{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T01:05:23Z","timestamp":1782263123572,"version":"3.54.5"},"reference-count":61,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2024,1,9]],"date-time":"2024-01-09T00:00:00Z","timestamp":1704758400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nursing Reports"],"abstract":"<jats:p>Background: Urinary incontinence (UI) has been identified as a World Health Organization health priority. In particular, urge UI (UUI) refers to urine leakage associated with a sudden and compelling desire to void urine. It affects quality of life more than other kinds of UI, but it is not always treated adequately. For these reasons, this study aimed to evaluate the effectiveness of conservative treatment practices to counteract UUI in women aged 40\u201365 years old. Methods: This systematic review was conducted following the Joanna Briggs Institute (JBI) methodology. According to the protocol registered in PROSPERO, a systematic search was carried out in the CINAHL, Embase, PubMed, PsycInfo, Scopus and Web of Science databases up to October 2022, to find primary studies meeting the inclusion criteria. Results: Fourteen studies were included. The scientific literature reported different strategies dealing with the problem of UUI, some purely physical, others physical and psycho-educational and others exclusively psychological. Conclusion: Conservative treatments are useful to aid the reduction in UUI episodes in middle-aged women. However, none of them can be considered more effective than others due to the impossibility of conducting meta-analytical analyses. Further studies comparing the effectiveness of conservative treatments for UUI are needed.<\/jats:p>","DOI":"10.3390\/nursrep14010015","type":"journal-article","created":{"date-parts":[[2024,1,10]],"date-time":"2024-01-10T09:39:57Z","timestamp":1704879597000},"page":"174-196","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Non-Pharmacological Management of Urge Urinary Incontinence in Women between 40 and 65 Years Old: A Systematic Review"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2859-7569","authenticated-orcid":false,"given":"Sara","family":"Trapani","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, IRCCS San Raffaele Hospital, 20132 Milan, Italy"},{"name":"Department of Biomedicine and Prevention, University of Rome Tor Vergata, 00133 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7429-0504","authenticated-orcid":false,"given":"Giulia","family":"Villa","sequence":"additional","affiliation":[{"name":"Center for Nursing Research and Innovation, Vita-Salute San Raffaele University, 20132 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6714-1057","authenticated-orcid":false,"given":"Andrea","family":"Poliani","sequence":"additional","affiliation":[{"name":"Center for Nursing Research and Innovation, Vita-Salute San Raffaele University, 20132 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6859-4480","authenticated-orcid":false,"given":"Silvia","family":"Gnecchi","sequence":"additional","affiliation":[{"name":"Department of Onco-Hematology, IRCCS San Raffaele Hospital, 20132 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1440-3092","authenticated-orcid":false,"given":"Debora","family":"Rosa","sequence":"additional","affiliation":[{"name":"Center for Nursing Research and Innovation, Vita-Salute San Raffaele University, 20132 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5182-6994","authenticated-orcid":false,"given":"Duilio F.","family":"Manara","sequence":"additional","affiliation":[{"name":"Center for Nursing Research and Innovation, Vita-Salute San Raffaele University, 20132 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,1,9]]},"reference":[{"key":"ref_1","first-page":"CD012337","article-title":"Conservative Interventions for Treating Urinary Incontinence in Women: An Overview of Cochrane Systematic Reviews","volume":"9","author":"Hazelton","year":"2022","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1016\/S0090-4295(02)02243-4","article-title":"The Standardisation of Terminology in Lower Urinary Tract Function: Report from the Standardisation Sub-Committee of the International Continence Society","volume":"61","author":"Abrams","year":"2003","journal-title":"Urology"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1007\/s00192-009-0976-9","article-title":"An International Urogynecological Association (IUGA)\/International Continence Society (ICS) Joint Report on the Terminology for Female Pelvic Floor Dysfunction","volume":"21","author":"Haylen","year":"2010","journal-title":"Int. Urogynecol. J."