Systematic review and economic modelling of the effectiveness and cost-effectiveness of non-surgical treatments for women with stress urinary incontinence

Abstract

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Pelvic floor muscle exercise as the best stress urinary incontinence prevention method in women practising competitive sport

“…PFMT conducted more intensively, or with extra sessions or biofeedback (BF) turned out to be the most effi cient and received the highest recommendation level -Ia. In conclusion, the authors stated the necessity of performing further well-designed studies involving large groups in order to defi ne the optimal form of more intensive therapy [47].…”

“…Ćwiczenia mięśni dna miednicy (PFMT) uprawiane w sposób bardziej intensywny, albo przez dodatkowe sesje lub biofeedback (BF) okazały się być najbardziej skuteczne i zyskały najwyższy poziom rekomendacji Ia. Podsumowując, autorzy stwierdzili konieczność powadzenia dalszych badań dobrze zaprojektowanych i na dużych grupach, aby określić optymalną formę bardziej intensywnej terapii [47].…”

Prevalence and factors associated with urinary incontinence in climacteric

“…15 It is thus clear that, although the disease does not constitute risk for women, 16 UI promotes significant impact on their quality of life and the health system in Brazil. 17 Therefore, it is important to know the factors associated with the appearance of the UI, aiming to develop prevention strategies in primary health care.…”

Effectiveness of an illustrated home exercise guide on promoting urinary continence during pregnancy: a pragmatic randomized clinical trial

“…Além do impacto positivo para a saúde da população feminina, a incorporação do MOF na atenção primária à saúde poderia diminuir a quantidade de encaminhamentos para o nível secundário, proporcionando maior agilidade na resolutividade dos casos e reduzindo o tempo de espera das mulheres que realmente necessitam de consulta especializada. E mais, em um sistema de saúde em que há enorme necessidade de maior racionalidade nos gastos, devido à grande demanda de serviços associada à escassez de recursos, o melhor custo-efetividade dos programas de TMAP, quando comparados aos tratamentos cirúrgicos e medicamentosos para a IU 32 , poderia ter implicações econômicas positivas para o Sistema Único de Saúde (SUS).…”