Document Detail


Pelvic floor exercise for urinary incontinence: a systematic literature review.
MedLine Citation:
PMID:  20828949     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Urinary incontinence is a common problem among adults and conservative management is recommended as the first-line treatment. Physical therapies, particularly pelvic floor muscle exercise, are the mainstay of such conservative management. The purpose of this review is to summarise current literature and describe trends in the use of pelvic floor muscle exercise in the management of urinary incontinence in women. Our review confirms that pelvic floor muscle exercise is particularly beneficial in the treatment of urinary stress incontinence in females. Studies have shown up to 70% improvement in symptoms of stress incontinence following appropriately performed pelvic floor exercise. This improvement is evident across all age groups. There is evidence that women perform better with exercise regimes supervised by specialist physiotherapists or continence nurses, as opposed to unsupervised or leaflet-based care. There is evidence for the widespread recommendation that pelvic floor muscle exercise helps women with all types of urinary incontinence. However, the treatment is most beneficial in women with stress urinary incontinence alone, and who participate in a supervised pelvic floor muscle training programme for at least three months.
Authors:
Natalia Price; Rehana Dawood; Simon R Jackson
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Publication Detail:
Type:  Journal Article; Review     Date:  2010-09-15
Journal Detail:
Title:  Maturitas     Volume:  67     ISSN:  1873-4111     ISO Abbreviation:  Maturitas     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-11-29     Completed Date:  2011-05-11     Revised Date:  2012-04-23    
Medline Journal Info:
Nlm Unique ID:  7807333     Medline TA:  Maturitas     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  309-15     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.
Affiliation:
Department of Obstetrics and Gynaecology, John Radcliffe Hospital, Oxford, UK. natalia.price@doctors.org.uk
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MeSH Terms
Descriptor/Qualifier:
Exercise Therapy*
Female
Humans
Pelvic Floor
Urinary Incontinence / therapy*
Urinary Incontinence, Stress / therapy
Comments/Corrections
Comment In:
J Urol. 2012 Apr;187(4):1353-4   [PMID:  22423926 ]

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