J Kerdraon1, P Denys. 1. Centre mutualiste de Kerpape, BP 78, 56275 Ploemeur cedex, France. jkerdraon@kerpape.mutualite56.fr
Abstract
OBJECTIVES: To synthethise evidence based results related to non surgical management for urinary incontinence in women. MATERIALS AND METHODS: Electronic search in Pubmed, Cinahl, Cochrane Library, National Library for Health. RESULTS: There were 72 randomized control studies and 8 reviews from the Cochrane Library. CONCLUSION: Moderate to high levels of evidence suggest that pelvic muscle training and bladder training may resolve urinary incontinence in women. A weight loss program from obesity state improve urinary continence. The effects of electrical stimulation of pelvic floor, oestrogene therapy were inconstant or inhomogeneous. Duloxetine may improve continence and quality of life but it's range in therapeutic algorithm is still to be defined.
OBJECTIVES: To synthethise evidence based results related to non surgical management for urinary incontinence in women. MATERIALS AND METHODS: Electronic search in Pubmed, Cinahl, Cochrane Library, National Library for Health. RESULTS: There were 72 randomized control studies and 8 reviews from the Cochrane Library. CONCLUSION: Moderate to high levels of evidence suggest that pelvic muscle training and bladder training may resolve urinary incontinence in women. A weight loss program from obesity state improve urinary continence. The effects of electrical stimulation of pelvic floor, oestrogene therapy were inconstant or inhomogeneous. Duloxetine may improve continence and quality of life but it's range in therapeutic algorithm is still to be defined.