Journal: | International braz j urol |
Database: | PERIÓDICA |
System number: | 000296856 |
ISSN: | 1677-5538 |
Authors: | Capelini, Maria V1 Riccetto, Cassio L Dambros, Miriam Tamanini, Jose T Herrmann, Viviane Muller, Virginia |
Institutions: | 1Universidade Estadual de Campinas, Divisao de Urologia e Ginecologia, Sao Paulo. Brasil |
Year: | 2006 |
Season: | Jul-Ago |
Volumen: | 32 |
Number: | 4 |
Pages: | 462-469 |
Country: | Brasil |
Language: | Inglés |
Document type: | Artículo |
Approach: | Caso clínico, analítico |
English abstract | 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 |
Keyword: | Cirugía, Terapéutica y rehabilitación, Incontinencia urinaria, Piso pélvico, Biorretroalimentación, Terapia física |
Keyword: | Medicine, Surgery, Therapeutics and rehabilitation, Urinary incontinence, Pelvic floor, Biofeedback, Physical therapy |
Full text: | Texto completo (Ver HTML) |