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THE JOURNAL OF FEMALE
URINARY INCONTINENCE


Debate Forum
 
 
The Journal of Female Urinary Incontinence has opened this space so you can rid yourself of doubts and change ideas about controversial topics of female urinary incontinence.
In this edition we have we have a physiotherapist Dra. Mônica Orsi Gameiro who in a practical way broach:
 
"How Pelvic Floor Rehabilitation can help the urologist in the treatment of female urinary incontinence?"
 

There are different approaches to treat female urinary incontinence (UI), and they must be offered to women with incontinence, because they play a significant role among the options provided by the multidisciplinary team, and they are also internationally validated by the International Continence Society (ICS, 2005).
Urinary incontinence is a common problem throughout the world, with numerous treatment options, such as physical therapy, medication and surgery.
The diagnosis process must be preferably carried out by the team, with the goal of assessing and analyzing the nature and severity of the incontinence, and it also estimates which is the most efficient intervention means, based on muscle tests, urinary loss quantity, daily micturition log, physical exam, history and, when necessary, an urodynamic exam. If there is no possibility for a joint evaluation, the discussion among the professionals regarding the goals and their stages are fundamental for treatment success.
The least invasive and bothersome treatment type must be considered as first choice.
The modalities will be different for patients with stress incontinence, detrusor overactivity or a mixed one, and it may vary from simple education and information all the way to training the pelvic floor muscles, use of biofeedback, vaginal cones, low frequency electrical stimulation and the association of physical therapy with medication and surgery preparation.
The urologist willing to treat female urinary incontinence must have a broad view of the problem, physical therapist support and knowledge on the association of treatment techniques, based on the UI cause, which is multifactorial. Nonetheless, the integration of trained professionals can certainly provide a woman with UI a treatment indication that is more appropriate to her life style, and ultimately a better prognosis.