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What do Cochrane systematic reviews say about non-surgical interventions for urinary incontinence in women?
Costa, Anderson Adriano Leal Freitas da; Vasconcellos, Igor Martins; Pacheco, Rafael Leite; Bella, Zsuzsanna Ilona Katalin de Jármy Di; Riera, Rachel.
Afiliação
  • Costa, Anderson Adriano Leal Freitas da; Universidade Federal de São Paulo. Escola Paulista de Medicina. São Paulo. BR
  • Vasconcellos, Igor Martins; Universidade Federal de São Paulo. Escola Paulista de Medicina. São Paulo. BR
  • Pacheco, Rafael Leite; Universidade Federal de São Paulo. Escola Paulista de Medicina. São Paulo. BR
  • Bella, Zsuzsanna Ilona Katalin de Jármy Di; Universidade Federal de São Paulo. Escola Paulista de Medicina. São Paulo. BR
  • Riera, Rachel; Universidade Federal de São Paulo. Escola Paulista de Medicina. São Paulo. BR
Säo Paulo med. j ; 136(1): 73-83, Jan.-Feb. 2018. tab
Artigo em Inglês | LILACS-Express | LILACS | ID: biblio-904132
Biblioteca responsável: BR1.1
ABSTRACT
ABSTRACT

BACKGROUND:

Urinary incontinence is a highly prevalent condition that impacts self-esteem and overall quality of life. Many non-surgical treatment options are available, ranging from pharmacological approaches to pelvic exercises. We aimed to summarize the available evidence regarding these non-surgical interventions. DESIGN AND

SETTING:

Review of systematic reviews, conducted in the Discipline of Evidence-Based Medicine, Escola Paulista de Medicina, Universidade Federal de São Paulo (EPM-UNIFESP).

METHODS:

A sensitive search was conducted to identify all Cochrane systematic reviews that fulfilled the inclusion criteria. Titles and abstracts were screened by two authors.

RESULTS:

We included 20 Cochrane systematic reviews 4 assessing methods of vesical training, 3 evaluating pharmacological interventions, 4 studying pelvic floor muscle training approaches and 9 aimed at other alternatives (such as urethral injections, weighted vaginal cone use, acupuncture, biostimulation and radiofrequency therapy). The reviews found that the evidence regarding the benefits of these diverse interventions ranged in quality from low to high.

CONCLUSIONS:

This review included 20 Cochrane systematic reviews that provided evidence (of diverse quality) for non-pharmacological interventions for patients with urinary incontinence. Moderate to high quality of evidence was found favoring the use of pelvic floor muscle training among women with urinary incontinence. To establish solid conclusions for all the other comparisons, further studies of good methodological quality are needed.

Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: LILACS Idioma: Inglês Revista: Säo Paulo med. j Assunto da revista: Medicina Ano de publicação: 2018 Tipo de documento: Artigo País de afiliação: Brasil Instituição/País de afiliação: Universidade Federal de São Paulo/BR

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Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: LILACS Idioma: Inglês Revista: Säo Paulo med. j Assunto da revista: Medicina Ano de publicação: 2018 Tipo de documento: Artigo País de afiliação: Brasil Instituição/País de afiliação: Universidade Federal de São Paulo/BR
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