Urinary Incontinence in Postmenopausal Women: Investigating the Role of Non-Surgical Therapies
Year: 2025
Type: article
Study design: Observational Study
Abstract: Urinary incontinence (UI) is a common concern in postmenopausal women, contributing a significant blow to patients quality of life and psychological state of health.Non-surgical treatments to manage UI amongst postmenopausal women: A review of their effectiveness.A descriptive cross-sectional method was used and participants included 400 postmenopausal women with a diagnosis of UI visiting gynecological/urological clinics of four big hospitals in Pakistan over the period January 2023 to December 2023.Participants were categorized into three groups based on the non-surgical therapy received: pharmacotherapy and behavioral interventions, biofeedback, magnetic stimulation and pelvic floor muscle training (PFMT).Information was obtained through questionnaires, bladder diaries and physical assessments that had previously been demonstrated to have reliability and validity.These represented the qualitative data and included the frequency and severity of urinary incontinence episodes before and after the intervention, quality of life scores and patient satisfaction scores.Data was analyzed using the Statistical Package for Social Sciences (SPSS) version 25 software with alpha set at 0.05.Findings showed that PFMT reduced the number of UI episodes by 45%, increased the QoL score by 30% and achieved a Patient Acceptable Symptom State of 85%.Pharmacotherapy outcomes that depicted a reduction of UI episodes was 35% while improving the QoL by 25%, this was rated a satisfaction of 70%.In behavioral interventions, the number of UI episodes reduced by Q25, QoL improved by Q20, and the level of satisfaction with the intervention was Q60.The highest percentage of SU estimated a 60% reduction of UI episodes, a 40% improvement of QoL and more than 90% of satisfaction were attained by combined non-surgical therapies.Such outcomes show that conservative approaches are helpful and should be incorporated into the routine management of UI in postmenopausal women.The authors call for developing individualized postoperative management and the improvement of the availability of minimally invasive procedures to improve the patient's prognosis and quality of life.
Authors: Qazi Adam Asfandyar, Uzma Soomro, Muniba Tahir, Abdur Rahim, Sidra Javaid, Misbahurrahman, Hafeez Ullah
Language: English
Subfield: Rheumatology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4407591826