Health Professional Information
Guidelines & Studies
SOGC Clinical Guideline: Conservative Management of Urinary Incontinence 
J Obstet Gynaecol Can 2006;28(12):1113-8
Abstract
Objective: To outline the evidence for conservative management options for treating urinary incontinence.
Options: Conservative management options for treating urinary incontinence include behavioural changes, lifestyle modification, pelvic floor retraining, and use of mechanical devices.
Outcomes: To provide understanding of current available evidence concerning efficacy of conservative alternatives for managing urinary incontinence; to empower women to choose continence therapies that have benefit and that have minimal or no harm.
SOGC Clinical Guideline: Menopause and Osteoporosis
Update 2009
J Obstet Gynaecol Can 2009;31(1):S1-56
Abstract
Objective: To provide updated guidelines for health care providers on the management of menopause in asymptomatic healthy women as well as in women presenting with vasomotor symptoms or with urogenital, mood, or memory concerns, and on considerations related to cardiovascular disease, breast cancer, and bone health, including the diagnosis and clinical management of postmenopausal osteoporosis.
Outcomes: Lifestyle interventions, prescription medications, and complementary and alternative therapies are presented according to their efficacy in the treatment of menopausal symptoms. Strategies for identifying and evaluating women at high risk of osteoporosis, along with options for the prevention and treatment of osteoporosis, are presented.
Chapter 5: Urogenital Health, par. 5.
"As part of the management of stress incontinence, women should be encouraged to try nonsurgical options, such as weight loss (in obese women), pelvic floor physiotherapy, with or without biofeedback, weighted vaginal cones, functional electrical stimulation, and/or intravaginal pessaries."
The conservative management of patients with symptoms of stress incontinence: A randomized, prospective study comparing weighted vaginal cones and interferential therapy
Oláh KS et al. Am J Obstet Gynecol. 1990;162:87-92.
The objective of the study was to compare the use of weighted vaginal cone therapy with interferential therapy in a group of unselected female patients with urinary stress incontinence (USI) referred to outpatient department of physiotherapy for pelvic floor reeducation.
There was no significant difference in improvement between the two groups in any of the methods of assessment. However, the cones require less supervision by trained staff and can be used at home by the patient. Their use results in a savings in time for the physiotherapy department. The use of the cones is recommended as a cost-effective method of treatment that can be added to the present therapy options available to the physiotherapist.
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