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1007\/s00192-016-3123-4","article-title":"An International Urogynecological Association (IUGA)\/International Continence Society (ICS) Joint Report on the Terminology for the Conservative and Nonpharmacological Management of Female Pelvic Floor Dysfunction","volume":"28","author":"Bo","year":"2017","journal-title":"Int. Urogynecol. J."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"519","DOI":"10.29271\/jcpsp.2022.04.519","article-title":"Urinary Incontinence: Understanding the Silent Plight of Women","volume":"32","author":"Parpio","year":"2022","journal-title":"J. Coll. Physicians Surg. Pak. JCPSP"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1132","DOI":"10.1111\/j.1464-410X.2010.09993.x","article-title":"Worldwide Prevalence Estimates of Lower Urinary Tract Symptoms, Overactive Bladder, Urinary Incontinence and Bladder Outlet Obstruction: WORLDWIDE PREVALENCE OF LUTS","volume":"108","author":"Irwin","year":"2011","journal-title":"BJU Int."},{"key":"ref_7","unstructured":"Tran, L.N., and Puckett, Y. (2023). StatPearls, StatPearls Publishing."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"304","DOI":"10.1016\/j.archger.2008.10.009","article-title":"Urinary Incontinence (UI) and Quality of Life (QoL) of the Elderly Residing in Residential Homes in Turkey","volume":"49","author":"Aslan","year":"2009","journal-title":"Arch. Gerontol. Geriatr."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"285","DOI":"10.3928\/19404921-20190702-02","article-title":"Mindfulness-Based Stress Reduction Versus a Health Enhancement Program in the Treatment of Urge Urinary Incontinence in Older Adult Women: A Randomized Controlled Feasibility Study","volume":"12","author":"Felsted","year":"2019","journal-title":"Res. Gerontol. Nurs."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1016\/j.maturitas.2010.11.006","article-title":"Quality of Life and Urinary Incontinence in Women","volume":"68","author":"Riss","year":"2011","journal-title":"Maturitas"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1016\/j.eururo.2013.08.031","article-title":"Global Prevalence and Economic Burden of Urgency Urinary Incontinence: A Systematic Review","volume":"65","author":"Milsom","year":"2014","journal-title":"Eur. Urol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1016\/S0301-2115(02)00407-4","article-title":"Prevalence of Urinary Incontinence in Young and Middle-Aged Women in an Italian Urban Area","volume":"107","author":"Siracusano","year":"2003","journal-title":"Eur. J. Obstet. Gynecol. Reprod. Biol."},{"key":"ref_13","first-page":"130","article-title":"Economic Burden of Urgency Urinary Incontinence in the United States: A Systematic Review","volume":"20","author":"Coyne","year":"2014","journal-title":"J. Manag. Care Pharm."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1306","DOI":"10.1016\/j.eururo.2006.09.019","article-title":"Population-Based Survey of Urinary Incontinence, Overactive Bladder, and Other Lower Urinary Tract Symptoms in Five Countries: Results of the EPIC Study","volume":"50","author":"Irwin","year":"2006","journal-title":"Eur. Urol."},{"key":"ref_15","first-page":"CD012668","article-title":"Yoga for Treating Urinary Incontinence in Women","volume":"2019","author":"Wieland","year":"2019","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_16","unstructured":"(2023, October 14). Fincopp\u2014Federazione Italiana Incontinenti e Disfunzioni Pavimento Pelvico. Available online: https:\/\/fincopp.org\/."