Evidencias en Salud Pelvica


Entrenamiento del suelo pélvico

Ejercicios

  • Kegel AH: Progressive resistance exercise in the function and restoration of the perineal muscles. Am J Obstet Gynecol 56:238, 1948.
  • -Bo K, Hilde G. Does it work in the long term?–A systematic review on pelvic floor muscle training for female stress urinary incontinence.
  • -Gunnarsson M, Teleman P, Mattiasson A, et al: Effects of pelvic floor exercises in middle aged women with a history of naïve urinary incontinence: a population based study. Eur Urol 41:556-561, 2002.
  • -Dumoulin C, Hay-Smith J: Pelvic floor muscle training versus no treatment for urinary incontinence in women. A Cochrane systematic review. Eur J Phys Rehabil Med 44:47-63, 2008
  • -Reilly ET, Freeman RM, Waterfield MR, et al: Prevention of postpartum stress incontinence in primigravidae with increased bladder neck mobility: a randomised controlled trial of antenatal pelvic floor exercises. BJOG 109:68-76, 2002.
  • -Mørkved S, Bø K: Effect of postpartum pelvic floor muscle training in prevention and treatment of urinary incontinence: a one-year follow up. BJOG 107:1022-1028, 2000.
  • -Kegel AH: Physiologic therapy for urinary incontinence. JAMA 146:915, 1951
  • -Zahariou A, Karamouti M, Georgantzis D, et al: Are there any UPP changes in women with stress urinary incontinence after pelvic floor muscle exercises? Urol Int 80:270-274, 2008.
  • -Sampselle C, Messer KL, Seng JS, et al: Learning outcomes of a group behavioral modification program to prevent urinary incontinence. Int Urogynecol J 16:441-446, 2005.
  • -Bø K, Kvarstein B, Nygaard I: Lower urinary tract symptoms and pelvic floor muscle exercise adherence after 15 years. Obstet Gynecol 105:999-1005, 2005.
  • -Kondo A, Emoto A, Katoh K, et al: Long-term results of the pelvic floor muscle training for female urinary incontinence: an 8-year transition tree and predictive parameters. Neurourol Urodyn 26:495-501, 2007.
  • -Zanetti MR, Castro Rde A, Rotta AL, et al: Impact of supervised physiotherapeutic pelvic floor exercises for treating female stress urinary incontinence. Sao Paulo Med J 125:265-269, 2007.
  • -Sugaya K, Owan T, Hatano T, et al: Device to promote pelvic floor muscle training for stress incontinence. Int J Urol 10:416-422, 2003.
  • -Alewijnse D, Mesters I, Metsemakers J, et al: Predictors of intention to adhere to physiotherapy among women with urinary incontinence. Health Educ Res 16:173-186, 2001.
  • -Hay-Smith J, Herbison P, Mørkved S: Physical therapies for prevention of urinary and faecal incontinence in adults. Cochrane Database Syst Rev 2002(2):CD003191.

Conos vaginales

  • -Peattie AB, Plevnik S, Stanton SL: Vaginal cones: a conservative method of treating genuine stress incontinence. Br J Obstet Gynaecol 95:1049-1053, 1988
  • -Bø K, Talseth T, Holme I: Single blind, randomised controlled trial of pelvic floor exercises, electrical stimulation, vaginal cones, and no treatment in management of genuine stress incontinence in women. BMJ 318:487-493, 1999.
  • -Arvonen T, Fianu-Jonasson A, Tyni-Lenne R: Effectiveness of two conservative modes of physical therapy in women with urinary stress incontinence. Neurourol Urodyn 20:591–599, 2000.
  • -Herbison P, Plevnick S, Mantle J: Weighted vaginal cones for urinary incontinence. Cochrane Database Syst Rev 2002:CD002114.

Biofeedback

  • -Doumouchtis SK, Jeffrey S, Fynes M: Female voiding dysfunction. Obstet Gynecol Survey 63:519-526, 2008.
  • -Pages IH, Jahr S, Schaufele MK, et al: Comparative analysis of biofeedback and physical therapy for treatment of urinary stress incontinence in women. Am J Phys Med Rehabil 80:494- 502, 2001.
  • Aukee P, Immonen  P, The effect of home biofeedback training on stress incontinence Acta Obstet Gynecol Scand 83:973-977, 2004.
  • -Burgio KL, Whitehead WE, Engel BT: Urinary incontinence in the elderly: bladder-sphincter biofeedback and toileting skills training. Ann Intern Med 104:507-515, 1985.
  • -Burgio KL, Goode PS, Locher JL, et al: Behavioral training with and without biofeedback in the treatment of urge incontinence in older women: a randomized controlled trial. JAMA 288:2293-2299, 2002.

