Conservative management for female urinary incontinence and pelvic organ prolapse review 2013: Summary of the 5th International Consultation on Incontinence.
OBJECTIVE
The objective of the 5th International Consultation on Incontinence (ICI) chapter on Adult Conservative Management was to review and summarize the new evidence on conservative management of urinary incontinence (UI) and pelvic organ prolapse (POP) in order to compile a current reference source for clinicians, health researchers, and service planners. In this paper, we present the review highlights and new evidence on female conservative management.


METHODS
Revision and updates of the 4th ICI Report using systematic review covering years 2008-2012.


RESULTS
Each section begins with a brief definition and description of the intervention followed by a summary, where possible, of both the state and level of evidence for prevention and treatment, and ends with a "grade of recommendation." The paper concludes with areas identified as requiring further research.


CONCLUSIONS
For UI, there are no prevention trials on lifestyle interventions. There are, however, few new intervention trials of lifestyle interventions involving weight loss and fluid intake with improved levels of evidence and grade of recommendation. Outside of pre- and post-natal pelvic floor muscle training (PFMT) trials for the prevention of female UI, there is a dearth of PFMT prevention trials for women with UI. PFMT remains the first-line treatment for female UI with high levels of evidence and grades of recommendation. Bladder training levels of evidence and grades of recommendation are maintained. For POP, new evidence supports the effectiveness of physiotherapy in the treatment of POP and there are now improved levels of evidence and grades of recommendation. Neurourol. Urodynam. 35:15-20, 2016. © 2014 Wiley Periodicals, Inc.
School of Rehabilitation, Faculty of Medicine, University of Montreal and Centre de recherche, Institut universitaire de gériatrie de Montréal, Montreal, Quebec, Canada.
Chantale
C
Dumoulin
Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.
Kathleen F
KF
Hunter
Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.
Katherine
K
Moore
Departments of Obstetrics and Gynecology, Urology and Epidemiology, University of Iowa, Iowa City, Iowa.
Catherine S
CS
Bradley
Department of Medicine, University of Alabama at Birmingham and Birmingham/Atlanta Geriatric Research, Education, and Clinical Center, Department of Veterans Affairs, Birmingham, Alabama.
Kathryn L
KL
Burgio
Nursing, Midwifery and Allied Health Professions Research Unit, Glasgow Caledonian University, Glasgow, Scotland, United Kingdom.
S
S
Hagen
Division of Applied Health Sciences, University of Aberdeen, Aberdeen, Scotland, United Kingdom.
M
M
Imamura
Croydon Urogynaecology and Pelvic Floor Reconstruction Unit, Croydon, University Hospital, Thornton Heath, London, United Kingdom.
R
R
Thakar
Department of Health Sciences, University of Leicester, Leicester, United Kingdom.
K
K
Williams
Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.
T
T
Chambers
D001676:Biofeedback, Psychology; D005081:Exercise Therapy; D005260:Female; D006801:Humans; D008019:Life Style; D017773:Pelvic Floor / Q000503:physiopathology*; D056887:Pelvic Organ Prolapse / Q000503:physiopathology / Q000628:therapy*; D026741:Physical Therapy Modalities; D014549:Urinary Incontinence / Q000503:physiopathology / Q000628:therapy*
pelvic organ prolapse; urinary incontinence; women