Skip to main content
SpringerLink
Log in
Book cover

Urogynecology: Evidence-Based Clinical Practice pp 77–96Cite as

Conservative Therapy of Urodynamic Stress Incontinence

  • Chapter
  • First Online:

  • 1361 Accesses

Abstract

When starting a patient on a conservative treatment program for stress incontinence, you must check whether there are uncorrected precipitating factors.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   54.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Allen WA, Leek H, Isurieta A, Moore KH. Update: the Contiform intravaginal device in four sizes for treatment of stress incontinence. Int J Urogynaecol. 2008;20:1085–93.

    Google Scholar 

  2. Berghmans LC, Hendriks HJ, Bo K, et al. Conservative treatment of genuine stress incontinence in women: a systematic review of randomized clinical trials. BJU Int. 1998;82:181–91.

    Article  CAS  Google Scholar 

  3. Bo K, Hagen RH, Kvarstein B, Jorgensen J, Larson S. Pelvic floor muscle exercise for treatment of female stress urinary incontinence. III: effects of two different degrees of pelvic floor muscle exercises. Neurourol Urodyn. 1990;9:489–502.

    Article  Google Scholar 

  4. Bo K, Talseth T. Five year follow up of pelvic floor muscle exercise for treatment of stress urinary incontinence, clinical and urodynamic assessment. Neurourol Urodyn. 1995;14:374–6.

    Google Scholar 

  5. Bo K, Talseth T, Holme I. Single blind randomized controlled trial of pelvic floor exercises, electrical stimulation, vaginal cones, and no treatment in management of genuine stress incontinence in women. BMJ. 1999;318:487–93.

    Article  CAS  PubMed  Google Scholar 

  6. Burns P, Pranikoff K, Nochajski M, Desotelle P, Harwood M. Treatment of stress incontinence with pelvic floor exercises and biofeedback. J Am Geriatr Soc. 1990;38:341–4.

    CAS  PubMed  Google Scholar 

  7. Cammu H, Van Hylen M, Derde MP, Debruyne R, Amy JJ. Pelvic physiotherapy in genuine stress incontinence. Urology. 1991;38:332–7.

    Article  CAS  PubMed  Google Scholar 

  8. Cody JD, Richardson K, Moehrer B, Hextall A, Glazener CMA. Oestrogen therapy for urinary incontinence in post-menopausal women. Cochrane Database Syst Rev. 2009;Issue 4. Art.No.:CD001405. doi: 10.1002/14651858.CD001405.pub2.

  9. Dumoulin C, Hay-Smith EJ. Pelvic floor muscle training versus no treatment, or inactive control treatments for urinary incontinence in women. Cochrane Database Syst Rev. 2010. doi: 10.1002/14651858.CD005654.pub2.

  10. Fantl JA, Cardozo L, McClish DK, the Hormones and Urogenital Therapy Committee. Estrogen therapy in the management of urinary incontinence in postmenopausal women: a meta-analysis. Obstet Gynecol. 1994;83:12–8.

    CAS  PubMed  Google Scholar 

  11. Gilling PJ, Wilson LC, Westenberg AM, et al. A double-blind randomized controlled trial of electromagnetic stimulation of the pelvic floor vs sham therapy in the treatment of women with stress urinary incontinence. BJU Int. 2009;103:1386–90.

    Article  PubMed  Google Scholar 

  12. Glueck CJ, Aregawi D, Agloria M, Winiarska M, Sieve L, Wang P. Sustainability of 8 % weight loss, reduction of insulin resistance, and amelioration of atherogenic-metabolic risk factors over 4 years by metformin-diet in women with polycystic ovary syndrome. Metabolism. 2006;55:1582–9.

    Article  CAS  PubMed  Google Scholar 

  13. Goode PS, Burgio KL, Locher JL, et al. Effect of behavioural training with or without pelvic floor electrical stimulation on stress in continence in women. A randomized controlled trial. JAMA. 2003;290:345–52.

    Article  PubMed  Google Scholar 

  14. Grady D, Brown JS, Vittinghoff E. HERS Research Group. Postmenopausal hormones and incontinence; the Heart and Estrogen/Progestin Replacement Study. Obstet Gynecol. 2001;97:116–20.

    Article  CAS  PubMed  Google Scholar 

  15. Hahn I, Milson J, Fall M, Eklund P. Long term results of pelvic floor training in female stress urinary incontinence. Br J Urol. 1993;72:421–7.

    Article  CAS  PubMed  Google Scholar 

  16. Hay Smith J, Berghmans K, Burgio C, et al. Adult conservative management. In: Abrams P, Cardoza L, Khoury S, Wein A, editors. Incontinence, report of 4th international consultation on incontinence. Plymouth: Health Publications Ltd; 2009. p. 1025–120.

    Google Scholar 

  17. Henalla SM, Hutchins CJ, Robinson P, MacVicar J. Nonoperative methods in the treatment of female genuine stress incontinence of urine. Obstet Gynecol. 1989;9:222–5.

