Conservative treatment of stress urinary incontinence in women: a systematic review of randomized clinical trials

1998 ◽  
Vol 82 (2) ◽  
pp. 181-191 ◽  
Author(s):  
Berghmans ◽  
Hendriks ◽  
BO ◽  
Hay-Smith ◽  
de Bie ◽  
...  
Keyword(s):  
Systematic Review ◽  
Clinical Trials ◽  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Conservative Treatment ◽  
Randomized Clinical Trials

Conservative treatment of urge urinary incontinence in women: a systematic review of randomized clinical trials

2000 ◽  
Vol 85 (3) ◽  
pp. 254-263 ◽  
Author(s):  
L.C.M. Berghmans ◽  
H.J.M. Hendriks ◽  
R.A. de Bie ◽  
E.S.C. van Waalwijk ◽  
van Doorn ◽  
...  
Keyword(s):  
Systematic Review ◽  
Clinical Trials ◽  
Urinary Incontinence ◽  
Conservative Treatment ◽  
Randomized Clinical Trials ◽  
Urge Urinary Incontinence

scholarly journals Can reducing the number of stitches compromise the outcome of laparoscopic Burch surgery in the treatment of stress urinary incontinence? Systematic review and meta-analysis

2017 ◽  
Vol 44 (6) ◽  
pp. 649-654 ◽  
Author(s):  
RICARDO JOSÉ SOUZA ◽  
JOSÉ ANACLETO DUTRA RESENDE JÚNIOR ◽  
CLARICE GUIMARÃES MIGLIO ◽  
LEILA CRISTINA SOARES BROLLO ◽  
MARCO AURÉLIO PINHO OLIVEIRA ◽  
...  
Keyword(s):  
Systematic Review ◽  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Randomized Clinical Trials ◽  
Meta Analysis ◽  
P Value ◽  
Open Technique ◽  
Control Series ◽  
One Year ◽  
Cure Rates

ABSTRACT The retropubic colposuspension in the treatment of stress urinary incontinence has been rescued with the laparoscopic route. Some authors have reduced the number of stitches, from two to one, due to the difficulty of suturing by this route. To what extent can this modification compromise outcome? To answer this question, we performed a systematic review and meta-analysis on the MEDLINE/PubMed and LILACS/SciELO databases between 1990 and 2015. We included randomized clinical trials, cohort studies and case-control series comparing laparoscopic versus open Burch, and two versus one stitch in laparoscopic Burch, with a minimum follow-up of one year. Fourteen studies compared laparoscopic versus open Burch, in which we found no differences between the two techniques using one stitch (Relative Risk - RR - of 0.94, 95% CI 0.79-1.11) and two stitches (RR of 1.03, 95% CI 0.97-1.10). Only one study compared one stitch versus two stitches in laparoscopic Burch, with cure rates of 68% versus 87%, respectively (p-value= 0.02). We did not identify differences when compared open technique with two stitches versus laparoscopic with one stitch and open technique with two stitches versus laparoscopic with two. The study comparing one versus two laparoscopic stitches demonstrated superior results with the latter. Although there is no robust evidence, when Burch surgery is performed laparoscopically, the use of two stitches seems to be the best option.

Targeted therapy for stress urinary incontinence: a systematic review based on clinical trials

2015 ◽  
Vol 16 (2) ◽  
pp. 233-242 ◽  
Author(s):  
Marta Pokrywczynska ◽  
Jan Adamowicz ◽  
Monika Czapiewska ◽  
Daria Balcerczyk ◽  
Arkadiusz Jundzill ◽  
...  
Keyword(s):  
Systematic Review ◽  
Clinical Trials ◽  
Urinary Incontinence ◽  
Targeted Therapy ◽  
Stress Urinary Incontinence

scholarly journals The effectiveness of biofeedback in treatment of women with stress urinary incontinence: a systematic review

2011 ◽  
Vol 11 (3) ◽  
pp. 217-225 ◽  
Author(s):  
Leila Maria Alvares Barbosa ◽  
Deniele Bezerra Lós ◽  
Ivson Bezerra da Silva ◽  
Caroline W. S. Ferreira Anselmo
Keyword(s):  
Clinical Trials ◽  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Pelvic Floor ◽  
Randomized Clinical Trials ◽  
Pelvic Floor Muscle Training ◽  
Physical Therapist ◽  
Pelvic Floor Muscle ◽  
Muscle Training ◽  
Significant Difference

OBJECTIVES: to assess whether pelvic-floor muscle training associated with biofeedback is more effective in the treatment of women with stress urinary incontinence, when compared to exercise alone. METHODS: a research of articles published in the last 20 years in Lilacs, PubMed and SCIRUS databases, using the descriptors "urinary incontinence, stress" and "biofeedback" was conducted. Randomized clinical trials comparing pelvic-floor muscle training with and without biofeedback were included. RESULTS: the study involved three randomized clinical trials involving 169 patients. A physical therapist was responsible for conducting the treatment using electromyographic or pressure biofeedback, and exercises were performed in the clinic or at home. The assessment methods, treatment times and protocols used were heterogeneous. Statistical analysis and rates of cure/improvement were similar between the groups of articles analyzed. Two studies had a score 8, and the third had 6 points according to PEDro's Scale. CONCLUSIONS: examination of the studies found suggests that adding biofeedback to pelvic-floor muscle training appears not to bring about a significant difference in terms of the success of treatment, when compared to perineal exercises performed in isolation.

L-arginine effect on inflammatory mediators: A systematic review of randomized controlled clinical trials

2019 ◽  
pp. 1-9 ◽  
Author(s):  
Seyed Reza Mirhafez ◽  
Mitra Hariri
Keyword(s):  
Systematic Review ◽  
Clinical Trials ◽  
Inflammatory Mediators ◽  
Randomized Clinical Trials ◽  
Randomized Controlled Clinical Trials ◽  
Patients With Cancer ◽  
Reactive Protein ◽  
Randomized Controlled ◽  
Human Adults ◽  
Factor Α

Abstract. L-arginine is an important factor in several physiological and biochemical processes. Recently, scientists studied L-arginine effect on inflammatory mediators such as C-reactive protein (CRP), tumor necrosis factor-α (TNF-α) and interleukin-6 (IL-6). We conducted a systematic review on randomized controlled trials assessing L-arginine effect on inflammatory mediators. We searched data bases including Google scholar, ISI web of science, SCOPUS, and PubMed/Medline up to April 2019. Randomized clinical trials assessing the effect of L-arginine on inflammatory mediators in human adults were included. Our search retrieved eleven articles with 387 participants. Five articles were on patients with cancer and 6 articles were on adults without cancer. L-arginine was applied in enteral form in 5 articles and in oral form in 6 articles. Eight articles were on both genders, two articles were on women, and one article was on men. L-arginine could not reduce inflammatory mediators among patients with and without cancer except one article which indicated that taking L-arginine for 6 months decreased IL-6 among cardiopathic nondiabetic patients. Our results indicated that L-arginine might not be able to reduce selected inflammatory mediators, but for making a firm decision more studies are needed to be conducted with longer intervention duration, separately on male and female and with different doses of L-arginine.

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