Pharmacologic and Nonpharmacologic Treatments for Urinary Incontinence in Women: A Systematic Review and Network Meta-analysis of Clinical Outcomes.

Author: AdamGaelen P, BalkEthan M, JeppsonPeter C, KimmelHannah J, RofebergValerie N, TrikalinosThomas A

Paper Details 
Original Abstract of the Article :
BACKGROUND: Urinary incontinence (UI), a common malady in women, most often is classified as stress, urgency, or mixed. PURPOSE: To compare the effectiveness of pharmacologic and nonpharmacologic interventions to improve or cure stress, urgency, or mixed UI in nonpregnant women. DATA SOURCES: MEDL...See full text at original site
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引用元:
https://doi.org/10.7326/M18-3227

データ提供:米国国立医学図書館(NLM)

A Comprehensive Look at Treatments for Urinary Incontinence in Women

The world of women's health, specifically urinary incontinence (UI), is like a vast desert. A common ailment, UI can be categorized as stress, urgency, or a mix of both. This research, like a camel traversing the dunes, seeks to map the effectiveness of various interventions, both pharmacologic and nonpharmacologic, for treating these different types of UI. The researchers embarked on a systematic review and network meta-analysis, analyzing data from 84 randomized controlled trials. They discovered that most interventions, with the exception of hormones and periurethral bulking agents, were more effective than no treatment at all. One of the most significant findings was that behavioral therapy emerged as a top contender, often surpassing the effectiveness of pharmacologic therapies alone.

Behavioral Therapy: A Desert Oasis for UI?

This research, like a mirage in the desert, reveals promising evidence for behavioral therapy as a potential solution for UI. The analysis showed that behavioral therapy, whether used alone or in combination with other interventions, often outperformed pharmacologic therapies alone in treating both stress and urgency UI. Specifically, behavioral therapy was found to be more effective than α-agonists or hormones for treating stress UI, while for urgency UI, behavioral therapy significantly outperformed anticholinergics. This research suggests that behavioral therapy, like a wellspring in the arid landscape, could offer a path towards relief for women struggling with UI.

Taking Care of Your Bladder: Practical Steps

These findings, like a compass guiding a weary traveler, point to the importance of exploring non-pharmacological options for managing UI. If you're experiencing UI, it's wise to consult a healthcare professional to discuss the potential benefits of behavioral therapy and other non-pharmacological approaches. Remember, like the careful planning of a desert journey, proactive steps can make a big difference.

Dr. Camel's Conclusion

This research, like a shimmering oasis in the desert, sheds light on the effectiveness of various interventions for UI, particularly highlighting the potential of behavioral therapy. By understanding the nuances of UI and exploring these therapeutic options, women can potentially navigate the desert of UI and find relief.

Date :
  1. Date Completed 2020-01-07
  2. Date Revised 2020-01-07
Further Info :

Pubmed ID

30884526

DOI: Digital Object Identifier

10.7326/M18-3227

Related Literature

SNS
PICO Info
in preparation
Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

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