title: [Physiotherapy in Women with Overactive Bladder].
abstract: As regards treatment for overactive bladder, physiotherapeutic interventions can be seen as an alternative to drug treatment. Targeted pelvic floor and bladder training is used to decrease the number of voids and the incontinence episodes or to increase the average voided volume in women with overactive bladder (3 systematic reviews with evidence level 1/1a).An additional option to treat women with overactive bladder is to use functional electrical stimulation and magnetic stimulation.2 systematic reviews 1 2 and 2 RCTs 3 4 reveal a low level of evidence (2 studies with level 2/2b) for the use of electrical stimulation (transcutaneous, vaginal or transanal) to reduce incontinence episodes and the number of voids and to increase the average voided volume. The trial from Yamanishi et al. (2014) shows that magnetic stimulation has a positive effect 5. Further studies are needed to evaluate the benefit of conservative treatment procedures for overactive bladder.
authors: Physiotherapeutin, Hannover; Referentin und Mitglied der Konsensusgruppe "Therapie des Blasenkarzinoms" und "Therapie der überaktiven Blase der Frau"
authors: U
authors: U
authors: Henscher
authors: MPH, Bremen; Gutachterin des Deutschen Verbandes für Physiotherapie (ZVK e. V.).
authors: R
authors: R
authors: Tholen
authors: Ruth Kirschner-Hermanns, Zentrum für Kontinenz und Neuro-Urologie, Urologische Klinik, Universitätsklinikum Bonn, Rheinische Friedrich-Wilhelms Universität und neurologisches Rehabilitationszentrum Godeshöhe e. V.
authors: R
authors: R
authors: Kirschner-Hermanns
mesh_terms: D004599:Electric Stimulation Therapy; D005260:Female; D006801:Humans; D017773:Pelvic Floor; D026741:Physical Therapy Modalities; D053201:Urinary Bladder, Overactive / Q000188:drug therapy*; D014549:Urinary Incontinence