Management of urinary incontinence in postmenopausal women: An EMAS clinical guide.

INTRODUCTION: The prevalence of urinary incontinence and of other lower urinary tract symptoms increases after the menopause and affects between 38 % and 55 % of women aged over 60 years. While urinary incontinence has a profound impact on quality of life, few affected women seek care. AIM: The aim...

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Autores: Russo, Eleonora, Caretto, Marta, Giannini, Andrea, Bitzer, Johannes, Cano, Antonio, Ceausu, Iuliana, Chedraui, Peter, Durmusoglu, Fatih, Erkkola, Risto, Goulis, Dimitrios G, Kiesel, Ludwig, Lambrinoudaki, Irene, Hirschberg, Angelica Linden, Lopes, Patrice, Pines, Amos, Rees, Margaret, van Trotsenburg, Mick, Simoncini, Tommaso
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:España
Institución:INCLIVA
Repositorio:r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA
OAI Identifier:oai:incliva.fundanetsuite.com:p15035
Acceso en línea:https://incliva.portalinvestigacion.com/publicaciones/15035
Access Level:acceso abierto
Palabra clave:Aging
Estrogens
Menopause
Midurethral slings
Urinary incontinence
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spelling Management of urinary incontinence in postmenopausal women: An EMAS clinical guide.Russo, EleonoraCaretto, MartaGiannini, AndreaBitzer, JohannesCano, AntonioCeausu, IulianaChedraui, PeterDurmusoglu, FatihErkkola, RistoGoulis, Dimitrios GKiesel, LudwigLambrinoudaki, IreneHirschberg, Angelica LindenLopes, PatricePines, AmosRees, Margaretvan Trotsenburg, MickSimoncini, TommasoAgingEstrogensMenopauseMidurethral slingsUrinary incontinenceINTRODUCTION: The prevalence of urinary incontinence and of other lower urinary tract symptoms increases after the menopause and affects between 38 % and 55 % of women aged over 60 years. While urinary incontinence has a profound impact on quality of life, few affected women seek care. AIM: The aim of this clinical guide is to provide an evidence-based approach to the management of urinary incontinence in postmenopausal women. MATERIALS AND METHODS: Literature review and consensus of expert opinion. SUMMARY RECOMMENDATIONS: Healthcare professionals should consider urinary incontinence a clinical priority and develop appropriate diagnostic skills. They should be able to identify and manage any relevant modifiable factors that could alleviate the condition. A wide range of treatment options is available. First-line management includes lifestyle and behavioral modification, pelvic floor exercises and bladder training. Estrogens and other pharmacological interventions are helpful in the treatment of urgency incontinence that does not respond to conservative measures. Third-line therapies (e.g. sacral neuromodulation, intravesical onabotulinum toxin-A injections and posterior tibial nerve stimulation) are useful in selected patients with refractory urge incontinence. Surgery should be considered in postmenopausal women with stress incontinence. Midurethral slings, including retropubic and transobturator approaches, are safe and effective and should be offered.ELSEVIER IRELAND LTD2021info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://incliva.portalinvestigacion.com/publicaciones/15035MATURITASISSN: 03785122ISSNe: 18734111reponame:r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVAinstname:INCLIVAInglésinfo:eu-repo/semantics/openAccessoai:incliva.fundanetsuite.com:p150352026-06-07T16:35:31Z
dc.title.none.fl_str_mv Management of urinary incontinence in postmenopausal women: An EMAS clinical guide.
title Management of urinary incontinence in postmenopausal women: An EMAS clinical guide.
spellingShingle Management of urinary incontinence in postmenopausal women: An EMAS clinical guide.
Russo, Eleonora
Aging
Estrogens
Menopause
Midurethral slings
Urinary incontinence
title_short Management of urinary incontinence in postmenopausal women: An EMAS clinical guide.
title_full Management of urinary incontinence in postmenopausal women: An EMAS clinical guide.
title_fullStr Management of urinary incontinence in postmenopausal women: An EMAS clinical guide.
title_full_unstemmed Management of urinary incontinence in postmenopausal women: An EMAS clinical guide.
title_sort Management of urinary incontinence in postmenopausal women: An EMAS clinical guide.
dc.creator.none.fl_str_mv Russo, Eleonora
Caretto, Marta
Giannini, Andrea
Bitzer, Johannes
Cano, Antonio
Ceausu, Iuliana
Chedraui, Peter
Durmusoglu, Fatih
Erkkola, Risto
Goulis, Dimitrios G
Kiesel, Ludwig
Lambrinoudaki, Irene
Hirschberg, Angelica Linden
Lopes, Patrice
Pines, Amos
Rees, Margaret
van Trotsenburg, Mick
Simoncini, Tommaso
author Russo, Eleonora
author_facet Russo, Eleonora
Caretto, Marta
Giannini, Andrea
Bitzer, Johannes
Cano, Antonio
Ceausu, Iuliana
Chedraui, Peter
Durmusoglu, Fatih
Erkkola, Risto
Goulis, Dimitrios G
Kiesel, Ludwig
Lambrinoudaki, Irene
Hirschberg, Angelica Linden
Lopes, Patrice
Pines, Amos
Rees, Margaret
van Trotsenburg, Mick
Simoncini, Tommaso
author_role author
author2 Caretto, Marta
Giannini, Andrea
Bitzer, Johannes
Cano, Antonio
Ceausu, Iuliana
Chedraui, Peter
Durmusoglu, Fatih
Erkkola, Risto
Goulis, Dimitrios G
Kiesel, Ludwig
Lambrinoudaki, Irene
Hirschberg, Angelica Linden
Lopes, Patrice
Pines, Amos
Rees, Margaret
van Trotsenburg, Mick
Simoncini, Tommaso
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Aging
Estrogens
Menopause
Midurethral slings
Urinary incontinence
topic Aging
Estrogens
Menopause
Midurethral slings
Urinary incontinence
description INTRODUCTION: The prevalence of urinary incontinence and of other lower urinary tract symptoms increases after the menopause and affects between 38 % and 55 % of women aged over 60 years. While urinary incontinence has a profound impact on quality of life, few affected women seek care. AIM: The aim of this clinical guide is to provide an evidence-based approach to the management of urinary incontinence in postmenopausal women. MATERIALS AND METHODS: Literature review and consensus of expert opinion. SUMMARY RECOMMENDATIONS: Healthcare professionals should consider urinary incontinence a clinical priority and develop appropriate diagnostic skills. They should be able to identify and manage any relevant modifiable factors that could alleviate the condition. A wide range of treatment options is available. First-line management includes lifestyle and behavioral modification, pelvic floor exercises and bladder training. Estrogens and other pharmacological interventions are helpful in the treatment of urgency incontinence that does not respond to conservative measures. Third-line therapies (e.g. sacral neuromodulation, intravesical onabotulinum toxin-A injections and posterior tibial nerve stimulation) are useful in selected patients with refractory urge incontinence. Surgery should be considered in postmenopausal women with stress incontinence. Midurethral slings, including retropubic and transobturator approaches, are safe and effective and should be offered.
publishDate 2021
dc.date.none.fl_str_mv 2021
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://incliva.portalinvestigacion.com/publicaciones/15035
url https://incliva.portalinvestigacion.com/publicaciones/15035
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv ELSEVIER IRELAND LTD
publisher.none.fl_str_mv ELSEVIER IRELAND LTD
dc.source.none.fl_str_mv MATURITAS
ISSN: 03785122
ISSNe: 18734111
reponame:r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA
instname:INCLIVA
instname_str INCLIVA
reponame_str r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA
collection r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,812429

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