Surgery shows first-line potential for stress urinary incontinence
The authors of a head-to-head study say that surgery should be considered as a first-line option for women with stress urinary incontinence, ahead of physiotherapy.
ConclusionThis study provides new evidence that endometrial cancer survivors can improve the severity of their UI following an in-home rehabilitation program, including the use of a mobile technology. This mode of delivery has the potential to address a gap in access to pelvic floor physiotherapy services for survivors of EC living in rural and remote communities.
Eur J Obstet Gynecol Reprod Biol. 2021 Jul 28;264:314-317. doi: 10.1016/j.ejogrb.2021.07.048. Online ahead of print.ABSTRACTOBJECTIVES: Obstetric Anal Sphincter Injury (OASI) is associated with significant morbidity in the form of pelvic floor dysfunction, both in the immediate period of healing and long term. The aim of this study was to determine the prevalence of urinary, anorectal and sexual symptoms arising from OASI within 6 weeks after delivery at their first physiotherapy appointment (immediate postnatal) and 3-6 months after delivery following completion of physiotherapy (intermediate postnatal). Symptom prevalenc...
AbstractIntroduction and hypothesisThe efficacy of physiotherapy for postpartum lower urinary tract symptoms (LUTS) has attracted considerable research interest. In the current study we evaluated the efficacy and safety of pelvic floor muscle training (PFMT) combined with biofeedback (BF), electrical stimulation (ES) therapy, or both for postpartum LUTS.MethodsPUBMED, EMBASE, Web of Science, Cochrane Library, Chinese Biomedical Literature Database, China National Knowledge Infrastructure, Chinese Science and Technique Journals Database, and Wanfang databases were searched from inception to December 2020. Eligible randomize...
This study closes a gap, as voluntary PFM pre-contraction (the Knack) has not yet been included in the physiotherapeutic treatment of SUI, and if shown successful could be implemented in clinical practice.Trial registrationClinicalTrials.govNCT03722719. Registered on October 29, 2018. Study protocol version 1.Was this trial prospectively registered? YesFunded by: The present study did not receive funding.Anticipated completion date: The anticipated trial commencement and completion dates are October 2018 and October 2021, respectively.Provenance: Not invited. Peer reviewed.Human research ethics approval committee: Re...
ConclusionThis study presents novel data on low re-presentation rates in the 12 months following discharge for patients with POP or UI managed in a PLPHC; and provides further support for advanced scope of practice physiotherapy gynaecological service models.
ConclusionsNo association was found between the inability to contract the PFMs and the severity of UI symptoms. Other studies should be developed to better understand why some women are incapable of performing a voluntary PFM contraction. Also, it would be relevant to compare women with PFM dysfunction who are not able to contract the PFMs with healthy women with the same PFM condition to analyze whether this muscle condition could be related to dysfunctions such as UI or pelvic organ prolapse.
Publication date: Available online 17 June 2021Source: Journal of PhysiotherapyAuthor(s): Nina Østerås
Publication date: Available online 16 June 2021Source: Journal of PhysiotherapyAuthor(s): Robyn Brennen, Helena C Frawley, Jennifer Martin, Terry P Haines
Publication date: Available online 8 June 2021Source: Journal of PhysiotherapyAuthor(s): Margaret Sherburn
ConclusionsResearch on rehabilitative care is very limited and highlights inconsistencies in practice. This review provides support for the feasibility of rehabilitation and establishes the need for future interventional studies that involve a comparator and reliable outcome measures.