Estimulación eléctrica

  • -Resplande J, Gholami S, Bruschini H, et al: Urodynamic changes induced by the intravaginal electrode during pelvic floor stimulation. Neurourol Urodyn 22:24-28, 2003.
  • -Indrekvam S, Sandvik H, Hunskaar S: A Norwegian national cohort of 3198 women treated with home-managed electrical stimulation for urinary incontinence: effectiveness and treatment results. Scand J Urol Nephrol 35:32-39, 2001.
  • -Indrekvam S, Hunskaar S: Side effects, feasibility, and adherence to treatment during home-managed electrical stimulation for urinary incontinence: a Norwegian national cohort of 3,198 women. Neurourol Urodyn 21:546-552, 2002.
  • -Wu V, Farrell SA, Baskett TF, et al: A simplified protocol for pessary management. Obstet Gynecol 90:990-994, 1997.
  • -Shaikh S, Ong E, Glavind K, et al: Cochrane Database Syst Rev 2006:CD001756.
  • -Noblett KL, McKinney A, Lane FL: Effects of the incontinence dish pessary on urethral support and urodynamic parameters. Am J Obstet Gynecol 198:592.e1-592.e5, 2008.
  • -Farrell SA, Baydock S, Baharak A, et al: Effectiveness of new self-positioning pessary for the management of urinary incontinence in women. Am J Obstet Gynecol 196:474e1-474.e8, 2007.
  • -Komesu YM, Ketai LH, Rogers RG, et al: Restoration of continence by pessaries: magnetic resonance imaging assessment of mechanism of action. Am J Obstet Gynecol 198:563.e1-563.e6, 2008.
  • -Sirls LT, Foote JE, Kaufman JM, et al: Long-term results of the FemSoft urethral insert for the management of female stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 13:88-95, 2002.
  • -Robinson H, Schulz J, Flood C, et al: A randomized controlled trial of the NEAT expandable tip continence device. Int Urogynecol J Pelvic Floor Dysfunct; 14:199-203, 2002.
  • -Versi E, Griffiths DJ, Harvey M: A new external urethral occlusive device for female urinary incontinence. Obstet Gynecol 92:286-291, 1998.

Pesarios

  • -Wu V, Farrell SA, Baskett TF, et al: A simplified protocol for pessary management. Obstet Gynecol 90:990-994, 1997.
  • -Shaikh S, Ong E, Glavind K, et al: Cochrane Database Syst Rev 2006:CD001756.
  • -Morris AR, Moore KH. The Contiform incontinence device: efficacy and patient acceptability. Int Urogynecol J 14:412-417, 2003.
  • -Sirls LT, Foote JE, Kaufman JM, et al: Long-term results of the FemSoft urethral insert for the management of female stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 13:88-95, 2002.
  • -Robinson H, Schulz J, Flood C, et al: A randomized controlled trial of the NEAT expandable tip continence device. Int Urogynecol J Pelvic Floor Dysfunct; 14:199-203, 2002.
  • -Versi E, Griffiths DJ, Harvey M: A new external urethral occlusive device for female urinary incontinence. Obstet Gynecol 92:286-291, 1998.
  • – Jones KA, Harmanli O. Pessary use in pelvic organ prolapse and urinary incontinence.

Dolor por patología de suelo pélvico

Postura en el aseo

Ayudas

TENS EN EMBARAZO Y MENSTRUACION/DISMENORREA

Christine D. Greco, MD. Management of Adolescent Chronic Pelvic Pain from Endometriosis.A Pain Center Perspective. Children’s Hospital and Harvard Medical School, Boston, MA USA

Lamina Sikiru.Transcutaneous electrical nerve stimulation (TENS) in the symptomatic management of chronic prostatitis/chronic pelvic pain syndrome: a placebo-control randomized trial

-Kaplan. Transcutaneous electrical nerve stimulation (tens) for adjuvant pain-relief during labor and deliver International. Journal of Gynecology & Obstetrics 1998; 60: 251-55.

-Keskin EA, Onur O. Transcutaneous electrical nerve stimulation improves low back pain during pregnancy. Gynecol Obstet Invest. 2012;74(1):76-83. doi: 10.1159/000337720. Epub 2012 Jun 21.

Safe use of transcutaneous electrical nerve stimulation for musculoskeletal pain during pregnancy

DILATADORES VAGINALES

-C. Martín-Corrales, M. Torres-Lacomba. Eficacia de la fisioterapia en el dolor pélvico crónico. Revisión sistemática cualitativa

-T. O. Idama, D. W. Pring. Vaginal dilator therapy-an outpatient gynaecological option in the management of dyspareunia

-Michael Werner, MD, FACS; Barbara Gross, LMSW; Melissa Ferrara, FNP; Bat Sheva Marcus, LMSW, MPH, PhD. Tratament protocol of Vaginismus.

