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Comparing Regenerative and Rehabilitative Strategies for Female Stress Urinary Incontinence: Platelet-Rich Plasma vs. Pelvic Floor Muscle Training-A Prospective Study Evaluating Quality of Life.

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Conservative Treatment in Stress Urinary Incontinence-Narrative Literature Review.

Mircea-Octavian Poenaru1,2, Liana Ples1,2, Cristian-Valentin Toma3,4

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Pelvic floor muscle training (PFMT) is the leading conservative treatment for stress urinary incontinence (SUI) in women. Other non-surgical options can supplement PFMT for improved symptom management and quality of life.

Keywords:
female pelvic floor dysfunctionguideline-based therapynon-surgical managementpelvic floor muscle trainingquality of lifeurinary incontinence rehabilitation

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Area of Science:

  • Urology
  • Gynecology
  • Physical Therapy

Background:

  • Stress urinary incontinence (SUI) is the most prevalent form of urinary incontinence among women.
  • SUI significantly diminishes a woman's overall quality of life.

Purpose of the Study:

  • To review current evidence on non-surgical treatments for female SUI.
  • To assess the clinical applicability of conservative SUI therapies.

Main Methods:

  • A 15-year narrative review of medical databases.
  • Inclusion of systematic reviews, RCTs, observational studies, and guidelines.
  • Focus on pelvic floor muscle training (PFMT), nerve stimulation, acupuncture, pharmacological agents, local estrogen, pessaries, and bulking agents.

Main Results:

  • Pelvic floor muscle training (PFMT) is the primary first-line therapy for SUI, with robust evidence for efficacy.
  • Other conservative treatments (nerve stimulation, acupuncture, duloxetine, local estrogen, pessaries, bulking agents) show potential but have weaker or varied evidence.
  • These alternative therapies serve as adjuncts or tailored options when PFMT is insufficient or not preferred.

Conclusions:

  • Conservative management, primarily PFMT, should be the initial treatment for most women with mild to moderate SUI.
  • Selective use of additional modalities is recommended based on individual patient factors.
  • An individualized, stepwise approach can effectively manage SUI symptoms and potentially postpone or prevent surgery.