Review Article

Avicenna’s Points in Improving Female Urinary Incontinence with Lifestyle Options


Urinary Incontinence (UI) is a significant reason for the decline in women's quality of life. The unexpected occurrence of UI and its high costs around the world are evident. Numerous methods are used for the management of UI; however, there is no worldwide agreement on any of these methods. Traditional medicines are a source of human medical experiences and this study is a review on the books of the most famous Persian medicine (PM) physician, Avicenna, to find about his approach to UI. Keywords such as: "female urinary incontinence", "lifestyle", and “nutrition” were selected. As a library research, Avicenna’s (980- 1037 AD) "the Canon of Medicine" (Al-Qanun Fi al-Tibb), was reviewed and coded. Some other PM famous books like "the Great Continens" (Al-Hawi fi Al-Tibb) of Rhazes (865- 925 AD) and "The Comprehensive Book on Medicine" (Al-Shamil fi Al-Sana'a Al-Tibbiya) of Ibn al-Nafis al-Qarshi (1213- 1288 AD) were used as a help to interpret the codes just in case it was required. Modern literature was searched with the same keywords at electronic databases such as Google Scholar, PubMed, and Magiran. Finally, the results were compared. Recent studies care on conservative and lifestyle management in the treatment of UI. In PM, principles of lifestyle management (Setteh-e-zarurieh) is one of the main characteristics of prevention and treatment with six essential principles including weather, eating and drinking, sleep and wakefulness, movement and rest, evacuation and retention, and psychological and mental reactions. In healthy people, these six axes are designed by temperament and personal characteristics. In this manuscript, we discussed five mentioned subtypes. These managements are appropriate for designing various pieces of clinical trials to survey their effects on female UI.

Izak F, Neal P, Jaspreet SP, Marc C, Hari T, et al. Conservative management of urinary incontinence in women. Rev Urol 2015;17:129-139.

Cameron AP, Haraway AM. The treatment of female stress urinary incontinence: an evidenced-based review. Open Access J Urol 2011;3:109-120.

Kissler K, Yount SM, Rendeiro M, Zeidenstein L. Primary prevention of urinary incontinence: a case study of prenatal and Intrapartum interventions. J Midwifery Womens Health 2016;61:507-511.

Yip SK, Cardozo L. Psychological morbidity and female urinary incontinence. Best Pract Res Clin Obstet Gynecol 2007;21:321-329.

Jonathan S. Berek. Berek & Novak’s Gynecology. Lippincott Williams & Wilkins, a Wolters Kluwer. New York 2012; pp 865,866,868,871,889.

Gibbs Ronald S. Danforth’ Obstetrics and Gynecology. Wolters Kluwer Lippincott Williams &Wilkins. New York 2008; pp 890-897,870-876.

Long R, Giri S, Flood H. Current concepts in female stress urinary incontinence. Surgeon 2008;6:366-372.

Hoenig LJ. The Avicenna lunar crater. Clin Dermatol 2021;39:551-552.

Avicenna, The Canon of Medicine. Al-Alami Library. Beirut 2005; Vol 1. pp 111-113, 58-59. Vol 2. pp 41-49, 361-365.

Tabarrai M, Niktabe Z, Masoudi N, Eftekhaar T. Avicenna`s point about bladder gas as a cause of interstitial cystitis. Iran J Public Health 2018;47:1435-1436.

Tabarrai M, Eftekhar T, Nazem E. Etiology of the vaginal, cervical, and uterine laceration on Avicenna viewpoints. Iran J Public Health 2013;42:927-928.

Aghili MH. Kholasat al-Hekmah. Islamic and Complementary Medicine Iran University of Medical Sciences. Vol 1, pp 500, 516, 565. Vol 2, pp 1050-1051.

Jack W. McAninch TFL. Smith & Tanago's General Urology. 8th ed. Mc Graw-hill companies. New York 2013; pp 480-481, 485, 36-38.

Fman Ble. Williams Gynecology. McGraw-Hill Companies. New York 2012; p 634

Nojavan F, Hashem Dabbaghian F, Ghanbari Z, Kamalinejad M, Mokabberinejad R. Urinary incontinence in traditional iranian medicine. Q J Med Hist 2018;7:99-125.

Niktabe Z, Eftekhaar T, Tabarrai M, Mirabzadeh Ardakani M, Yekaninejad MS, et al. Efficacy of Saussurea costus (qost) oil as an Iranian traditional medicine product on female urinary incontinence; double blinded randomized clinical trial. Res J Pharmacogn 2018;5:47-55.

