Reeducación de la continencia urinaria en mujeres postmenopáusicas

Abstract

Introduction: Urinary incontinence is the involuntary loss of urine and represents a common medical condition in the elderly, although it can also affect younger adult men and women. In addition, it is considered one of the most common public health problems among women. mainly affecting those who are in the postmenopausal period, so it is important to determine an effective treatment for this disorder. Objective: To evaluate the efficacy of urinary continence re-education in postmenopausal women. Methodology: A qualitative bibliographic review based on studies found in Cochrane, academic Google, Medline, Scielo and Blogs on issues related to urinary incontinence, especially that which occurs as a consequence of menopause in women, as well as techniques and methods of reeducation to minimize the negative effects of this condition. Results: The main objective of urinary continence re-education is to strengthen the pelvic floor to improve function and to reinforce surgical procedures to prevent relapses, applying techniques such as bladder control training, Kegel exercises, biofeedback, vaginal cones and electrostimulation, forming a comprehensive rehabilitation training that also includes physiotherapy and behavioral therapy, in order to reduce this condition and improve the quality of life of affected patients. Conclusions: The re-education of urinary continence through the various techniques analyzed is considered the most effective treatment for the control of this condition, especially as a therapeutic alternative in postmenopause, by significantly reducing urinary losses and, consequently, promoting the improvement of self-esteem and quality of life.