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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"

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|August 9, 2016
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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.

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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.