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1.
Int. braz. j. urol ; 32(4): 462-469, July-Aug. 2006. tab
Artículo en Inglés | LILACS | ID: lil-436894

RESUMEN

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.


Asunto(s)
Adulto , Femenino , Humanos , Persona de Mediana Edad , Biorretroalimentación Psicológica , Terapia por Ejercicio/métodos , Diafragma Pélvico/fisiología , Calidad de Vida , Incontinencia Urinaria de Esfuerzo/terapia , Electromiografía , Estudios de Seguimiento , Contracción Muscular , Estudios Prospectivos , Encuestas y Cuestionarios , Resultado del Tratamiento , Urodinámica , Incontinencia Urinaria de Esfuerzo/psicología
2.
Braz. j. infect. dis ; 8(2): 186-189, Apr. 2004. ilus
Artículo en Inglés | LILACS | ID: lil-365414

RESUMEN

We present a case of a 58 year old white male who entered the hospital with abdominal pain and developed large bowel obstruction, simulating malignant disease. Anatomopathological examination showed abdominal actinomycosis, a rare presentation of this disease.


Asunto(s)
Humanos , Masculino , Persona de Mediana Edad , Actinomicosis , Obstrucción Intestinal , Intestino Grueso , Actinomicosis , Diagnóstico Diferencial , Neoplasias Intestinales , Obstrucción Intestinal
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