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Non-surgical management in urogynaecology
Affiliation:1. Department of Chemical Engineering, Monash University, Clayton, VIC 3800, Australia;2. Department of Materials Science and Engineering, Monash University, Clayton, VIC 3800, Australia;1. Dept. of Information Display, Kyung Hee University, Dongdaemoon-Gu, Seoul, 02447, Republic of Korea;2. Dept. of Polymer Science and Engineering and Dept. of IT Convergence (BK21 PLUS), Korea National University of Transportation, Chungju, 27469, Republic of Korea;1. Department of Chemistry & Biochemistry, Florida International University, Miami, FL, USA;2. Laboratoire de Chimie Physique, CNRS, Univ. Paris-Sud, Université Paris Saclay, 91405, Orsay, France;3. Biomolecular Sciences Institute, Florida International University, Miami, FL, USA;1. Departamento de Química, Área de Catálisis, Grupo ECOCATAL, Universidad Autónoma Metropolitana-Iztapalapa, Avenida San Rafael Atlixco # 189, 09340, Ciudad de México, Mexico;2. Instituto de Química, Universidad Nacional Autónoma de México, Cd. Universitaria, Circuito Exterior, Coyoacán, 04510, Ciudad de México, Mexico;3. Centro de Investigaciones Químicas, Instituto de Investigación en Ciencias Básicas y Aplicadas, Universidad Autónoma del Estado de Morelos, Avenida Universidad # 1001, Chamilpa, CP 62209 Cuernavaca, Morelos, Mexico;1. Department of Mathematics and Modelling, Saratov State Technical University, Politehnicheskaya 77, 410054, Saratov, Russian Federation;2. Department of Automation, Biomechanics and Mechatronics, Lodz University of Technology, 1/15 Stefanowskiego St., 90-924, Lodz, Poland;3. Department of Mathematical and Computer Modeling, Saratov State University, 410054, Saratov, Astrachanskay 43, Russian Federation;4. Department of Applied Mathematics and Systems Analysis, Saratov State Technical University, 410054, Saratov, Politehnicheskaya 77, Russian Federation;1. Liquid Crystal Research Laboratory, School of Chemical Sciences, Universiti Sains Malaysia, 11800, Minden, Penang, Malaysia;2. Department of Chemistry, School of Natural and Computing Sciences, University of Aberdeen, Meston Walk, Aberdeen, AB24 3UE, United Kingdom
Abstract:This article discusses the non-surgical management of both genuine stress incontinence and detrusor instability. Although the traditional treatment for genuine stress incontinence is surgical, there are numerous circumstances under which non-surgical treatment should be considered. Such non-surgical treatment includes various types of physiotherapy, especially pelvic floor exercises, the use of drugs, especially oestrogen and α-adrenergic agents, and the use of mechanical devices. The treatment of detrusor instability is primarily non-surgical and treatment modalities include the use of drugs, the use of behavioural therapy, especially bladder retraining, and the use of maximal electrical stimulation. The anticipated results from each modality of treatment will be discussed together with guidance to appropriate references for those who wish to explore the subject further. Wherever possible, the author has chosen to quote randomized trials rather than cohort studies.
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