},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Murukesu, R.R., Singh, D.K.A., and Shahar, S. (2019). Urinary Incontinence among Urban and Rural Community Dwelling Older Women: Prevalence, Risk Factors and Quality of Life. BMC Public Health, 19.","DOI":"10.1186\/s12889-019-6870-6"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"526","DOI":"10.1016\/j.urology.2009.06.096","article-title":"Economic Costs of Overactive Bladder in the United States","volume":"75","author":"Ganz","year":"2010","journal-title":"Urology"},{"key":"ref_19","unstructured":"(2023, October 19). Press Release: Incontinence Costs European Society over 40 Billion Euros per Year. Available online: https:\/\/mailchi.mp\/uroweb\/urology22-week-you-can-make-a-difference-301153?e=502f876984."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1016\/S0090-4295(97)00623-7","article-title":"Economic Costs of Urinary Incontinence in 1995","volume":"51","author":"Wagner","year":"1998","journal-title":"J. Urol."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1097\/WON.0b013e31820af380","article-title":"The Effects of a Multi-Intervention Incontinence Care Program on Clinical, Economic, and Environmental Outcomes","volume":"38","author":"Palese","year":"2011","journal-title":"J. Wound. Ostomy Cont. Nurs."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1017","DOI":"10.1517\/13543784.15.9.1017","article-title":"Current and Emerging Investigational Medical Therapies for the Treatment of Overactive Bladder","volume":"15","author":"Tiwari","year":"2006","journal-title":"Expert Opin. Investig. Drugs"},{"key":"ref_23","unstructured":"Aromataris, E., and Munn, Z. (2020). JBI Manual for Evidence Synthesis, Joanna Briggs Institute."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"380","DOI":"10.7326\/0003-4819-127-5-199709010-00008","article-title":"Formulating Questions and Locating Primary Studies for Inclusion in Systematic Reviews","volume":"127","author":"Counsell","year":"1997","journal-title":"Ann. Intern. Med."},{"key":"ref_25","first-page":"CD007471","article-title":"Pelvic Floor Muscle Training for Preventing and Treating Urinary and Faecal Incontinence in Antenatal and Postnatal Women","volume":"2021","author":"Woodley","year":"2020","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"304","DOI":"10.4103\/0976-500X.85940","article-title":"Zotero: A Bibliographic Assistant to Researcher","volume":"2","author":"Dhubaib","year":"2011","journal-title":"J. Pharmacol. Pharmacother."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1186\/s13643-016-0384-4","article-title":"Rayyan\u2014A Web and Mobile App for Systematic Reviews","volume":"5","author":"Ouzzani","year":"2016","journal-title":"Syst. Rev."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"494","DOI":"10.11124\/JBIES-22-00430","article-title":"The Revised JBI Critical Appraisal Tool for the Assessment of Risk of Bias for Randomized Controlled Trials","volume":"21","author":"Barker","year":"2023","journal-title":"JBI Evid. Synth."},{"key":"ref_29","unstructured":"Tufanaru, C., Munn, Z., Aromataris, E., Campbell, J., and Hopp, L. (2020). JBI Manual for Evidence Synthesis, JBI."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1002\/kjm2.12308","article-title":"Missed Nursing Care: An Overview of Reviews","volume":"37","author":"Chaboyer","year":"2021","journal-title":"Kaohsiung J. Med. Sci."},{"key":"ref_31","unstructured":"(2023, October 14). Pelvic Floor Muscle Exercises Effective for Urinary Incontinence in Women. Available online: https:\/\/www.myamericannurse.com\/pelvic-floor-muscle-exercises-effective-for-urinary-incontinence-in-women\/."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1097\/SPV.0b013e31824107a6","article-title":"Mindfulness-Based Stress Reduction Techniques and Yoga for Treatment of Urinary Urge Incontinence (MBSR-Yoga)","volume":"18","author":"Baker","year":"2014","journal-title":"Female Pelvic Med. Reconstr. Surg."},{"key":"ref_33","first-page":"1642","article-title":"Bladder Rehabilitation, the Effect of a Cognitive Training Programme on Urge Incontinence","volume":"158","author":"Elder","year":"1997","journal-title":"J. Urol."