Due to their high worldwide prevalence, pelvic floor dysfunctions (PFD´s) are a public health problem. There is high heterogeneity in the types and effectiveness of conservative treatment.
To analyze the scientific evidence on conservative treatment of PFDs in women.
Umbrella review, covering MEDLINE (1950-2019), Scopus (1960-2019), Web of Science (1980-2019), and Cochrane Library (2000-2019).
Inclusion criterion: review on conservative treatments about pelvic floor disorders in the adult women, in Spanish or English; Exclusion criterion: studies about other urological, gynecological, and coloproctological pathologies, among others.
32 reviews (2000 to 2019), 12 meta-analysis. 53.1% showed an improvement on urinary incontinence. Pelvic floor muscle training worked on 70.6% of them, followed by electrical stimulation and estrogen (11.7%), and weight loss (5.9%). 6.3% of reviews and meta-analyses fulfilled all items in PRISMA, and 93.7% of them fulfilled more than 60% of the checklist. 60% de los ítems.
PFMT and weight loss are the most effective treatments for UI, but there is no evidence for other PFDs. The methodological quality of conservative treatments must be improved for a more effective treatment of PFDs in women.
International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics. 2022 Mar 04 [Epub ahead of print]
Carolina Bascur-Castillo, Mercedes Carrasco-Portiño, Romina Valenzuela Peters, Luna Orellana-Gaete, Vicente Viveros-Allende, María Teresa Ruiz Cantero
Department of Obstetrics and Puericulture, Faculty of Medicine, University of Concepcion, Concepcion, Chile., Public Health Research Group, University of Alicante, Alicante, Spain.