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Management of urinary incontinence in postmenopausal women: An EMAS clinical guide.
Russo, Eleonora; Caretto, Marta; Giannini, Andrea; Bitzer, Johannes; Cano, Antonio; Ceausu, Iuliana; Chedraui, Peter; Durmusoglu, Fatih; Erkkola, Risto; Goulis, Dimitrios G; Kiesel, Ludwig; Lambrinoudaki, Irene; Hirschberg, Angelica Lindén; Lopes, Patrice; Pines, Amos; Rees, Margaret; van Trotsenburg, Mick; Simoncini, Tommaso.
Afiliación
  • Russo E; Department of Clinical and Experimental Medicine, University of Pisa, Via Roma, 67, 56100, Pisa, Italy.
  • Caretto M; Department of Clinical and Experimental Medicine, University of Pisa, Via Roma, 67, 56100, Pisa, Italy.
  • Giannini A; Department of Clinical and Experimental Medicine, University of Pisa, Via Roma, 67, 56100, Pisa, Italy.
  • Bitzer J; Department of Obstetrics and Gynecology, University Hospital, Basel, Switzerland.
  • Cano A; Department of Pediatrics, Obstetrics and Gynecology, University of Valencia and INCLIVA, Valencia, Spain.
  • Ceausu I; Department of Obstetrics and Gynecology I, "Dr. I. Cantacuzino" Hospital, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
  • Chedraui P; Instituto de Investigación e Innovación de Salud Integral (ISAIN), Facultad de Ciencias Médicas, Universidad Católica de Santiago de Guayaquil, Guayaquil, Ecuador.
  • Durmusoglu F; Istanbul Medipol International School of Medicine, Istanbul, Turkey.
  • Erkkola R; Department of Obstetrics and Gynecology, University Central Hospital, Turku, Finland.
  • Goulis DG; Unit of Reproductive Endocrinology, First Department of Obstetrics and Gynecology, Medical School, Aristotle University of Thessaloniki, Greece.
  • Kiesel L; Department of Gynecology and Obstetrics, University of Münster, Münster, Germany.
  • Lambrinoudaki I; Second Department of Obstetrics and Gynecology, National and Kapodistrian University of Athens, Greece.
  • Hirschberg AL; Department of Women's and Children's Health, Karolinska Institutet and Department of Gynecology and Reproductive Medicine, Karolinska University Hospital, Stockholm, Sweden.
  • Lopes P; Nantes, France Polyclinique de l'Atlantique Saint Herblain. F 44819 St Herblain France, Université de Nantes F, 44093, Nantes, Cedex, France.
  • Pines A; Sackler Faculty of Medicine, Tel-Aviv University, Israel.
  • Rees M; Women's Centre, John Radcliffe Hospital, Oxford, OX3 9DU, UK.
  • van Trotsenburg M; Department of Obstetrics and Gynecology, University Hospital St. Poelten, Lilienfeld, Austria.
  • Simoncini T; Department of Clinical and Experimental Medicine, University of Pisa, Via Roma, 67, 56100, Pisa, Italy. Electronic address: tommaso.simoncini@med.unipi.it.
Maturitas ; 143: 223-230, 2021 Jan.
Article en En | MEDLINE | ID: mdl-33008675
INTRODUCTION: The prevalence of urinary incontinence and of other lower urinary tract symptoms increases after the menopause and affects between 38 % and 55 % of women aged over 60 years. While urinary incontinence has a profound impact on quality of life, few affected women seek care. AIM: The aim of this clinical guide is to provide an evidence-based approach to the management of urinary incontinence in postmenopausal women. MATERIALS AND METHODS: Literature review and consensus of expert opinion. SUMMARY RECOMMENDATIONS: Healthcare professionals should consider urinary incontinence a clinical priority and develop appropriate diagnostic skills. They should be able to identify and manage any relevant modifiable factors that could alleviate the condition. A wide range of treatment options is available. First-line management includes lifestyle and behavioral modification, pelvic floor exercises and bladder training. Estrogens and other pharmacological interventions are helpful in the treatment of urgency incontinence that does not respond to conservative measures. Third-line therapies (e.g. sacral neuromodulation, intravesical onabotulinum toxin-A injections and posterior tibial nerve stimulation) are useful in selected patients with refractory urge incontinence. Surgery should be considered in postmenopausal women with stress incontinence. Midurethral slings, including retropubic and transobturator approaches, are safe and effective and should be offered.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Incontinencia Urinaria / Posmenopausia Tipo de estudio: Diagnostic_studies / Guideline / Prognostic_studies / Risk_factors_studies Aspecto: Patient_preference Límite: Female / Humans Idioma: En Revista: Maturitas Año: 2021 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Irlanda
Texto completo
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Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Incontinencia Urinaria / Posmenopausia Tipo de estudio: Diagnostic_studies / Guideline / Prognostic_studies / Risk_factors_studies Aspecto: Patient_preference Límite: Female / Humans Idioma: En Revista: Maturitas Año: 2021 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Irlanda