Mechanical devices for urinary incontinence in women

摘要: Background Incontinence can have a devastating effect on the lives of sufferers with significant economic implications. Non-surgical treatments such as pelvic floor muscle training and use mechanical devices are usually first line management, particularly when woman does not want surgery or she is considered unfit for surgery. Mechanical inexpensive do compromise future surgical treatment. Objectives To determine whether useful in management adult female urinary incontinence. Search methods For this second update we searched Cochrane Incontinence Group Specialised Register, which contains trials identified from Central Register Controlled Trials (CENTRAL), MEDLINE, MEDLINE process, ClinicalTrials.gov, WHO ICTRP handsearching journals conference proceedings (searched 21 August 2014), EMBASE (January 1947 to 2014 Week 34), CINAHL 1982 25 reference lists relevant articles. Selection criteria All randomised quasi-randomised controlled incontinence determined by symptom, sign urodynamic diagnosis. Data collection analysis The reviewers assessed studies eligibility risk bias independently extracted data included studies. Data analysis was performed using RevMan software (version 5.3). Main results One new trial bringing total eight involving 787 women. Three small compared device no treatment although they suggested that might be better than treatment, evidence inconclusive. Four one another. Quantitative synthesis these possible because different were each outcome measures. individual showed clear difference between devices, but wide confidence intervals. One three groups: alone, behavioural therapy (pelvic training) alone combined device. While at months there more withdrawals device-only group, 12 differences groups sustained any measure. Authors' conclusions The place remains question. Currently little judge their large well-conducted required clarification. There also insufficient favour over another compare other forms treatment.