Nonsurgical treatments for urinary incontinence in adult women: diagnosis and comparative effectiveness

Shamliyan T, Wyman J, Kane RL
Record ID 32012000609
English
Authors' objectives: Our objectives were to assess methods to diagnose urinary incontinence (UI) and monitor treatment effectiveness in community-dwelling adult women, and to assess clinical efficacy and comparative effectiveness of pharmacological and nonsurgical treatments for UI.
Authors' recommendations: Clinical evaluation with validated tools for diagnosis of UI, its type, frequency, severity, and impact on quality of life informs nonsurgical treatment decisions. Women determine treatment satisfaction and success according to clinically important reductions in UI frequency as recorded in voiding diaries and with clinically important improvements on viii condition-specific quality-of-life scales. Benefits from pelvic floor muscle training, bladder training, and electrical stimulation are large, and adverse effects are uncommon. Benefits from drugs are small. Drugs for urgency UI have comparable effectiveness. Evidence about long-term adherence to and safety of all available treatments is insufficient.
Details
Project Status: Completed
Year Published: 2012
URL for published report: http://effectivehealthcare.ahrq.gov/ehc/products/169/834/CER36_UrinaryIncontinence_FinalReport_20120517.pdf
URL for additional information: http://effectivehealthcare.ahrq.gov/search-for-guides-reviews-and-reports/?pageaction=displayproduct&productID=834
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: United States
MeSH Terms
  • Humans
  • Urinary Incontinence
  • Female
Contact
Organisation Name: Agency for Healthcare Research and Quality
Contact Address: Center for Outcomes and Evidence Technology Assessment Program, 540 Gaither Road, Rockville, MD 20850, USA. Tel: +1 301 427 1610; Fax: +1 301 427 1639;
Contact Name: martin.erlichman@ahrq.hhs.gov
Contact Email: martin.erlichman@ahrq.hhs.gov
Copyright: Agency for Healthcare Research and Quality (AHRQ)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.