Share This Article:

Health Promotion to Patients with Pelvic Floor Dysfunction: An Integrative Review

Abstract Full-Text HTML XML Download Download as PDF (Size:507KB) PP. 155-162
DOI: 10.4236/ojog.2015.53021    4,145 Downloads   4,668 Views   Citations


Introduction and Hypothesis: The Pelvic Floor Dysfunction (PFD) is a common gynecological condition that causes significant morbidity in the affected population, increasing clinical and financial challenge for the Public Health Services. Methods: This study aimed to review the available evidence and interventions to promote the health of women with PFD. We used the following databases to select papers for this review: Scopus, PubMed, CINAHL, LILACS and Cochrane. The sample consists of seven articles, with evidence levels 1 and 2. Results: The results of the articles point out to a greater number of activities related to the management of Urinary Incontinence (UI) behavioral support to the patient and physical therapy of the pelvic floor muscles. They were both beneficial to UI prevention and treatment. Conclusions: The physical therapy approach, when associated with cognitive and behavioral strategies, leverages UI outcomes in patients.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Bezerra, K. , Neto, J. , Bezerra, L. , Karbage, S. , Frota, I. , Vasconcelos, C. and Oriá, M. (2015) Health Promotion to Patients with Pelvic Floor Dysfunction: An Integrative Review. Open Journal of Obstetrics and Gynecology, 5, 155-162. doi: 10.4236/ojog.2015.53021.


[1] Haylen, B.T., de Ridder, D., Freeman, R.M., Swift, S.E., Berghmans, B., et al. (2010) An International Urogynecological Association (IUGA)/International Continence Society (ICS) Joint Report on the Terminology for Female Pelvic Floor Dysfunction. International Urogynecology Journal, 21, 5-26.
[2] Lawrence, J.M., et al. (2008) Prevalence and Occurrence of Pelvic Floor Disorders in Community-Dwelling Women. Obstetrics & Gynecology, 111, 678-685.
[3] Coyne, K.S., Sexton, C.C., Thompson, C.L., et al. (2009) The Prevalence of Lower Urinary Tract Symptoms (LUTS) in the USA, the UK and Sweden: Results from the Epidemiology of LUTS (EpiLUTS) Study. BJU International, 104, 352-360.
[4] Flanagan, L., Roe, B., Jack, B., Barrett, J., Chung, A., Shaw, C. and Williams, K.S. (2012) Systematic Review of Care Intervention Studies for the Management of Incontinence and Promotion of Continence in Older People in Care Homes with Urinary Incontinence as the Primary Focus (1966-2010). Geriatrics & Gerontology International, 12, 600-611.
[5] Mendes, K.D.S., Silveira, R.C.C.P. and Galv?o, C.M. (2008) Integrative Literature Review: A Research Method to Incorporate Evidence in Health Care and Nursing. Texto & Contexto Enfermagem, 17, 758-764.
[6] Melnyk, B.M. and Fineout-Overholt, E. (2005) Evidence-Based Practice in Nursing & Healthcare: A Guide to Best Practice. Lippincott Williams & Wilkins, Philadelphia.
[7] Vasconcelos, C.T.M., Damasceno, M.M.C., Lima, F.E.T. and Pinheiro, A.K.B. (2011) Integrative Review of the Nursing Interventions Used for the Early Detection of Cervical Uterine Cancer. Revista Latino-Americana De Enfermagem, 19, 8.
[8] Palmer, M.H. (1995) A Health-Promotion Perspective of Urinary Continence. Nursing Outlook, 42, 163-169.
[9] Ismail, S.I., Bain, C. and Hagen, S. (2010) Oestrogens for Treatment or Prevention of Pelvic Organ Prolapse in Postmenopausal Women (Review). Cochrane Database of Systematic Reviews, 8, 9.
[10] Ayeleke, R.O., Hay-Smith, E.J.C. and Omar, M.I. (2013) Pelvic Floor Muscle Training Added to Another Active Treatment versus the Same Active Treatment Alone for Urinary Incontinence in Women (Review). Cochrane Database of Systematic Reviews, 11, CD010551.
[11] Kim, J.I. (2001) Continence Efficacy Intervention Program for Community Residing Women with Stress Urinary Incontinence in Japan. Public Health Nursing, 18, 64-72.
[12] Tannenbaum, C., Agnew, R., Benedetti, A., et al. (2013) Effectiveness of Continence Promotion for Older Women via Community Organizations: A Cluster Randomized Trial. BMJ Open, 3, Article ID: e004135.
[13] Tak, E.C.P.M., Hespen, A., Dommelen, P. and Hopman-Rock, M. (2012) Does Improved Functional Performance Help to Reduce Urinary Incontinence in Institutionalized Older Women? A multicenter randomized clinical trial. BMC Geriatrics, 12, 51.
[14] Chiarelli, P. and Cockburn, J. (2012) Promoting Urinary Continence in Women after Delivery: Randomised Controlled Trial. BMJ, 324, 1241.
[15] Gorman, R. (1995) Expert System for Management of Urinary Incontinence in Women. Proc Annu Symp Comput Appl Med Care, 527, 31.
[16] Lopes, M.H.B.M. and Higa, R. (2006) Urinary Incontinence Restrictions in Women’s Life. Revista da Escola de Enfermagem da USP, 40, 34-41.
[17] Simeonova, Z., Milsom, I., Kullendorf, A.M., Molander, U. and Bengstisson, C. (1999) The Prevalence of Urinary Incontinence and Its Influence on the Quality of Life in Women from an Urban Swedish Population. Acta Obstetricia et Gynecologica Scandinavica, 78, 546-551.
[18] Minassian, V.A., Drutz, H.P. and Al-Badr, A. (2003) Urinary Incontinence as a Worldwide Problem. International Journal of Gynecology & Obstetrics, 82, 327-338.
[19] H?gglund, D., Walker-Engstrom, M.L., Larsson, G. and Leppert, J. (2001) Quality of Life and Seeking Help in Women with Urinary Incontinence. Acta Obstetricia et Gynecologica Scandinavica, 80, 1051-1055.

comments powered by Disqus

Copyright © 2019 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.