Is There a Role for Pelvic Floor Physiotherapy in Elderly Women with Urinary Incontinence?

<p id="p1">Urinary incontinence is a prevalent condition affecting women worldwide. Pelvic floor physiotherapy (PFPT) is a specialized field of physiotherapy dedicated to assessing and treating pelvic floor muscles. This therapy has demonstrated significant benefits in addressing stress urinary inco...

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Autores principales: Locke, Jennifer, Walgren, Lauren
Formato: Capítulo de libro
Lenguaje:inglés
Publicado: IntechOpen 2025
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Acceso en línea:https://www.intechopen.com/chapters/89767
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Sumario:<p id="p1">Urinary incontinence is a prevalent condition affecting women worldwide. Pelvic floor physiotherapy (PFPT) is a specialized field of physiotherapy dedicated to assessing and treating pelvic floor muscles. This therapy has demonstrated significant benefits in addressing stress urinary incontinence in premenopausal women, with numerous studies supporting its efficacy in this population. However, PFPT in the treatment of postmenopausal women is less established. Furthermore, the types of urinary incontinence in postmenopausal women are much broader. We provide a comprehensive summary of recent literature investigating the effectiveness of PFPT for various conditions in postmenopausal women, including urinary incontinence, urgency urinary incontinence, pelvic organ prolapse, genitourinary syndrome of menopause, sexual dysfunction, and urinary incontinence in the context of obesity, frailty, mobility, and dementia. After evaluating the current literature, we found there is insufficient data to definitively endorse or dismiss the utilization of PFPT for treating urinary incontinence in postmenopausal women. Nevertheless, considering the low associated risks of PFPT, we advocate for the initiation of comprehensive, large-scale randomized studies aimed at evaluating its effectiveness in addressing urinary incontinence in older women with special attention to vulnerable subgroups, including individuals who are obese, frail, or experiencing dementia.</p>
ISBN:978-0-85014-093-4
DOI:10.5772/intechopen.113786