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Systematic Review: Randomized, Controlled Trials of Nonsurgical Treatments for Urinary Incontinence in Women
- Tatyana A. Shamliyan, MD, MS;
- Robert L. Kane, MD;
- Jean Wyman, PhD; and
- Timothy J. Wilt, MD, MPH
- From the University of Minnesota School of Public Health, Minnesota Evidence-based Practice Center, University of Minnesota School of Nursing, University of Minnesota Medical School, and Minneapolis Veterans Affairs Center for Chronic Disease Outcomes Research, Minneapolis, Minnesota.
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Figure 1. Study flow diagram.PFMT = pelvic floor muscle training; UI = urinary incontinence. *Literature search was conducted to examine diagnosis of, prevalence of, incidence of, risk factors for, and clinical interventions for UI and fecal incontinence. †Some randomized, controlled trials examined several interventions.
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Figure 2. Effects of pelvic floor muscle training compared with regular care on resolving or improving urinary incontinence in community-dwelling women (risk difference from individual randomized, controlled trials).*Improved urinary incontinence. †Resolved urinary incontinence.
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Figure 3. Effects of duloxetine compared with placebo on resolving or improving urinary incontinence in community-dwelling women (risk difference from individual randomized, controlled trials).CST = cough stress test; PFMT = pelvic floor muscle training; PGI-I = Patient Global Impression of Improvement; SPT = stress pad test.
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Figure 4. Effects of different doses of duloxetine on resolving or improving urinary incontinence in community-dwelling women (risk difference from individual randomized, controlled trials).CST = cough stress test; PFMT = pelvic floor muscle training; PGI-I = Patient Global Impression of Improvement; SPT = stress pad test.
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Figure 5. Effects of anticholinergic drugs on resolving or improving urinary incontinence in community-dwelling women (risk difference from individual randomized, controlled trials).CR = controlled release; ER = extended release; IR = immediate release.