    Google Scholar 

  18. Jackson RA, Vittinghof E, Kanaya AM, et al. Urinary incontinence in elderly women: findings from the health aging and body composition study. Obstet Gynecol. 2004;104:301–7.

    Article  CAS  PubMed  Google Scholar 

  19. Jolleys J. Diagnosis and management of female urinary incontinence in general practice. J R Coll Gen Pract. 1989;39:277–9.

    CAS  PubMed Central  PubMed  Google Scholar 

  20. Kendall A, Dowsett M, Folkerd E, Smith I. Caution: vaginal estradiol appears to be contraindicated in postmenopausal women on adjuvant aromatase inhibitors. Ann Oncol. 2005;17:584–7.

    Article  Google Scholar 

  21. Lagro-Janssen ALM, Debruyne FMJ, Smits AJA, Van Weel C. The effects of treatment of urinary incontinence in general practice. Fam Pract. 1992;9:284–9.

    Article  CAS  PubMed  Google Scholar 

  22. Miller J, Aston-Miller JA, DeLancey JOL. The knack: use of precisely timed pelvic muscle contraction can reduce leakage in SUI. Neurourol Urodyn. 1996;15:392–3.

    Google Scholar 

  23. Moehrer B, et al. Oestrogens for urinary incontinence (review). Cochrane Database Syst Rev. 2003:CD001405. doi: 10.1002/14651858.CD.

  24. Moore KH. Conservative therapy for incontinence. Baillieres Best Pract Res Clin Obstet Gynaecol. 2000;14:251–89.

    Article  CAS  PubMed  Google Scholar 

  25. Moore KH, O’Sullivan RJ, Simons A, Prashar S, Anderson P, Louey M. Randomized controlled trial of nurse continence advisor therapy versus standard urogynaecology regime for conservative incontinence treatment: efficacy, costs and two year follow up. BJOG. 2003;110:649–57.

    Article  CAS  PubMed  Google Scholar 

  26. Morris A, Moore KH. The contiform incontinence device – efficacy and patient acceptability. Int Urogynecol J. 2003;14:412–7.

    Article  CAS  Google Scholar 

  27. Mouritsen L, Frimodt-Moller C and Moller M. Long term effect of pelvic floor Exersizes on Female Urinary Incontinence. Brit J Urol. 1991;68:32–37.

    Article  CAS  Google Scholar 

  28. O’Brien J, Austin M, Sethi P, O’Boyle P. Urinary incontinence: prevalence, need for treatment, and effectiveness of intervention by nurse. Br Med J. 1991;303:1308–12.

    Article  Google Scholar 

  29. Schuessler B, Norton PA, Stanton SL, et al. Pelvic floor reeducation: principles and practice. 2nd ed. London: Springer; 2008.

    Google Scholar 

  30. Seim A, Siversen B, Eriksen BC, Hunskar S. Treatment of urinary incontinence in women in general practice: an observational study. Br Med J. 1996;312:1459–62.

    Article  CAS  Google Scholar 

  31. Subak LL, Richter HE, Hunskaar S. Obesity and urinary incontinence: epidemiology and clinical research update. J Urol. 2009;186(6 Suppl):S2–7.

    Article  Google Scholar 

  32. Swash M. The neurogenic hypothesis of stress incontinence. In: Neurobiology of incontinence, no. 151 CIBA foundation symposium. New York: John Wiley and Sons; 1990. p. 160.

    Google Scholar 

  33. Wells TJ, Brink MPH, Diokno AC, Wolfe R, Gillis GL. Pelvic muscle exercise for stress urinary incontinence in elderly women. J Am Geriatr Soc. 1991;39:785–91.

    CAS  PubMed  Google Scholar 

  34. Wilson PD, Al Samarrai T, Deakein M, Kolbe E, Brown ADG. An objective assessment of physiotherapy for female genuine stress incontinence. Br J Obstet Gynaecol. 1987;94:575–82.

    Article  CAS  PubMed  Google Scholar 

  35. Wing RR, Creasman JM, West DS, et al. Improving urinary incontinence in overweight and obese women through modest weight loss. Obstet Gynecol. 2010;116:284–92.

    Article  PubMed Central  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department Obstetrics & Gynaecology, St George Hospital, Kogarah, New South Wales, Australia

    Kate H. Moore MBBS, FRCOG, FRANZCOG, MD, CU

Authors
  1. Kate H. Moore MBBS, FRCOG, FRANZCOG, MD, CU
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 2013 Springer-Verlag London

About this chapter

Cite this chapter

Moore, K.H. (2013). Conservative Therapy of Urodynamic Stress Incontinence. In: Urogynecology: Evidence-Based Clinical Practice. Springer, London. https://doi.org/10.1007/978-1-4471-4291-1_6

Download citation

  • DOI: https://doi.org/10.1007/978-1-4471-4291-1_6

  • Published:

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-4290-4

  • Online ISBN: 978-1-4471-4291-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation