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Biofeedback for women with urinary, fecal or combined incontinence |
Rodríguez B, García Martí S, Pichon-Riviere A, Augustovski F, Alcaraz A, Bardach A, Ciapponi A, López A, Rey-Ares L |
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Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Rodríguez B, García Martí S, Pichon-Riviere A, Augustovski F, Alcaraz A, Bardach A, Ciapponi A, López A, Rey-Ares L. Biofeedback for women with urinary, fecal or combined incontinence. Buenos Aires: Institute for Clinical Effectiveness and Health Policy (IECS). Documentos de Evaluación de Tecnologías Sanitarias, Informe de Respuesta Rapida No 518. 2017 Authors' objectives To assess the available evidence on the efficacy, safety and coverage related aspects regarding the use of biofeedback in patients with fecal, urinary or mixed incontinence.
Urinary incontinence (UI) is the incapacity to keep urination under control. Fecal incontinence (FI) is the loss of bowel movement control. Half of the FI cases also experience associated UI. Biofeedback is considered to increase the effectiveness of pelvic floor muscle training (PFMT) in UI or FI. Authors' conclusions Evidence of moderate quality suggests that therapy combined with biofeedback and pelvic floor muscle training might be beneficial in relieving symptoms in patients with urinary or fecal incontinence at short term. No studies assessing the long-term effects of biofeedback on urinary or fecal incontinence were found.
The clinical practice guidelines consulted agree on considering biofeedback as an alternative despite there is uncertainty on its effects. Some United States private health sponsors cover fecal and urinary incontinence while others cover urinary incontinence only.
Final publication URL www.iecs.org.ar Indexing Status Subject indexing assigned by CRD MeSH Biofeedback, Psychology; Female; Humans; Urinary Incontinence Language Published Spanish Country of organisation Argentina English summary An English language summary is available. Address for correspondence Institute for Clinical Effectiveness and Health Policy, Viamonte 2146 - 3 Piso, C1056ABH Ciudad de Buenos Aires, Argentina Tel: +54 11 49 66 00 82 Fax:+54 11 49 53 40 58 Email: info@iecs.org.ar AccessionNumber 32017000283 Date abstract record published 13/06/2017 |
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