PHYSIOTHERAPY IN TREATING URINARY INCONTINENCE IN WOMEN
Authors:
Jan Krhut 1,2; Romana Holaňová 3; Marcel Gärtner 4; David Míka 1,2
Authors‘ workplace:
Urologické oddělení, FN Ostrava
1; Katedra chirurgických oborů LF OU Ostrava
2; Klinika léčebné rehabilitace, FN Ostrava
3; Gynekologicko-porodnická klinika LF OU a FN Ostrava
4
Published in:
Ces Urol 2015; 19(2): 131-136
Category:
Review article
Overview
Urinary incontinence is one of the most common health problems especially in the female population. Globally hundreds of millions of people suffer from urinary incontinence. Over the last two decades, we have witnessed a growing interest in this field by both health care professionals and the general public. The main two forms of incontinence are stress urinary incontinence and urge incontinence. Physiotherapy played in the treatment of incontinence always rather marginal role and traditionally was recommended only for the treatment of stress urinary incontinence. This paper presents a new perspective on the role of physiotherapy in the treatment of urinary incontinence. Thanks to advances our knowledge in recent years, physical therapy is now regarded as a fully-fledged and widely applicable method of treatment for both stress and urinary incontinence, as well as an overactive bladder (symptom complex characterized by urgency, with or without urge incontinence, usually associated with frequency).
Key words:
Stress urinary incontinence, overactive blader, physiotherapy, pelvic floor muscles, behavioral treatment.
Sources
1. Ghoniem G, Corcos J, Comiter C, et al. Cross-linked polydimethylsiloxane injection for stress urinary incontinence: results of a multicenter, randomized, controlled, single-blind study. J Urol 2009; 181: 204–210.
2. Abrams P, Cardozo L, Khoury S, Wein A. Incontinence. 5th International Consultation on Incontinence. Paris, 2013.
3. Kegel AH. Progressive resistance exercise in the functional restoration of the perineal muscles. Am J Obstet Gyn 1948; 56: 238–248.
4. Lagro-Janssen TLM, Debruyne FM, Smits AJ, van Weel C. Controlled trial of pelvic floor exercises in the treatment of urinary stress incontinence in general practice. Br J Gen Pract 1991; 41: 445–449.
5. Burgio KL, Robinson JC, Engel BT. The role of biofeedback in Kegel exercise training for stress urinary incontinence. Am J Obstets Gynaecol 1986; 154: 58–64.
6. de Kruif ZP, van Hegen EEH. Pelvic floor muscle exercise therapy with myofeedback for women with stress urinary incontinence: a meta-analysis. Physiotherapy 1996; 82: 107–113.
7. Fall M, Ahlstrom K, Carlson CA. Contelle: Pelvic floor stimulator for female urge – stress incontinence: A multicenter study. Urology 1986; 27: 282–287.
8. Plevnik S. New method for testing and strengthening of pelvic floor muscles. Proceedings of 15th Annual Meeting of the International Continence Society, 1985, London: Blackwell Science; 1985: 267–268.
9. Miller JM, Ashton-Miller J, De Lancey JOL. The Knack: use of precisely-timed pelvic muscle contraction can reduce leakage in SUI. Neurourol Urodyn 1996; 15: 392–393.
10. Miller JM, Sampselle C, Ashton-Miller J, Hong JR, De Lancey JO. Clarification and confirmation of the Knack maneuver: the effect of volitional pelvic floor Musile contraction to preempt expected stress incontinence. Int Urogynecol J Pelvic Floor Dysfunct 2008; 19 (6): 773–782.
11. Barrington FJF. The nervous mechanism of micturition. Q J Exp Physiol 1914; 8: 33.
12. Mašata J, Martan A, Halaška M, Otčenášek M. Ultrasound imaging of urethral funneling. Neurourol Urodyn 1999; 18: 317.
13. Shafik A, Shafik IA. Overactive bladder inhibition in response to pelvic floor muscle exercises. World J Urol 2003; 20: 374.
14. Petros P, Ulmsten U. An integral theory and its method for the diagnosis and management of female urinary incontinence. Scand J Urol Nephrol 1993; 153 (Suppl): 1.
15. DeLancey J. The pubovesical ligament, a separate structure from the urethral supports (Pubo-urethral ligaments). Neurourol Urodyn 1989; 8: 53.
16. DeLancey J. Anatomy and biomechanice of genital prolapse. Clin Ob Gyn 1993; 36: 897.
17. Hahn I, Sommar S, Fall M. Urodynamic assesment of pelvic floor training. World J Urol 1991; 9: 162.
18. Bo K, Talseth T, Holme I. Single blind, randomised controlled trial of pelvic floor exercises, electrical stimulation, vaginal cones and no treatment in management of genuine stress incontinence in women. BMJ 1999; 318: 487–493.
19. Krhut J, Holaňová R, Muroňová I. „Ostravský koncept“ fyzioterapie v léčbě močové inkontinence. Rehab. fyz. Lék. 2005; 12: 122–128.
Labels
Paediatric urologist Nephrology UrologyArticle was published in
Czech Urology
2015 Issue 2
Most read in this issue
- NEW TRENDS IN RENAL ANGIOMYOLIPOMAS THERAPY
- LIPOSARCOMA AND GANGLIONEUROMA AS PRIMARY RETROPERITONEAL TUMOURS
- TUMOR GLANS AS A CLINICAL MANIFESTATION OF PLASMABLASTIC LYMPHOMA
- PHYSIOTHERAPY IN TREATING URINARY INCONTINENCE IN WOMEN