Conservative management for female urinary incontinence and pelvic organ prolapse review 2013: Summary of the 5th International Consultation on Incontinence

Chantale Dumoulin; Kathleen F Hunter; Katherine Moore; Catherine S Bradley; Kathryn L Burgio; S Hagen; M Imamura; R Thakar; K Williams; T Chambers

doi:10.1002/nau.22677

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Conservative management for female urinary incontinence and pelvic organ prolapse review 2013: Summary of the 5th International Consultation on Incontinence

Journal article

Peer reviewed

Conservative management for female urinary incontinence and pelvic organ prolapse review 2013: Summary of the 5th International Consultation on Incontinence

Chantale Dumoulin, Kathleen F Hunter, Katherine Moore, Catherine S Bradley, Kathryn L Burgio, S Hagen, M Imamura, R Thakar, K Williams and T Chambers

Neurourology and urodynamics, Vol.35(1), pp.15-20

01/2016

DOI: 10.1002/nau.22677

PMID: 25400065

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Abstract

The objective of the 5th International Consultation on Incontinence (ICI) chapter on Adult Conservative Management was to review and summarize the new evidence on conservative management of urinary incontinence (UI) and pelvic organ prolapse (POP) in order to compile a current reference source for clinicians, health researchers, and service planners. In this paper, we present the review highlights and new evidence on female conservative management. Revision and updates of the 4th ICI Report using systematic review covering years 2008-2012. Each section begins with a brief definition and description of the intervention followed by a summary, where possible, of both the state and level of evidence for prevention and treatment, and ends with a "grade of recommendation." The paper concludes with areas identified as requiring further research. For UI, there are no prevention trials on lifestyle interventions. There are, however, few new intervention trials of lifestyle interventions involving weight loss and fluid intake with improved levels of evidence and grade of recommendation. Outside of pre- and post-natal pelvic floor muscle training (PFMT) trials for the prevention of female UI, there is a dearth of PFMT prevention trials for women with UI. PFMT remains the first-line treatment for female UI with high levels of evidence and grades of recommendation. Bladder training levels of evidence and grades of recommendation are maintained. For POP, new evidence supports the effectiveness of physiotherapy in the treatment of POP and there are now improved levels of evidence and grades of recommendation. Neurourol. Urodynam. 35:15-20, 2016. © 2014 Wiley Periodicals, Inc.

Life Style

Urinary Incontinence - physiopathology

Pelvic Organ Prolapse - physiopathology

Pelvic Floor - physiopathology

Humans

Physical Therapy Modalities

Urinary Incontinence - therapy

Biofeedback, Psychology

Female

Pelvic Organ Prolapse - therapy

Exercise Therapy

Details

Title: Subtitle: Conservative management for female urinary incontinence and pelvic organ prolapse review 2013: Summary of the 5th International Consultation on Incontinence
Creators: Chantale Dumoulin - School of Rehabilitation, Faculty of Medicine, University of Montreal and Centre de recherche, Institut universitaire de gériatrie de Montréal, Montreal, Quebec, Canada
Kathleen F Hunter - Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada
Katherine Moore - Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada
Catherine S Bradley - Departments of Obstetrics and Gynecology, Urology and Epidemiology, University of Iowa, Iowa City, Iowa
Kathryn L Burgio - Department of Medicine, University of Alabama at Birmingham and Birmingham/Atlanta Geriatric Research, Education, and Clinical Center, Department of Veterans Affairs, Birmingham, Alabama
S Hagen - Nursing, Midwifery and Allied Health Professions Research Unit, Glasgow Caledonian University, Glasgow, Scotland, United Kingdom
M Imamura - Division of Applied Health Sciences, University of Aberdeen, Aberdeen, Scotland, United Kingdom
R Thakar - Croydon Urogynaecology and Pelvic Floor Reconstruction Unit, Croydon, University Hospital, Thornton Heath, London, United Kingdom
K Williams
T Chambers - Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada
Resource Type: Journal article
Publication Details: Neurourology and urodynamics, Vol.35(1), pp.15-20
DOI: 10.1002/nau.22677
PMID: 25400065
NLM abbreviation: Neurourol Urodyn
ISSN: 0733-2467
eISSN: 1520-6777
Publisher: United States
Grant note: NMAHP2 / Chief Scientist Office
Comment: Heinz Koelbl led the peer‐review process as the Associate Editor responsible for the paper. Potential conflicts of interest: Dr. Bradley reports grants from NIH and Dept Veterans Administration, outside the submitted work. Dr. Hunter reports grants from Allergan, outside the submitted work.
Language: English
Date published: 01/2016
Academic Unit: Epidemiology; Obstetrics and Gynecology; Urology
Record Identifier: 9983930344002771

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