Research Nerd Alert!
The SOGC (Society of Obstetricians and Gynaecologists of Canada) just released the most recent clinical practice guideline on Urinary Incontinence in Women.
Here are the recommended changes in practice:
- A careful history and comprehensive physical examination should constitute the foundation of evaluation related to uncomplicated urinary incontinence.
- Urodynamic studies should be considered only in women with refractory or complicated urinary incontinence symptoms.
- Cystoscopy should be performed in women presenting with complicated urinary incontinence or gross hematuria. Cystoscopic assessment may be warranted in women with refractory urinary incontinence symptoms.
- Counselling to support weight loss for all women who are overweight or obese, individualized pelvic floor muscle training, and scheduled voiding regimens should be offered as first-line strategies to all women with urinary incontinence.
- Pelvic floor muscle training should not be implemented without an appropriate evaluation and adequate patient training. Providing the patient with verbal instructions and written handouts alone does not constitute evidence-based pelvic floor muscle training.
Brilliant! A pelvic health physio is the ideal health professional to help with recommendations 1, 4 and 5. If you are a woman with urinary incontinence, you owe it to yourself to get checked. We’re here to help!