Physical therapy in stress urinary incontinence among women – a review of the literature and a suggested treatment protocol
Journal Title: Rehabilitacja Medyczna - Year 2017, Vol 21, Issue 4
Abstract
Introduction: Stress urinary incontinence is an increasingly common problem among women. The disorder affects every third woman, regardless of age. To make treatment of these women more effective, the therapeutic treatment path should be regulated. Important elements are cooperation between specialists, prevention and conservative treatment. This paper is a systematic review of current literature concerning physiotherapy in the treatment of stress urinary incontinence in women.<br/><br/>Aim of the study: The main aim of the study was to develop a physiotherapy protocol for this particular group of patients.<br/><br/>Material and methods: The following databases: Pubmed, Google Scholar, Cochrane Library, Scopus were searched using the following keywords: stress urinary incontinence therapy/ physiotherapy/manual therapy, pelvic floor muscle training/ diagnostic/ investigation, pelvic floor dysfunction, diaphragm. The information available on the websites of the Polish Urogynecological Association, Przegląd Urologiczny (Urological Review) and the UroConti Association was also used.<br/><br/>Results: On the basis of the collected literature, the Polish medical care system for patients with stress urinary incontinence in Poland was presented, the effectiveness of physiotherapeutic methods was determined and elements of therapy worthy of further attention were marked. On the basis of the collected information, a physiotherapeutic protocol was proposed in stress urinary incontinence.<br/><br/>Conclusions: 1. Physiotherapy as a form of treatment of stress urinary incontinence should always constitute a part of the therapeutic process. Used as the first in some cases, it helps avoid surgical intervention. It can also reduce the risk of complications after surgical intervention. 2. The therapeutic treatment path should also include diagnostics and physiotherapeutic treatment. 3. In the treatment of a patient with stress urinary incontinence, the following elements should be taken into account: body posture, breathing method, patient’s habits, pelvic floor muscle work. 4. For physiotherapy in stress urinary incontinence to be more accessible and widespread, it should be refunded. 5. Physiotherapy in stress urinary incontinence requires further systematic research.<br/><br/>Article received: 04.01.2018; Accepted: 15.04.2018<br/><br/>
Authors and Affiliations
Katarzyna Krzysztoszek, Aleksandra Truszczyńska-Baszak
Keywords
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- DOI 10.5604/01.3001.0011.8078
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