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[Physiotherapy in Women with Overactive Bladder]
U Henscher1, R Tholen2, R Kirschner-Hermanns3
1Physiotherapeutin, Hannover; Referentin und Mitglied der Konsensusgruppe "Therapie des Blasenkarzinoms" und "Therapie der überaktiven Blase der Frau"
Aktuelle Urologie
|August 9, 2016
Summary
Physiotherapy, including pelvic floor and bladder training, offers an alternative to medication for overactive bladder. Electrical and magnetic stimulation also show potential for treating overactive bladder symptoms.
Area of Science:
- Urology
- Physiotherapy
- Pelvic Health
Background:
- Overactive bladder (OAB) is a condition affecting many women, often treated with medication.
- Physiotherapeutic interventions present a viable alternative to pharmacological treatments for OAB.
Purpose of the Study:
- To review the evidence for conservative treatments for overactive bladder.
- To evaluate the efficacy of pelvic floor and bladder training, electrical stimulation, and magnetic stimulation for OAB.
Main Methods:
- Systematic reviews and randomized controlled trials (RCTs) were analyzed.
- Evidence levels were assessed for various conservative treatment modalities.
Main Results:
- Pelvic floor and bladder training show strong evidence (Level 1/1a) for reducing voids and incontinence episodes.
- Electrical stimulation has limited evidence (Level 2/2b) for improving OAB symptoms.
- Magnetic stimulation demonstrated a positive effect in one trial.
Conclusions:
- Conservative treatments like pelvic floor and bladder training are effective for overactive bladder.
- Further research is necessary to fully establish the benefits of electrical and magnetic stimulation for OAB.
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