-Peter T. Pacik. Vaginismus: review of Current concepts and treatment using botox injections, Bupivacaine, injections, and progressive dilation with the patient unader anesthesia.

-Filippo Murina. The Use of Amielle Vaginal Trainers as Adjuvant in the Treatment of Vestibulodynia: An Observational Multicentric Study.

-Mariana Chaves Aveiro; Ana Paula Urdiales Garcia; Patrícia Driusso. Efetividade de intervenções fisioterapêuticas para o vaginismo: uma revisão da literatura.

INCOSTRESS

Inco-Stop: a new vaginal device for the treatment of urinary stress incontinence. Guerrero et al (2006), Int Urogynecol. J. (Suppl. 2, pag 117)

CONTRELLE

Thyssen H., Bidmead J. A new intravaginal device for stress incontinence in women 5 JAN 2002 DOI10.1046

EPI – NO

Estilo de vida

Obesidad y dieta

Diabetes

  • -Lawrence JM, Lukacz ES, Liu IA, et al: Pelvic floor disorders, diabetes, and obesity in women. Findings from the Kaiser Permanente Continence Associated Risk Epidemiology Study. Diabetes Care 30:2536-3541,2007.
  • -Brown J, Vittinghoff E, Lin F, et al: Prevalence and risk factors for urinary incontinence in women with type 2 diabetes and impaired fasting glucose: findings from the National Health and Nutrition Examination Survey (NHANES) 2001-2002.
  • -Diabetes Care29:1307-1312, 2006.
  • -Ebbesen MH, Hannestad YS, Midthjell K, et al: Diabetes and urinary incontinence – prevalence data from Norway. Acta Obstet Gynecol Scand 86:1256-1262, 2007.
  • -Kim C, McEwen LN, Sarma AV, et al: Stress urinary incontinence in women with a history of gestational diabetes mellitus. J Women’s Health 17:783-792, 2008.

Ejercicios de impacto

Fumar

  • -Luber KM: The definition, prevalence, and risk factors for stress urinary incontinence. Rev Urol 6(Suppl 3):S3-S9, 2004.
  • -Richter HE, Burgio KL, Brubaker L, et al: Factors associated with incontinence frequency in a surgical cohort of stress incontinent women. Am J Obstet Gynecol 193:2088-2093, 2005.
  • -Dallosso HM, McGrother CW, Matthews RJ, et al: The association of diet and other lifestyle factors with overactive bladder and stress incontinence: a longitudinal study in women. BJU Int 92:69–77, 2003.
  • -Hannestad YS, Rortveit G, Daltveit AK, et al: Are smoking and other lifestyle factors associated with female urinary incontinence? The Norwegian EPINCONT Study. Br J Obstet Gynaecol 110:247-254, 2003.

La cafeína y la ingesta de líquidos

  • -Tomlinson BU, Dougherty MC, Pendergast JF, et al: Dietary caffeine, fluid intake and urinary incontinence in older rural women. Int Urogynecol J Pelvic Floor Dysfunct 10:22-28, 1999.
  • -Bryant CM, Dowell CJ, Fairbrother G: Caffeine reduction education to improve urinary symptoms. Br J Nurs 11:560-565, 2002.
  • -Swithinbank H, Hashim H., Abrams P: The effect of fluid intake on urinary symptoms in women. J Urol 174:187-189, 2005.

Hábito intestinal

  • -Spence-Jones C, Kamm MA, Henry MM, et al: Bowel dysfunction: a pathogenic factor in uterovaginal prolapse and urinary stress incontinence. Br J Obstet Gynaecol 101:147-152, 1994.
  • -Manning J, Korda A, Benness C, et al: The association of obstructive defecation, lower urinary tract dysfunction and the benign joint hypermobility syndrome: a case-control study. Int. Urogynecol J 14: 128-132, 2003.

Arándano y cistitis

  • -Amy B Howell, Dosage effect on uropathogenic Escherichia coli anti-adhesion activity in urine following consumption of cranberry powder standardized for proanthocyanidin content: a multicentric randomized double blind study (http://www.biomedcentral.com/1471-2334/10/94)
  • -David G. Cunningham. Constituyentes fitoquímicos del arándano americano (Vaccinium macrocarpon) y sus beneficios para la salud.
  • -Ruth G Jepsom. Cranberries for preventing urinary tract infections Editorial Group: Cochrane Renal Group

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