TY - JOUR
T1 - Effect of conservative treatment of pelvic floor dysfunctions in women
T2 - An umbrella review
AU - Bascur-Castillo, Carolina
AU - Carrasco-Portiño, Mercedes
AU - Valenzuela-Peters, Romina
AU - Orellana-Gaete, Luna
AU - Viveros-Allende, Vicente
AU - Ruiz Cantero, María Teresa
N1 - Publisher Copyright:
© 2022 International Federation of Gynecology and Obstetrics.
PY - 2022/11
Y1 - 2022/11
N2 - Objective: Due to their high worldwide prevalence, pelvic floor dysfunctions (PFD's) are a public health problem. There is high heterogeneity in the types and effectiveness of conservative treatment. The objective was to analyze the scientific evidence on conservative treatment of PFDs in women. Methods: Umbrella review, covering MEDLINE (1950–2019), Scopus (1960–2019), Web of Science (1980–2019), and Cochrane Library (2000–2019). Inclusion criterion: review on conservative treatments about pelvic floor disorders in the adult women, in Spanish or English; exclusion criterion: studies about other urological, gynecological, and coloproctological pathologies, among others. Results: Thirty-two reviews (2000–2019) and 12 meta-analyses were included. 53.1% showed an improvement on urinary incontinence. Pelvic floor muscle training worked on 70.6% of them, followed by electrical stimulation and estrogen (11.7%), and weight loss (5.9%). 6.3% of reviews and meta-analyses fulfilled all items in PRISMA, and 93.7% of them fulfilled more than 60% of the checklist. 60% de los ítems. Conclusions: PFMT and weight loss are the most effective treatments for UI, but there is no evidence for other PFDs. The methodological quality of conservative treatments must be improved for a more effective treatment of PFDs in women. Pelvic floor muscle training and weight loss are the most effective treatments for urinary incontinence. Only 6.3% of the reviews fulfilled all PRISMA ítems.
AB - Objective: Due to their high worldwide prevalence, pelvic floor dysfunctions (PFD's) are a public health problem. There is high heterogeneity in the types and effectiveness of conservative treatment. The objective was to analyze the scientific evidence on conservative treatment of PFDs in women. Methods: Umbrella review, covering MEDLINE (1950–2019), Scopus (1960–2019), Web of Science (1980–2019), and Cochrane Library (2000–2019). Inclusion criterion: review on conservative treatments about pelvic floor disorders in the adult women, in Spanish or English; exclusion criterion: studies about other urological, gynecological, and coloproctological pathologies, among others. Results: Thirty-two reviews (2000–2019) and 12 meta-analyses were included. 53.1% showed an improvement on urinary incontinence. Pelvic floor muscle training worked on 70.6% of them, followed by electrical stimulation and estrogen (11.7%), and weight loss (5.9%). 6.3% of reviews and meta-analyses fulfilled all items in PRISMA, and 93.7% of them fulfilled more than 60% of the checklist. 60% de los ítems. Conclusions: PFMT and weight loss are the most effective treatments for UI, but there is no evidence for other PFDs. The methodological quality of conservative treatments must be improved for a more effective treatment of PFDs in women. Pelvic floor muscle training and weight loss are the most effective treatments for urinary incontinence. Only 6.3% of the reviews fulfilled all PRISMA ítems.
KW - conservative treatment
KW - exercise
KW - pelvic floor
KW - pelvic floor disorder
KW - pelvic floor muscle training
KW - urinary incontinence
UR - http://www.scopus.com/inward/record.url?scp=85126802512&partnerID=8YFLogxK
U2 - 10.1002/ijgo.14172
DO - 10.1002/ijgo.14172
M3 - Review article
C2 - 35246849
AN - SCOPUS:85126802512
SN - 0020-7292
VL - 159
SP - 372
EP - 391
JO - International Journal of Gynecology and Obstetrics
JF - International Journal of Gynecology and Obstetrics
IS - 2
ER -
