Related Experiment Video
Updated: Aug 7, 2025
03:43
Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
Published on: September 13, 2022
5.5K
Update on Physiotherapy in Postpartum Urinary Incontinence. A Systematic Review
Paula Diz-Teixeira1, Alejandra Alonso-Calvete1,2, Lorenzo A Justo-Cousiño1
1Departamento de Bioloxía Funcional e Ciencias da Saúde, Facultade de Fisioterapia, Universidade de Vigo, Campus A Xunqueira s/n, 36005 Pontevedra, Spain.
Archivos Espanoles De Urologia
|March 13, 2023
Summary
Pelvic floor muscle training effectively treats postpartum urinary incontinence. Combining supervised and home exercises is recommended for optimal results in women experiencing incontinence after childbirth.
Area of Science:
- Obstetrics and Gynecology
- Physical Therapy
- Women's Health
Background:
- Postpartum urinary incontinence stems from biomechanical shifts, hormonal fluctuations during pregnancy, and childbirth-related perineal trauma.
- Physiotherapy offers a conservative approach to managing urinary incontinence in the postpartum phase.
- This review evaluates the efficacy of physiotherapy interventions for postpartum urinary incontinence.
Approach:
- A comprehensive literature search was conducted in February 2022 across major databases (PubMed, Scopus, Medline, PeDRO, SportDiscus).
- Included studies were randomized clinical trials published within the last decade focusing on physiotherapy for postpartum urinary incontinence.
- Articles not aligning with the study's objective or duplicates were excluded.
Key Points:
- Eight randomized clinical trials were included from an initial 51 articles.
- Pelvic floor muscle training was the primary physiotherapy intervention across all included studies.
- Significant improvements were observed in 6 studies concerning urinary incontinence, strength, resistance, quality of life, and sexual function.
Conclusions:
- Pelvic floor muscle training demonstrates significant benefits for treating postpartum urinary incontinence.
- A combination of supervised, controlled exercise and a home-based training regimen is advisable.
- Long-term maintenance of these benefits requires further investigation.
Related Concept Videos
01:30Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
19
A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
19
01:26Muscles of the Pelvic Floor and Perineum
1.7K
The muscles of the pelvic floor and perineum are crucial for supporting the pelvic organs, controlling continence, and aiding in sexual function, childbirth, and core stability. They are typically divided into the superficial perineal layer and the deep pelvic floor layer.
Perineal Layer
The perineum is a diamond-shaped area below the pelvic diaphragm, divided into an anterior urogenital triangle that contains the external genitals and a posterior anal triangle housing the anus. The urogenital...
Perineal Layer
The perineum is a diamond-shaped area below the pelvic diaphragm, divided into an anterior urogenital triangle that contains the external genitals and a posterior anal triangle housing the anus. The urogenital...
1.7K
01:17Urinary Tract Infection IV: Nursing Management
44
In managing urinary tract infections (UTIs) in nursing, a comprehensive assessment is essential. Begin by gathering subjective data, such as the patient’s complaints of dysuria (painful urination), urinary frequency, urgency, suprapubic pain, and any lower abdominal discomfort. This information can be complemented by questions regarding previous UTIs, sexual activity, and personal hygiene practices, which can provide insight into risk factors. Objective assessment should focus on signs...
44
01:19Urodynamic Studies: Uroflowmetry
208
Uroflowmetry is a non-invasive urodynamic test designed to measure various aspects of urination, including volume, flow rate, and the time to void. This test is crucial for diagnosing and assessing conditions such as bladder outlet obstruction, bladder dysfunction, incomplete bladder emptying, incontinence, and urinary tract blockages caused by benign prostatic hyperplasia (BPH) and urethral strictures.Pre-Test Instructions:Before a uroflowmetry test, patients are typically advised to drink...
208
01:20Physiology of the Genitourinary System III: Urine Concentration and Dilution
33
The kidneys concentrate or dilute urine to maintain water and electrolyte balance. Nephrons, particularly the loop of Henle, play a crucial role in this process through the countercurrent multiplication system. This system establishes a high osmolarity in the renal medulla, which is essential for water reabsorption. In the loop of Henle’s descending limb, water is reabsorbed into the surrounding medulla due to its permeability to water. In contrast, the ascending limb actively transports...
33
01:28Urinary Tract Calculi V: Nursing Management
17
AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
17