Arzani MA. Tebb-e Akbari. Jalal-Al-din. Tehran 2008; pp 605-607, 1870-1874.

Cheng CL, Chai CY, de Groat WC. Detrusor-sphincter dyssynergia induced by cold stimulation of the urinary bladder of rats. Am J Physiol 1997;272:1271-1282.

Morash-Conway J, Gendron M, Corkum P. The role of sleep quality and quantity in moderating the effectiveness of medication in the treatment of children with ADHD. ADHD Atten Def Hyp Disord 2017;9:31-38.

Taub JM, Hawkins DR. Aspects of personality associated with irregular sleep habits in young adults. J Clin Psychol 1979;35:296-304.

Lousquy R, Jean-Baptiste J, Barranger E, Hermieux JF. Sport and urinary incontinence in women. Gynecol Obstet Fertil 2014;42:597-603.

Wurn LJ, Wurn BF, King CR, Roscow AS, Scharf ES, et al. Increasing orgasm and decreasing dyspareunia by a manual physical therapy technique. MedGenMed 2004;6:47.

Linlin W, Lujun H, Qi X, Boxing Y, Dongsheng F, et al. Bifidobacterium adolescentis exerts strain-specific effects on constipation induced by loperamide in BALB/c Mice. Int J Mol Sci 2017; 18:318.

Johannes N, Julian G, Sonja K, Tomas W, Catharina S, et al. Effects of hyperthermic baths on depression, sleep and heart rate variability in patients with depressive disorder: a randomized clinical pilot trial. BMC Complement Altern Med 2017;17:172.

Masaaki M, Takashi K, Takuro K, Yoshiyuki I, Takuro S, et al. Beneficial effects of Waon therapy on patients with chronic heart failure: results of a prospective. multicenter study. J Cardiol 2008;52:79-85.

Cássia Raquel TJ, Luiz FB, Adriana OP, José REG, Jeffrey FL, et al. Factors associated with urinary incontinence in middle-aged women: a population-based household survey. Int Urogynecol J 2017;28:423-429.

Christiansen UJ, Hansen MJ, Lauszus FF. Hysterectomy is not associated with de-novo urinary incontinence: A ten-year cohort study. Int Urogynecol J 2017;28:423-429.

Bohlin KS, Ankardal M, Lindkvist H, Milsom I. Factors influencing the incidence and remission of urinary incontinence after hysterectomy. Am J Obstet Gynecol 2017;216: 53.e1-53.e9.

Choi EP, Lam CL, Chin WY. Mental health mediating the relationship between symptom severity and health-related quality of life in patients with lower urinary tract symptoms. Low Urin Tract Symptoms 2016;8:141-149.

Vrijens D, Berghmans B, Nieman F, Os JV, van Koeveringe G, et al. Prevalence of anxiety and depressive symptoms and their association with pelvic floor dysfunctions-A cross sectional cohort study at a Pelvic Care Centre. Neurourol Urodyn 2017;36:1816-1823.

Lai HH, Shen B, Rawal A, Vetter J. The relationship between depression and overactive bladder/urinary incontinence symptoms in the clinical OAB population. BMC Urol 2016;16:60.

Aghili M. Makhzan ol-advieh. 2nd ed. Sabzaarang. Tehran 2011; pp 70-71, 469, 545-546, 649-650.

Azizi F, Ghorat F, Rakhshani MH, Rad M. Comparison of the effect of topical use of Nigella Sativa oil and diclofenac gel on osteoarthritis pain in older people: a randomized, double-blind, clinical trial. J Herb Med 2019;16:100259.

Khadem E, Shirazi M, Rahimi R, Bioos S, Ghorat F. Perception of paralytic ileus on viewpoint of Avicenna. Iran J Public Health 2017;46:150.

Xiaowen Q, Juan S, Lei P, Cuihong Z, Fanglei X. The effect of a comprehensive care and rehabilitation program on enhancing pelvic floor muscle functions and preventing postpartum stress urinary incontinence. Medicine (Baltimore) 2019;98:e16907.

IssueVol 7, No 4, 2022 QRcode
SectionReview Article(s)
Urinary incontinence Persian medicine Lifestyle Nutrition Avicenna Female

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How to Cite
Masoudi N, Niktabe Z, Tabarrai M, Masoudi A, Ghorat F, Moradi F, Abbassian A. Avicenna’s Points in Improving Female Urinary Incontinence with Lifestyle Options. Trad Integr Med. 2022;7(4):452-457.