[Pelvic floor insuffiency - conservative treatments].

Conservative treatments are easy to handle, have no side effects and no negative effects concerning later surgical treatments and are not expensive. Therefore conservative treatments should be the first line therapies for pelvic floor disorders. The following treatment options are used: lifestyle interventions, bladder training, use of pessaries, pelvic floor muscle training, pharmacologic treatment, incontinence aids/products and complementary medicine. Important for the success of these treatments are motivation and patience of the patient as well a good team consisting of doctors, specialised nurses and physiotherapists. Usually all these treatments are combined. The success rate is between 40-70 %. Pessaries are the best choice for immediate relief of urinary stress incontinence and for reducing a prolapse.