},{"key":"ref_34","first-page":"8","article-title":"A Practical Approach to Managing Incontinence","volume":"10","author":"Fay","year":"1988","journal-title":"Todays OR Nurse"},{"key":"ref_35","doi-asserted-by":"crossref","unstructured":"Felsted, K. (2019). Comparing Mindfulness-Based Stress Reduction with the Health Enhancement Program in the Treatment of Urinary Urge Incontinence in Older Adult Women: A Pilot Feasibility and Randomized Controlled Trial. [Ph.D. Thesis, The University of Utah].","DOI":"10.3928\/19404921-20190702-02"},{"key":"ref_36","first-page":"17","article-title":"Group Learning Behavior Modification and Exercise for Women with Urinary Incontinence","volume":"17","author":"Gerard","year":"1997","journal-title":"Urol. Nurs."},{"key":"ref_37","first-page":"24","article-title":"Bathroom Blues? Urinary Incontinence Can Be Managed","volume":"11","author":"Marlow","year":"2012","journal-title":"CURE Cancer Updat. Res. Educ."},{"key":"ref_38","first-page":"22","article-title":"A Nurse-Led Ward-Based Continence Rehabilitation Program in Geriatric Hospital","volume":"38","author":"Yeung","year":"2002","journal-title":"Hong Kong Nurs. J."},{"key":"ref_39","first-page":"590","article-title":"Bladder-Sphincter Biofeedback as Treatment of Detrusor Instability in Women Who Failed to Respond to Oxybutynin","volume":"23","author":"Wang","year":"2000","journal-title":"Chang. Gung Med. J."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"e19439","DOI":"10.2196\/19439","article-title":"A Mobile App for Self-Management of Urgency and Mixed Urinary Incontinence in Women: Randomized Controlled Trial","volume":"23","author":"Wadensten","year":"2021","journal-title":"J. Med. Internet Res."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1016\/j.jclinepi.2021.03.001","article-title":"The PRISMA 2020 Statement: An Updated Guideline for Reporting Systematic Reviews","volume":"134","author":"Page","year":"2021","journal-title":"J. Clin. Epidemiol."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1007\/s00192-006-0163-1","article-title":"Rehabilitation vs Drug Therapy for Urge Urinary Incontinence: Short-Term Outcome","volume":"18","author":"Kafri","year":"2007","journal-title":"Int. Urogynecol. J."},{"key":"ref_43","first-page":"1735","article-title":"Long-Term Effect of Treatment of Female Incontinence in General Practice","volume":"48","year":"1998","journal-title":"Br. J. Gen. Pract."},{"key":"ref_44","first-page":"96","article-title":"Effectiveness of Bladder Rehabilitation Program in the Management of Urge Urinary Incontinence in Older Women","volume":"5","author":"Singh","year":"2011","journal-title":"Indian J. Physiother. Occup. Ther."},{"key":"ref_45","first-page":"0240","article-title":"A Self-Directed Home Biofeedback System for Women with Symptoms of Stress, Urge, and Mixed Incontinence","volume":"27","author":"Smith","year":"2000","journal-title":"J. WOCN"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1016\/S0020-7489(02)00031-7","article-title":"A Comparison of Effectiveness of Bladder Training and Pelvic Muscle Exercise on Female Urinary Incontinence","volume":"40","author":"Yoon","year":"2003","journal-title":"Int. J. Nurs. Stud."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"161","DOI":"10.7326\/0003-4819-149-3-200808050-00005","article-title":"Behavioral Therapy to Enable Women with Urge Incontinence to Discontinue Drug Treatment: A Randomized Trial","volume":"149","author":"Burgio","year":"2008","journal-title":"Ann. Intern. Med."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"1533","DOI":"10.1007\/s00192-008-0686-8","article-title":"Anticholinergic Drugs, Bladder Retraining and Their Combination for Urge Urinary Incontinence: A Pilot Randomised Trial","volume":"19","author":"Lauti","year":"2008","journal-title":"Int. Urogynecol. J."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"711","DOI":"10.1007\/s00192-010-1100-x","article-title":"The Effects of Drug and Behavior Therapy on Urgency and Voiding Frequency","volume":"21","author":"Burgio","year":"2010","journal-title":"Int. Urogynecol. J."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"498.e1","DOI":"10.1016\/j.ajog.2020.10.041","article-title":"Mind-Body (Hypnotherapy) Treatment of Women with Urgency Urinary Incontinence: Changes in Brain Attentional Networks","volume":"224","author":"Ketai","year":"2021","journal-title":"Am. J. Obstet. Gynecol."