| Revista: | International braz j urol |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000296856 |
| ISSN: | 1677-5538 |
| Autors: | Capelini, Maria V1 Riccetto, Cassio L Dambros, Miriam Tamanini, Jose T Herrmann, Viviane Muller, Virginia |
| Institucions: | 1Universidade Estadual de Campinas, Divisao de Urologia e Ginecologia, Sao Paulo. Brasil |
| Any: | 2006 |
| Període: | Jul-Ago |
| Volum: | 32 |
| Número: | 4 |
| Paginació: | 462-469 |
| País: | Brasil |
| Idioma: | Inglés |
| Tipo de documento: | Artículo |
| Enfoque: | Caso clínico, analítico |
| Resumen en inglés | OBJECTIVE: Prospective study to objectively evaluate the benefits of pelvic floor strengthening exercises associated to biofeedback for the treatment of stress urinary incontinence. MATERIALS AND METHODS: Fourteen patients diagnosed with stress urinary incontinence (SUI) were selected for this study. All patients underwent a pelvic floor training associated to biofeedback for 12 consecutive weeks. Urodynamic tests, pad test and bladder diary were analyzed at the beginning of the study, at the end and after 3 months. The King's Health Questionnaire (KHQ) was applied before and after treatment to assess the impact in the quality of life. RESULTS: There was a significant reduction in the pad weight (from 14.21 g to 1 g), number of urinary leakage episodes (from 8.14 per day to 2.57 per day) and daytime frequency (from 7.93 per day to 5.85 per day). At urodynamics the authors observed a significant increase in Valsalva leak-point pressure (from 103.93 cm H2O to 139.14 cm H2O), cistometric capacity (from 249.29 mL to 336.43 mL, p = 0.0015) and bladder volume at first desire to void (from 145 mL to 215.71 mL). Those differences were kept during the first 3 months of follow up. The KHQ revealed significant differences except in the case of "general health perception", which covers health in general and not exclusively urinary incontinence. CONCLUSION: Treatment of SUI with pelvic floor exercises associated to biofeedback caused significant changes in the parameters analyzed, with maintenance of good results 3 months after treatment |
| Disciplines | Medicina |
| Paraules clau: | Cirugía, Terapéutica y rehabilitación, Incontinencia urinaria, Piso pélvico, Biorretroalimentación, Terapia física |
| Keyword: | Medicine, Surgery, Therapeutics and rehabilitation, Urinary incontinence, Pelvic floor, Biofeedback, Physical therapy |
| Text complet: | Texto completo (Ver HTML) |
