A comparative analisys of pelvic floor muscle strength in women with stress and urge urinary incontinence

被引：15

作者：

Gameiro, Monica Orsi ^{[1
]}

Moreira, Eliane Cristina ^{[4
]}

Ferrari, Renata Spagnoli ^{[2
]}

Kawano, Paulo Roberto ^{[2
]}

Padovani, Carlos Roberto ^{[3
]}

Amaro, Joao Luiz ^{[2
]}

机构：

[1] Sao Paulo State Univ UNESP, Physiotherapy Serv, Sch Med, BR-18618970 Sao Paulo, Brazil

[2] Sao Paulo State Univ UNESP, Dept Urol, Sch Med, BR-18618970 Sao Paulo, Brazil

[3] Sao Paulo State Univ UNESP, Dept Biostat, Sch Med, BR-18618970 Sao Paulo, Brazil

[4] Parana State Univ, Physiotherapy Dept, Hlth Sci Ctr, Londrina, Parana, Brazil

来源：

INTERNATIONAL BRAZ J UROL | 2012年 / 38卷 / 05期

关键词：

Pelvic Floor; Women; Urinary Incontinence; Stress; Urge; QUALITY-OF-LIFE; OVERACTIVE BLADDER; MANAGEMENT; CONTINENT; COMMITTEE;

D O I：

10.1590/S1677-55382012000500011

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

Aims: To assess pelvic floor muscle (PFM) strength in women with stress urinary incontinence (SUI) and urge urinary incontinence (UUI). Materials and Methods: 51 women were prospectively divided into two groups, according to the symptoms as SUI (G1 = 22) or UUI (G2 = 29). Demographic data, such as number of pads/ 24 hours, number of micturations/ 24 hours and nocturia, delay time of urgent void (i.e., the time period for which an urgent void could be voluntarily postponed), number of parity and vaginal deliveries were obtained using a clinical questionnaire. Objective urine loss was evaluated by 60-min. Pad Test, subjective urine stream interruption test (UST) and visual survey of perineal contraction. Objective evaluations of PFM were performed in all patients (vaginal manometry). Results: Median of age, mean number of pads/ 24 hours, nocturia and warning time were significantly higher in UUI comparing to SUI group. During UST, 45.45% in G1 and 3.44%, in G2, were able to interrupt the urine stream (p < 0.001). The 60-min. Pad Test was significantly higher in G2 compared to G1 women (2.7 +/- 2.4 vs 1.5 +/- 1.9 respectively, p = 0.049). Objective evaluation of PFM strength was significantly higher in the SUI than in the UUI patients. No statistical difference was observed regarding other studied parameters. Conclusion: Pelvic floor muscle weakness was significantly higher in women with UUI when compared to SUI.

引用

页码：661 / 666

页数：6

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