Background

Pelvic floor muscle training is the most commonly used physical therapy treatment for women with urinary incontinence.

Objectives

To assess the effects of Pelvic floor muscle training for women with urinary incontinence in comparison to a control treatment and to summarize relevant economic findings.

Methods

Cochrane Incontinence Group Specialized Register (February 12, 2018). Selection criteria: Randomized or quasi-randomized trials in women with stress, urgency or mixed urinary incontinence (symptoms, signs, or urodynamic). Data collection and analysis: Trials were independently assessed by at least two reviewers authors and subgrouped by urinary incontinence type. Quality of evidence was assessed by adopting the Grading of Recommendations, Assessment, Development and Evaluation approach.

Results

The review included thirty-one trials involving 1817 women from 14 countries. Overall, trials were small to moderate size, and many were at moderate risk of bias. There was considerable variation in the intervention's content and duration. Based on data available, we can be confident that Pelvic floor muscle training can cure or improve symptoms of stress and all other types of urinary incontinence. It may reduce the number of leakage episodes and the quantity of leakage, while improving reported symptoms and quality of life. Women were more satisfied with Pelvic floor muscle training, while those in control groups were more likely to seek further treatment. Long-term effectiveness and cost-effectiveness of Pelvic floor muscle training needs to be further researched.

Conclusions

The addition of ten new trials did not change the essential findings of the earlier review, suggesting that Pelvic floor muscle training could be included in first-line conservative management of women with urinary incontinence.

中文翻译：

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女性尿失禁的盆腔底肌训练与不进行治疗或不进行主动控制的治疗的比较：一项Cochrane系统评价摘要。

背景

骨盆底肌肉训练是女性尿失禁最常用的物理疗法。

目标

与对照治疗相比，评估骨盆底肌肉训练对尿失禁妇女的效果，并总结相关的经济发现。

方法

Cochrane失禁组专门登记册（2018年2月12日）。选择标准：针对患有压力，尿急或混合性尿失禁（症状，体征或尿流动力学）的女性进行的随机或半随机试验。数据收集和分析：试验至少由两名审稿人独立评估，并按尿失禁类型分组。证据的质量通过采用建议书，评估，发展和评估方法进行评估。

结果

审查包括31个试验，涉及来自14个国家的1817名妇女。总体而言，试验规模较小至中等，许多处于中等偏倚风险中。干预的内容和持续时间存在很大差异。根据现有数据，我们可以确信骨盆底肌肉训练可以治愈或改善压力症状和所有其他类型的尿失禁。它可以减少漏气发作的次数和漏气的数量，同时改善报告的症状和生活质量。妇女对骨盆底肌训练更满意，而对照组的妇女更可能寻求进一步的治疗。骨盆底肌训练的长期有效性和成本效益有待进一步研究。

结论

增加十项新试验并没有改变早先综述的基本发现，表明骨盆底肌肉训练可以纳入尿失禁女性的一线保守治疗中。