Efficacy of Supervised Pelvic Floor Muscle Training and Biofeedback vs Attention-control Treatment in Adults with Fecal Incontinence
Pelvic floor muscle training (PFMT) in combination with conservative treatment is recommended as first-line treatment for patients with fecal incontinence, although its efficacy is unclear. We investigated whether supervised PFMT in combination wsith conservative treatment is superior to attention-control massage treatment and conservative treatment in adults with fecal incontinence.
Authors: Joukhadar R, Radosa J, Paulus V, Hamza A, Solomayer EF, Herr D, Wöckel A, Baum S Abstract Introduction In the treatment of prolapse and incontinence, the choice of surgical procedure often depends not only on the clinical findings but also on the age of the patient. Uncertainty exists at present regarding the effect of patient age on treatment outcomes for both vaginal and laparoscopic procedures. The aim of this study is therefore to compare both the anatomical outcome after prolapse surgery and the functional outcome after incontinence surgery in the context of the treatment of stress urinary incont...
Publication date: 2019Source: European Urology Supplements, Volume 18, Issue 5Author(s): F. Salameh, O.E. O’Sullivan, B.A. O’Reilly
Editor's Summary by Howard Bauchner, MD, Editor in Chief of JAMA, the Journal of the American Medical Association, for the September 17, 2019 issue
Adding combination therapy to midurethral sling surgery in women with mixed urinary incontinence was not statistically significantly better compared with surgery alone, a study found.Medscape Medical News
NIH-funded study contrasts with current treatment guidelines.
CONCLUSION: Effective treatment of NBD improves the quality of life of patients and reduces the incidence of bladder disorders (LE 4). PMID: 31521507 [PubMed - as supplied by publisher]
Conclusion Most women have a gap in the knowledge of pelvic floor muscle dysfunctions, do not understand their treatment options, and are not able to identify risk factors for these disorders.Resumo Objetivos N ós investigamos se as mulheres possuem adequado nível de conhecimento sobre as principais disfunções do assoalho pélvico (incontinência urinária - IU, incontinência fecal - IF, e prolapso de órgãos pélvicos - POP). Fontes de dados Uma revisão sistemática foi realizada nas bases de dad os MEDLINE, PEDro, CENTRAL e Cochrane com pu...
This superiority trial compared behavioral and pelvic floor muscle therapy plus midurethral sling surgery with midurethral sling surgery alone in treating women with mixed urinary incontinence.
One in 6 women in the United States reports symptoms of moderate to severe urinary incontinence. The primary types are stress urinary incontinence, in which involuntary loss of urine occurs with effort or physical exertion, and urgency urinary incontinence, in which leakage is associated with a sensation of urgency. Of women with urinary incontinence, approximately one-third have mixed incontinence, that is, symptoms of both stress and urgency incontinence.
Conditions: Urinary Incontinence; Urgency Urinary Intervention: Drug: Oxybutynin, Solifenacin, Tolterodine, Sanctura or Toviaz Sponsors: Brigham and Women's Hospital; Medical University of Silesia Not yet recruiting