Lege Artis Medicinae

[Conservative treatment of female urinary incontinence]

MATÁNYI Sándor

MAY 20, 2003

Lege Artis Medicinae - 2003;13(04)

[Conservative treatment - lifestyle interventions, physical therapies, bladder retraining and devices - should be included in the counselling of incontinent women regarding treatment options. Obesity is an independent risk factor for the prevalence of urinary incontinence and weight loss would appear to be an acceptable treatment option for morbidly obese women. Chronic straining may also be risk factor for the development of urinary incontinence. Further research is needed to evaluate the effect of heavy exertion/exercise, smoking, caffeine and fluid intake on incontinence and whether their cessation can alleviate or prevent this condition. Specific pelvic floor muscle training targeted at women with genuine stress incontinence may optimise effectiveness and for those women with mixed and urge incontinence, it may be appropriate to offer pelvic floor muscle training in combination with bladder retraining. There is insufficient evidence to determine whether electrostimulation is better than no treatment for women with stress, mixed, or urge incontinence while bladder retraining is an effective treatment in these cases. The anti-incontinence extraurethral or intraurethral occlusive, and intravaginal supportive devices may be employed for initial and/or long term management and be used prior to or simultaneously with other forms of conservative therapy and if after other forms have failed in order to postpone or avoid surgery or following unsuccessful surgical intervention.]

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