Effectiveness of Surgical Treatments for Stress Urinary Incontinence in Women?

Cheung

Farag

MacLennan

et al. 2021

European Urology Focus

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Context: Inconsistent outcome reporting of effectiveness outcomes in surgical trials of stress urinary incontinence (SUI) has hindered direct comparisons of various surgical treatments for SUI.Objective: To systematically review the verbatim outcome names; outcome definitions and tools used to measure the outcomes in surgical trials of SUI in women. Evidence acquisition: Trials of women with SUI who have undergone surgical interventions were included. We conducted a systematic review (SR) on outcomes reported in RCTs of surgical management published in 2014-2019, covering the following database: MEDLINE, EMBASE, CENTRAL and CDSR. Verbatim outcome names extracted from the included studies were categorized, and then grouped into domains using the Williamson-Clarke (W/C) outcome taxonomy. A matrix was also created to visualize and quantify the dimensions of outcome reporting heterogeneity in SUI trials.Evidence synthesis: A total of 844 verbatim outcome names was extracted, of which, 514 variated terms were reduced to 71 standardized outcome names. They were further categorized into 11 domains from the W/C taxonomy. There were 7.24 different terms on average to describe each outcome, and the four outcomes with the most heterogeneity evident in terms used to describe them were "Urinary retention", "Reoperation", "Subjective cure rate" and "Quality of Life". Each of them had 20 or more different terms. Only 28% of the outcome definitions were reported, and a variety of measuring tools was noted, particularly in subjective outcomes. High heterogeneity was found in the outcome names; outcome definitions; choice and number of measuring instruments of the outcomes; choice and number of outcomes reported across studies. Conclusions:This SR provides objective evidence of heterogeneity in outcome reporting in SUI surgical trials. Our categorization of outcomes highlights the difficulties in summarising the current evidence base. A core outcome set, developed using the methods advocated by the COMET and COSMIN initiatives is required.

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Conservative treatment for female stress urinary incontinence:

Cited by 7 publications

References 15 publications

Age-stratified trends in 20 years of stress incontinence surgery in Australia

Age-stratified trends in 20 years of stress incontinence surgery in Australia

What Pelvic Floor Muscle Training Load is Optimal in Minimizing Urine Loss in Women with Stress Urinary Incontinence? A Systematic Review and Meta-Analysis

Is There Outcome Reporting Heterogeneity in Trials That Aim to Assess the Effectiveness of Surgical Treatments for Stress Urinary Incontinence in Women?

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