• Anderson Adriano Leal Freitas da Costa, Igor Martins Vasconcellos, Rafael Leite Pacheco, Zsuzsanna Ilona Katalin de Jármy Di Bella, and Rachel Riera.
• Undergraduate Medical Student, Escola Paulista de Medicina - Universidade Federal de São Paulo (EPM-Unifesp), São Paulo (SP), Brazil.
• Sao Paulo Med J. 2018 Jan 1; 136 (1): 738373-83.

BackgroundUrinary incontinence is a highly prevalent condition that impacts self-esteem and overall quality of life. Many non-surgical treatment options are available, ranging from pharmacological approaches to pelvic exercises. We aimed to summarize the available evidence regarding these non-surgical interventions.Design And SettingReview of systematic reviews, conducted in the Discipline of Evidence-Based Medicine, Escola Paulista de Medicina, Universidade Federal de São Paulo (EPM-UNIFESP).MethodsA sensitive search was conducted to identify all Cochrane systematic reviews that fulfilled the inclusion criteria. Titles and abstracts were screened by two authors.ResultsWe included 20 Cochrane systematic reviews: 4 assessing methods of vesical training, 3 evaluating pharmacological interventions, 4 studying pelvic floor muscle training approaches and 9 aimed at other alternatives (such as urethral injections, weighted vaginal cone use, acupuncture, biostimulation and radiofrequency therapy). The reviews found that the evidence regarding the benefits of these diverse interventions ranged in quality from low to high.ConclusionsThis review included 20 Cochrane systematic reviews that provided evidence (of diverse quality) for non-pharmacological interventions for patients with urinary incontinence. Moderate to high quality of evidence was found favoring the use of pelvic floor muscle training among women with urinary incontinence. To establish solid conclusions for all the other comparisons, further studies of good methodological quality are needed.

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