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Effect of conservative treatment of pelvic floor dysfunctions in women: An umbrella review.
Bascur-Castillo, Carolina; Carrasco-Portiño, Mercedes; Valenzuela-Peters, Romina; Orellana-Gaete, Luna; Viveros-Allende, Vicente; Ruiz Cantero, María Teresa.
Afiliação
  • Bascur-Castillo C; Department of Obstetrics and Puericulture, Faculty of Medicine, Universidad de Concepción, Concepción, Chile.
  • Carrasco-Portiño M; Department of Obstetrics and Puericulture, Faculty of Medicine, Universidad de Concepción, Concepción, Chile.
  • Valenzuela-Peters R; Public Health Research Group, University of Alicante, Alicante, Spain.
  • Orellana-Gaete L; Department of Obstetrics and Puericulture, Faculty of Medicine, Universidad de Concepción, Concepción, Chile.
  • Viveros-Allende V; Department of Obstetrics and Puericulture, Faculty of Medicine, Universidad de Concepción, Concepción, Chile.
  • Ruiz Cantero MT; Department of Obstetrics and Puericulture, Faculty of Medicine, Universidad de Concepción, Concepción, Chile.
Int J Gynaecol Obstet ; 159(2): 372-391, 2022 Nov.
Article em En | MEDLINE | ID: mdl-35246849
OBJECTIVE: Due to their high worldwide prevalence, pelvic floor dysfunctions (PFD's) are a public health problem. There is high heterogeneity in the types and effectiveness of conservative treatment. The objective was to analyze the scientific evidence on conservative treatment of PFDs in women. METHODS: Umbrella review, covering MEDLINE (1950-2019), Scopus (1960-2019), Web of Science (1980-2019), and Cochrane Library (2000-2019). Inclusion criterion: review on conservative treatments about pelvic floor disorders in the adult women, in Spanish or English; exclusion criterion: studies about other urological, gynecological, and coloproctological pathologies, among others. RESULTS: Thirty-two reviews (2000-2019) and 12 meta-analyses were included. 53.1% showed an improvement on urinary incontinence. Pelvic floor muscle training worked on 70.6% of them, followed by electrical stimulation and estrogen (11.7%), and weight loss (5.9%). 6.3% of reviews and meta-analyses fulfilled all items in PRISMA, and 93.7% of them fulfilled more than 60% of the checklist. 60% de los ítems. CONCLUSIONS: PFMT and weight loss are the most effective treatments for UI, but there is no evidence for other PFDs. The methodological quality of conservative treatments must be improved for a more effective treatment of PFDs in women. Pelvic floor muscle training and weight loss are the most effective treatments for urinary incontinence. Only 6.3% of the reviews fulfilled all PRISMA ítems.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Incontinência Urinária / Incontinência Urinária por Estresse Tipo de estudo: Risk_factors_studies / Systematic_reviews Limite: Adult / Female / Humans Idioma: En Revista: Int J Gynaecol Obstet Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Chile País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Incontinência Urinária / Incontinência Urinária por Estresse Tipo de estudo: Risk_factors_studies / Systematic_reviews Limite: Adult / Female / Humans Idioma: En Revista: Int J Gynaecol Obstet Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Chile País de publicação: Estados Unidos