尿失禁是影响女性的普遍病症。盆底物理治疗是专门用于评估和治疗盆底肌肉的物理治疗的专业领域。该疗法已证明在解决绝经前妇女的压力性尿失禁方面有益处,大量研究支持其在该人群中的疗效。然而,盆底物理治疗在绝经后妇女的治疗不太成熟,而且,绝经后妇女尿失禁的类型要广泛得多。我们对最近的文献进行了全面的回顾,这些文献调查了绝经后妇女盆底理疗治疗对各种疾病的有效性。包括尿失禁,尿失禁,盆腔器官脱垂,更年期泌尿生殖系统综合征,性功能障碍,和肥胖背景下的尿失禁,脆弱,移动性,和痴呆症。在评估了当前的文献之后,很明显,没有足够的数据明确认可或不认可使用盆底理疗治疗绝经后女性尿失禁.然而,考虑到盆底理疗的低相关风险,我们主张全面启动,大规模随机研究旨在评估其在治疗绝经后妇女尿失禁方面的有效性,特别关注脆弱亚组,包括肥胖的人,虚弱或经历认知障碍。
Urinary incontinence is a prevalent condition affecting women. Pelvic floor physiotherapy is a specialized field of physiotherapy dedicated to assessing and treating pelvic floor muscles. This therapy has demonstrated benefits in addressing stress urinary incontinence in premenopausal women, with numerous studies supporting its efficacy in this population. However, pelvic floor physiotherapy in the treatment of
postmenopausal women is less well-established, and furthermore, the types of urinary incontinence in
postmenopausal women are much broader. We provide a comprehensive review of recent literature investigating the effectiveness of pelvic floor physiotherapy therapy 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, it is evident that there is insufficient data to definitively endorse or dismiss the utilization of Pelvic floor physiotherapy for treating urinary incontinence in
postmenopausal women. Nevertheless, considering the low associated risks of pelvic floor physiotherapy, we advocate for the initiation of comprehensive, large-scale randomized studies aimed at evaluating its effectiveness in addressing urinary incontinence in
postmenopausal women with special attention to vulnerable subgroups, including individuals who are obese, frail or experiencing cognitive impairment.