The effectiveness of post-partum interventions to prevent urinary incontinence: a systematic review

ABSTRACT Objective: to assess the effectiveness of post-partum interventions to prevent urinary incontinence: a systematic review. Method: systematic review of randomized controlled studies conducted in the MEDLINE, Cochrane, Scopus and the Virtual Library on Health (Biblioteca Virtual em Saúde, BVS) databases. Results: six articles were included in this review. All studies used the Pelvic Floor Muscle Training as the main procedure to prevent urinary incontinence. The results pointed to a positive and effective intervention in the post-partum period. Conclusion: there is evidence that programs of exercise of the pelvic floor musculature performed both in the immediate and late post-partum result in a significant increase in muscle strength and contribute to prevent urinary incontinence.

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Do features of randomized controlled trials of pelvic floor muscle training for postprostatectomy urinary incontinence differentiate successful from unsuccessful patient outcomes? A systematic review with a series of meta‐analyses

Neurourology and Urodynamics ◽

10.1002/nau.24291 ◽

2020 ◽

Vol 39 (2) ◽

pp. 533-546 ◽

Cited By ~ 2

Author(s):

Leanne M. Hall ◽

Patricia Neumann ◽

Paul W. Hodges

Keyword(s):

Systematic Review ◽

Urinary Incontinence ◽

Pelvic Floor ◽

Patient Outcomes ◽

Pelvic Floor Muscle Training ◽

Pelvic Floor Muscle ◽

Controlled Trials ◽

Muscle Training ◽

Randomized Controlled ◽

Meta Analyses

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Analysis of conventional versus advanced pelvic floor muscle training in the management of urinary incontinence after radical prostatectomy: a systematic review and meta-analysis of randomized controlled trials

Translational Andrology and Urology ◽

10.21037/tau-20-615 ◽

2020 ◽

Vol 9 (5) ◽

pp. 2031-2045

Author(s):

Dechao Feng ◽

Shengzhuo Liu ◽

Dengxiong Li ◽

Ping Han ◽

Wuran Wei

Keyword(s):

Systematic Review ◽

Urinary Incontinence ◽

Radical Prostatectomy ◽

Pelvic Floor ◽

Pelvic Floor Muscle Training ◽

Pelvic Floor Muscle ◽

Meta Analysis ◽

Controlled Trials ◽

Muscle Training ◽

Randomized Controlled

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Effectiveness of the pelvic floor muscle training on muscular dysfunction and pregnancy specific urinary incontinence in pregnant women with gestational diabetes mellitus: A systematic review protocol

PLoS ONE ◽

10.1371/journal.pone.0241962 ◽

2020 ◽

Vol 15 (12) ◽

pp. e0241962

Author(s):

Angélica Mércia Pascon Barbosa ◽

Eusebio Mario Amador Enriquez ◽

Meline Rossetto Kron Rodrigues ◽

Caroline Baldini Prudencio ◽

Álvaro Nagib Atallah ◽

...

Keyword(s):

Diabetes Mellitus ◽

Systematic Review ◽

Urinary Incontinence ◽

Gestational Diabetes ◽

Gestational Diabetes Mellitus ◽

Pelvic Floor ◽

Pelvic Floor Muscle Training ◽

Pelvic Floor Muscle ◽

Pelvic Floor Muscle Strength ◽

Randomized Controlled

Background There is ample evidence that gestational diabetes mellitus has a direct influence on urinary incontinence and pelvic floor muscles. There are no standardized pelvic floor muscle exercise programs in the literature for the physiotherapy and differ in the type of exercise, intensity, type and duration of application, and the frequency and duration of treatment sessions. The aim of this systematic review will be to investigate that Pelvic Floor Muscle Training can prevent and/or decrease the pregnancy specific urinary incontinence in women with gestational diabetes mellitus or gestational hyperglycemia. Methods We will perform a systematic review according to the Cochrane methodology of Randomized Controlled Trials. An overall search strategy will be developed and adapted for Embase, MEDLINE, LILACS, and CENTRAL databases, with the date of consultation until June 2020. The MeSH terms used will be "Pregnancy", "Hyperglycemia", "Diabetes Mellitus, Type 2", "Diabetes Mellitus, Type 1", "Pregnancy in Diabetics", "Diabetes, Gestational", "Urinary Incontinence", "Pelvic Floor Muscle Strength". Primary outcomes: improvement or cure of pregnancy specific urinary incontinence (which can be assessed by questionnaires, and tools such as tampon test, voiding diary, urodynamic study). Secondary outcomes: improvement of pelvic floor muscle strength (pelvic floor functional assessment, perineometer, electromyography, functional ultrasonography), improved quality of life (questionnaires), presence or absence of postpartum Urinary Incontinence and adverse effects. Quality assessment by Cochrane instrument. Metanalysis if plausible, will be performed by the software Review Manager 5.3. Discussion The present study will be the first to analyze the effectiveness of pelvic floor exercises in pregnant women with Gestational Diabetes Mellitus or Hyperglycemia, who suffer from pregnancy specific urinary incontinence. Randomized Controlled Trials design will be chosen because they present the highest level of evidence. It is expected to obtain robust and conclusive evidence to support clinical practice, in addition to promoting studies on the theme and contributing to new studies. Trial registration Systematic review registration: PROSPERO CRD42017065281.

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