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Aug 18 2017

Tratamento conservador

curso imagens

A Sociedade Internacional de Continência e outras sociedades médicas internacionais e nacionais indicam a fisioterapia como primeira linha de tratamento para as disfunções perineais. Segue abaixo algumas citações.

“O tratamento não cirúrgico é uma boa opção inicial ou adjuvante às técnicas cirúrgicas. O tratamento clínico compreende exercícios perineais, cones vaginais, electroestimulação da musculatura do assoalho pélvico e fármacos.” Febrasgo 2007, Manual de orientação em Uroginecologia e Cirurgia Vaginal, pá 19. http://www.febrasgo.org.br/site/wp-content/uploads/2013/05/urocirurgvag.zip

“As the prevalence of UI and POP is high, and with the current constraints on most healthcare economies, conservative treatment constitutes the principal form of management at the primary care level.” Sociedade Internacional de Continência, pág 027 http://www.ics.org/Publications/ICI_4/book.pdf

“Offer supervised intensive PFMT, lasting at least 3 months, as a first-line therapy to women with stress urinary incontinence or mixed urinary incontinence.” European Association of Urology 2015 pág 27 http://uroweb.org/wp-content/uploads/20-Urinary-Incontinence_LR1.pdf

“Treatment options for SUI range from conservative to surgical. Conservative options include pelvic muscle exercises (with or without physical therapy) http://www.acog.org/Resources-And-Publications/Committee-Opinions/Committee-on-Gynecologic-Practice/Evaluation-of-Uncomplicated-Stress-Urinary-Incontinence-in-Women-Before-Surgical-Treatment

“Recommendation 1: The American College of Physicians (ACP) recommends first-line treatment with pelvic floor muscle training (PFMT) in women with stress urinary incontinence (UI). (Grade: strong recommendation, high-quality evidence)”.  http://www.guideline.gov/content.aspx?id=48543&search=incontinence

“Offer a trial of supervised pelvic floor muscle training of at least 3 months’ duration as first-line treatment to women with stress or mixed IU [2006]”   http://www.guideline.gov/content.aspx?id=47099&search=incontinence