[Mechanical devices for urinary incontinence]

Secco A, García Martí S, Pichon-Riviere A, Augustovski F, Alcaraz A, Bardach A, Ciapponi A.
Record ID 32018001516
Spanish
Original Title: Dispositivos mecánicos para incontinencia urinaria
Authors' recomendations: CONCLUSIONS Low-quality evidence from randomized clinical trials with a short follow up period, few patients, high rate of lost to follow up and, consequently, high level of uncertainty and also inconsistency, may suggest some kind of benefit from mechanical devices for urinary incontinence in women, in terms of urine leak reduction, when compared with no treatment. Low-quality evidence from clinical trials, with the above mentioned limitations, did not show benefits of the technology when compared with pelvic floor muscle strengthening exercises; it did not show differences among most of the devices either. Low-quality evidence from non-controlled studies might show some extent of benefit in urine leak reduction for some of these devices. Most clinical practice guidelines consulted recommend the use of this technology for urinary incontinence, especially due to stress, as a first-line treatment alternative. Most coverage policies consulted from private and public sponsors from Europe and the United States do not mention the technology; however, some of them only cover it when used in special situations such as intense physical activity. The coverage policies from Latin America consulted do not mention the technology. No economic evaluation or budget impact studies have been found.
Details
Project Status: Completed
Year Published: 2018
URL for published report: https://www.iecs.org.ar/home-ets/
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Argentina
MeSH Terms
  • Urinary Incontinence
  • Prostheses and Implants
  • Urinary Sphincter, Artificial
  • Pelvic Floor
  • Female
Contact
Organisation Name: Institute for Clinical Effectiveness and Health Policy
Contact Address: Dr. Emilio Ravignani 2024, Buenos Aires - Argentina, C1414 CABA
Contact Name: info@iecs.org.ar
Contact Email: info@iecs.org.ar
Copyright: Institute for Clinical Effectiveness and Health Policy (IECS)
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.