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Dutch guidelines for physiotherapy in patients with stress urinary incontinence: an update |
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| 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 |
| Affiliation: | 1. Department of Epidemiology and Centre for Evidence Based Physiotherapy & Clinical Guidelines (CEBP), Maastricht University, Maastricht, The Netherlands 2. Centre for Musculoskeletal Rehabilitation, HAN University of Applied Sciences, Nijmegen, The Netherlands 3. Department of Research and Development, Dutch Institute for Allied Health Care (NPI), Amersfoort, The Netherlands 4. Pelvic care Center Maastricht (PcCM), Maastricht University Medical Centre, Maastricht, The Netherlands 5. Department of Obstetrics and Gynaecology, Department Physiotherapy, Erasmus, University Medical Centre, Rotterdam, The Netherlands 6. ProFundum Institute, Dordrecht, The Netherlands 7. Scientific Institute for Quality of Healthcare (IQ Healthcare), Radboud University Medical Centre, Nijmegen, The Netherlands 8. School for Public Health and Primary Care (CAHPRI), Maastricht University, Maastricht, The Netherlands |
| Abstract: | Introduction and hypothesisStress 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 methodsA 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.ResultsScientific evidence supporting assessment and management of SUI is strong.ConclusionsThe CPGs reflect the current state of knowledge of effective and tailor-made intervention in SUI patients. |
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