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"159.e1","DOI":"10.1016\/j.ajog.2019.08.025","article-title":"Hypnotherapy or Medications: A Randomized Noninferiority Trial in Urgency Urinary Incontinent Women","volume":"222","author":"Komesu","year":"2020","journal-title":"Am. J. Obstet. Gynecol."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1016\/j.maturitas.2021.01.008","article-title":"Effects of Unsupervised Behavioral and Pelvic Floor Muscle Training Programs on Nocturia, Urinary Urgency, and Urinary Frequency in Postmenopausal Women: Secondary Analysis of a Randomized, Two-Arm, Parallel Design, Superiority Trial (TULIP Study)","volume":"146","author":"Wu","year":"2021","journal-title":"Maturitas"},{"key":"ref_53","first-page":"245","article-title":"Rehabilitation therapy in the treatment of female urinary incontinence. Our experience with 121 patients","volume":"46","author":"Pennisi","year":"1994","journal-title":"Minerva Urol. Nefrol."},{"key":"ref_54","first-page":"20","article-title":"La riabilitazione urologica per l\u2019incontinenza urinaria femminile. Studio prospettico sull\u2019utilizzo di tecniche riabilitative per il pavimento pelvico","volume":"24","author":"Rasero","year":"2005","journal-title":"Assist. Inferm. Ric."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"604","DOI":"10.1016\/0002-9378(66)90395-4","article-title":"Urgency Incontinence in the Female","volume":"94","author":"Jeffcoate","year":"1966","journal-title":"Am. J. Obstet. Gynecol."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1016\/S0020-7292(03)00220-0","article-title":"Urinary Incontinence as a Worldwide Problem","volume":"82","author":"Minassian","year":"2003","journal-title":"Int. J. Gynecol. Obstet."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"1747","DOI":"10.1093\/clinchem\/47.9.1747","article-title":"Evidence-Based Medicine. How to Practice and Teach EBM, 2nd Ed. David L. Sackett, Sharon E. Straus, W. Scott Richardson, William Rosenberg, and R. Brian Haynes. Edinburgh: Churchill Livingstone, 2000, 261 Pp. (plus One Compact Disc), $34.95. ISBN 0-443-06240-4","volume":"47","author":"Magid","year":"2001","journal-title":"Clin. Chem."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"233339361559916","DOI":"10.1177\/2333393615599168","article-title":"Registered Nurses\u2019 Patient Education in Everyday Primary Care Practice: Managers\u2019 Discourses","volume":"2","author":"Bergh","year":"2015","journal-title":"Glob. Qual. Nurs. Res."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"380","DOI":"10.1080\/02813432.2019.1640921","article-title":"Self-Management of Stress Urinary Incontinence: Effectiveness of Two Treatment Programmes Focused on Pelvic Floor Muscle Training, One Booklet and One Internet-Based","volume":"37","author":"Bokne","year":"2019","journal-title":"Scand. J. Prim. Health Care"},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1111\/jmwh.12148","article-title":"The 2012 American College of Nurse-Midwives Core Competencies for Basic Midwifery Practice: History and Revision","volume":"59","author":"Phillippi","year":"2014","journal-title":"J. Midwifery Womens Health"},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1016\/j.math.2010.01.008","article-title":"An Alternative Intervention for Urinary Incontinence: Retraining Diaphragmatic, Deep Abdominal and Pelvic Floor Muscle Coordinated Function","volume":"15","author":"Hung","year":"2010","journal-title":"Man. Ther."}],"container-title":["Nursing Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2039-4403\/14\/1\/15\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T13:43:10Z","timestamp":1760103790000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2039-4403\/14\/1\/15"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,9]]},"references-count":61,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,3]]}},"alternative-id":["nursrep14010015"],"URL":"https:\/\/doi.org\/10.3390\/nursrep14010015","relation":{},"ISSN":["2039-4403"],"issn-type":[{"value":"2039-4403","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1,9]]}}}