Non-surgical management in urogynaecology

Autor: G.J. Jarvis
Rok vydání: 2000
Předmět:
Zdroj: Current Obstetrics & Gynaecology. 10:73-78
ISSN: 0957-5847
DOI: 10.1054/cuog.2000.0122
Popis: This article discusses the non-surgical management of both genuine stress incontinence and detrusor instability. Although the traditional treatment for genuine stress incontinence is surgical, there are numerous circumstances under which non-surgical treatment should be considered. Such non-surgical treatment includes various types of physiotherapy, especially pelvic floor exercises, the use of drugs, especially oestrogen and α-adrenergic agents, and the use of mechanical devices. The treatment of detrusor instability is primarily non-surgical and treatment modalities include the use of drugs, the use of behavioural therapy, especially bladder retraining, and the use of maximal electrical stimulation. The anticipated results from each modality of treatment will be discussed together with guidance to appropriate references for those who wish to explore the subject further. Wherever possible, the author has chosen to quote randomized trials rather than cohort studies.
Databáze: OpenAIRE