Robert Magali, Ross Sue
Calgary, AB.
J Obstet Gynaecol Can. 2018 Feb;40(2):e119-e125. doi: 10.1016/j.jogc.2017.11.027.
To outline the evidence for conservative management options for treating urinary incontinence.
Conservative management options for treating urinary incontinence include behavioural changes, lifestyle modification, pelvic floor retraining, and use of mechanical devices.
To provide understanding of current available evidence concerning efficacy of conservative alternatives for managing urinary incontinence; to empower women to choose continence therapies that have benefit and that have minimal or no harm.
The Cochrane Library and Medline (1966 to 2005) were searched to find articles related to conservative management of incontinence. Review articles were appraised.
The quality of evidence is rated, and recommendations are made using the criteria described by the Canadian Task Force on Preventive Health Care.
BENEFITS, HARMS, COSTS: Evidence for the efficacy of conservative management options for urinary incontinence is strong. These options can be advocated as primary interventions with minimal or no harm to women.
概述治疗尿失禁的保守治疗方案的证据。
治疗尿失禁的保守治疗方案包括行为改变、生活方式调整、盆底再训练以及使用机械装置。
增进对当前有关保守治疗尿失禁替代方法疗效的现有证据的理解；使女性能够选择有益且危害最小或无危害的控尿疗法。
检索考克兰图书馆和医学期刊数据库（1966年至2005年）以查找与尿失禁保守治疗相关的文章。对综述文章进行评估。
对证据质量进行评级，并根据加拿大预防性医疗保健特别工作组描述的标准提出建议。
益处、危害、成本：保守治疗方案对尿失禁疗效的证据确凿。这些方案可作为对女性危害最小或无危害的主要干预措施加以提倡。
