Physiotherapy in Voiding Dysfunctions in Women Treated for Pelvic Cancers: Literature Systematic Review
DOI:
https://doi.org/10.32635/2176-9745.RBC.2023v69n2.3601Keywords:
genital neoplasms, female, physical therapy modalities, urinary incontinence, urinary retentionAbstract
Introduction: Surgical or adjuvant treatments of gynecological cancers may cause various sequelae, and, among them, urination disorders: urinary incontinence, retention and overactive bladder. The first line of treatment for voiding disorders consists in conservative treatments, including physiotherapy, therefore, it is important to review the current literature on the theme. Objective: To review the literature on physiotherapeutic treatments for urination disorders in women who have been treated of genital neoplasms. Method: A systematic review has been conducted with specific search strategies applied in the databases PubMed, Embase and Cochrane, utilizing the PICO strategy: P – women who have been treated for their genital neoplasms, I – physiotherapy or electrotherapy, C – “none/doesn’t apply”, and O – pelvic dysfunctions. Results: 93 studies were found. Of these, seven were selected for full text reading and data extraction. Of the three studies that discuss how to deal with UI, all utilized pelvic floor exercises with at least one of the physiotherapy procedures with similar methodology. Four studies discussed urinary retention and two of them utilized transcutaneous electrical stimulation and the other two, functional pelvic floor training. The studies showed a betterment of the symptoms related to urinary incontinence and retention; however, the methodological quality of a few studies was low. Conclusion: Physiotherapy is a promising form of treatment for urination disorders post-female genital neoplasm treatment. Nevertheless, current evidence must be seen cautiously due to the methodological quality of the studies.
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