Conservative Management of Urinary Incontinence

Farrell, Scott A.; Easton, William; Epp, Annette; Girouard, Lise; Gupta, Chandra; Lajoie, François; Lovatsis, Danny; MacMillan, Barry; Robert, Magali; Ross, Sue; Schachter, Joyce; Schulz, Jane; Wilkie, David

doi:10.1016/s1701-2163(16)32326-x

Cited by 30 publications

(13 citation statements)

References 26 publications

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“…Recommendations for behavioural interventions in the treatment of OAB and UI have been published by the International Consultation on Incontinence (38), the American College of Obstetricians and Gynecologists (39), the Society of Obstetricians and Gynaecologists of Canada (40), the United Kingdom's National Institute for Health and Excellence (41) and the United States' National Institutes of Health (42). Behavioural interventions are well suited to the primary care setting and can be conceptually divided into two categories: the first category includes habits that may be modified to alleviate bladder symptoms or promote bladder health and the second includes training techniques aimed at teaching skills to control the symptoms of bladder dysfunction ( Table 1).…”

Section: Behavioural Interventionsmentioning

confidence: 99%

Practical aspects of lifestyle modifications and behavioural interventions in the treatment of overactive bladder and urgency urinary incontinence

Wyman

Burgio

Newman

2009

International Journal of Clinical Practice

182

158

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Behavioural interventions are effective treatments for overactive bladder (OAB) and urgency urinary incontinence (UUI). They are in part aimed at improving symptoms with patient education on healthy bladder habits and lifestyle modifications, including the establishment of normal voiding intervals, elimination of bladder irritants from the diet, management of fluid intake, weight control, management of bowel regularity and smoking cessation. Behavioural interventions also include specific training techniques aimed at re-establishing normal voiding intervals and continence. Training techniques include bladder training, which includes a progressive voiding schedule together with relaxation and distraction for urgency suppression, and multicomponent behavioural training, which, in conjunction with pelvic floor muscle (PFM) exercises, includes PFM contraction to control urgency and increase the interval between voids. Guidelines for the conservative treatment of OAB and UUI have been published by several organisations and the physiological basis and evidence for the effectiveness of behavioural interventions, including lifestyle modifications, in the treatment of OAB and UUI have been described. However, many primary care clinicians may have a limited awareness of the evidence supporting the often straight-forward treatment recommendations and guidance for incorporating behavioural interventions into busy primary care practices, because most of this information has appeared in the specialty literature. The purpose of this review is to provide an overview of behavioural interventions for OAB and UUI that can be incorporated with minimal time and effort into the treatment armamentarium of all clinicians that care for patients with bladder problems. Practical supporting materials that will facilitate the use of these interventions in the clinic are included; these can be used to help patients understand lifestyle choices and voiding behaviours that may improve function in patients experiencing OAB symptoms and/or UUI as well as promote healthy bladder behaviours and perhaps even prevent future bladder problems. Interventions for stress urinary incontinence are beyond the scope of this review.

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Section: Behavioural Interventionsmentioning

confidence: 99%

Practical aspects of lifestyle modifications and behavioural interventions in the treatment of overactive bladder and urgency urinary incontinence

Wyman

Burgio

Newman

2009

International Journal of Clinical Practice

182

158

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“…ES is a therapeutic option for patients with UI and based on the application of electrical impulses to the peripheral nerves [63]. In 1963, ES of the muscles of the pelvic floor was first offered by Caldwell to address urinary and faecal incontinence.…”

Section: Electrical Stimulationmentioning

confidence: 99%

“…It is necessary to partially or totally innervate the pudendal nerve so that nerve stimulation can occur [70,71]. The advantage of this therapy is that it does not ask for voluntary patient effort; however, the passive muscle contractions are generally weaker than the voluntary ones [63].…”

Section: Electrical Stimulationmentioning

confidence: 99%

“…Plevnik introduced the usage of VCs in 1985 [98]. His aim was to strengthen PFMs with the VCs by inserting them in the vagina higher to the pelvic floor musculature [63]. Theoretically, when a cone is placed in the vagina, the PFMs need to be contracted to prevent the cone slipping out [96].…”

Section: Vaginal Conesmentioning

confidence: 99%

“…In order to keep the cone inside the vagina, these muscles are needed to be contracted. Same sized but different weighted set of VCs are given to the patient and she is asked to insert a cone of increasingly heavier weight until she can hold the earlier lighter one [61,63]. Developing muscular overload is provided by the cones.…”

Section: Vaginal Conesmentioning

confidence: 99%

See 2 more Smart Citations

Physiotherapy in Women with Urinary Incontinence

Özdemir¹,

Sürmeli²

2017

Synopsis in the Management of Urinary Incontinence

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Urinary incontinence is a complex and serious condition that can affect all age groups around the world. It is not only a serious medical condition but also an undeniable psychosocial problem creating embarrassment and negative self-perception, and it has a severe impact on a patient's quality of life. Today, there are wide different treatment options in urinary incontinence from surgery to conservative modalities. Among these, conservative management approaches are recommended as the first-line treatment to manage with urinary incontinence. The choice of the most suitable option to treat for urinary incontinence differs according to the underlying pathophysiological mechanism defining subtypes of urinary incontinence and severity of symptoms. In this chapter, we addressed the different components of physiotherapy management of urinary incontinence, including pelvic floor muscle training, electrical stimulation, biofeedback, vaginal cones, mechanical devices and magnetic stimulation. We concluded that the optimal physiotherapy care should be individualised to ensure applicability the clinic setting for each patient.

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Office Management of Female Pelvic Floor Dysfunction

Kostant

Moen

2018

Ambulatory Gynecology

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Conservative Management of Urinary Incontinence

Cited by 30 publications

References 26 publications

Practical aspects of lifestyle modifications and behavioural interventions in the treatment of overactive bladder and urgency urinary incontinence

Practical aspects of lifestyle modifications and behavioural interventions in the treatment of overactive bladder and urgency urinary incontinence

Physiotherapy in Women with Urinary Incontinence

Office Management of Female Pelvic Floor Dysfunction

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