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Open Access 01-02-2014 | Special Contribution

Dutch guidelines for physiotherapy in patients with stress urinary incontinence: an update

Authors: Arnold T. M. Bernards, Bary C. M. Berghmans, Marijke C. Ph. Slieker-ten Hove, J. Bart Staal, Rob A. de Bie, Erik J. M. Hendriks

Published in: International Urogynecology Journal | Issue 2/2014

Abstract

Introduction and hypothesis

Stress urinary incontinence (SUI) is the most common form of incontinence impacting on quality of life (QOL) and is associated with high financial, social, and emotional costs. The purpose of this study was to provide an update existing Dutch evidence-based clinical practice guidelines (CPGs) for physiotherapy management of patients with stress urinary incontinence (SUI) in order to support physiotherapists in decision making and improving efficacy and uniformity of care.

Materials and methods

A computerized literature search of relevant databases was performed to search for information regarding etiology, prognosis, and physiotherapy assessment and management in patients with SUI. Where no evidence was available, recommendations were based on consensus. Clinical application of CPGs and feasibility were reviewed. The diagnostic process consists of systematic history taking and physical examination supported by reliable and valid assessment tools to determine physiological potential for recovery. Therapy is related to different problem categories. SUI treatment is generally based on pelvic floor muscle exercises combined with patient education and counseling. An important strategy is to reduce prevalent SUI by reducing influencing risk factors.

Results

Scientific evidence supporting assessment and management of SUI is strong.

Conclusions

The CPGs reflect the current state of knowledge of effective and tailor-made intervention in SUI patients.

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Title: Dutch guidelines for physiotherapy in patients with stress urinary incontinence: an update
Authors: Arnold T. M. Bernards
Bary C. M. Berghmans
Marijke C. Ph. Slieker-ten Hove
J. Bart Staal
Rob A. de Bie
Erik J. M. Hendriks
Publication date: 01-02-2014
Publisher: Springer London
Published in: International Urogynecology Journal / Issue 2/2014
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-013-2219-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Dutch guidelines for physiotherapy in patients with stress urinary incontinence: an update

Abstract

Introduction and hypothesis

Materials and methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction and hypothesis

Materials and methods

Results

Conclusions

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