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Pelvic floor parameters in women with gynecological endocrinopathies: a systematic review
Fante, Júlia Ferreira; Ferreira, Cristine Homsi Jorge; Juliato, Cassia Raquel Teatin; Benetti-Pinto, Cristina Laguna; Pereira, Glaucia Miranda Varella; Brito, Luiz Gustavo Oliveira.
  • Fante, Júlia Ferreira; School of Medical Sciences. Department of Obstetrics and Gynecology. Campinas. BR
  • Ferreira, Cristine Homsi Jorge; Ribeirão Preto Medical School. Department of Health Sciences. São Paulo. BR
  • Juliato, Cassia Raquel Teatin; School of Medical Sciences. Department of Obstetrics and Gynecology. Campinas. BR
  • Benetti-Pinto, Cristina Laguna; School of Medical Sciences. Department of Obstetrics and Gynecology. Campinas. BR
  • Pereira, Glaucia Miranda Varella; School of Medical Sciences. Department of Obstetrics and Gynecology. Campinas. BR
  • Brito, Luiz Gustavo Oliveira; School of Medical Sciences. Department of Obstetrics and Gynecology. Campinas. BR
Rev. Assoc. Med. Bras. (1992) ; 66(12): 1742-1749, Dec. 2020. tab, graf
Article in English | SES-SP, LILACS | ID: biblio-1143672
ABSTRACT
SUMMARY There is no pooled information about pelvic floor parameters (muscle assessment, disorders) of women with gynecologicaL endocrinopathies (eg. polycystic ovary syndrome, congenital adrenal hyperplasia, premature ovarian insufficiency). Given that, a systematic review was performed on the Pubmed, Scopus, Google Scholar, Scielo and PEDro databases regarding the main gynecological endocrinopathies [polycystic ovary syndrome (PCOS), premature ovarian insufficiency (POI), congenital adrenal hyperplasia (CAH) and hyperprolactinemia (HPL)] since their inception to April 2020. Data quality assessment was made by the Newcastle-Ottawa Scale (NOS) adapted for cross-sectional studies. A total of 4,272 results were retrieved from all databases. After excluding duplicate results and screening by title and abstract, nine studies were selected for quantitative analysis. Seven studies were performed with women with PCOS and two studies with POI. Women with PCOS presented a higher prevalence of urinary incontinence (UI) among obese women, a higher thickness of the levator ani muscle, and higher levels of muscle activity measured by surface electromyograph when compared to the control women. Regarding POI, there was no association with UI, FI, and POP. NOS found that the quality assessment for these selected studies ranged from 5 to 8. We concluded that higher pelvic muscle activity and volume were found in women with PCOS, with further studies needed to confirm this data. Literature was scant about POI, CAH, and HPL.
RESUMO
RESUMO Existe informação não organizada sobre a avaliação do assoalho pélvico de mulheres com endocrinopatias ginecológicas (ex. síndrome dos ovários policísticos - SOP, hiperplasia adrenal congênita - HAC, insuficiência ovariana prematura - IOP). Dessa forma, objetivamos realizar uma revisão sistemática foi realizada nas bases Pubmed, Scopus, Google Scholar, Scielo e PEDro sobre as endocrinopatias ginecológicas (SOP, HAC, IOP e hiperprolactinemia (HPL) desde a origem a abril de 2020. A avaliação da qualidade de dados foi real-izada pela escala de Newcastle-Ottawa Scale (NOS) adaptada para estudos transversais. De 4,272 resultados encontrados em todas as databases, após exclusão por duplicatas, triando por título e resumos, nove estudos foram selecionados para análise quantitativa. Sete estudos foram realizados para mulheres com SOP e dois estudos com IOP. Em suma, mulheres com SOP apresentados uma alta prevalência de incontinência urinária (IU) em mulheres obesas, alta espessura do músculo elevador do ânus, altos níveis de atividade muscular aferida por eletromiografia de superfície quando comparadas com mulheres do grupo controle. Sobre a IOP, esta não foi associada com IU, IF e POP. A escala NOS evidenciou que a qualidade dos estudos selecionados variou de 5 a 8. Concluímos que uma alta atividade e volume muscular foi encontrada em mulheres com SOP, com estudos posteriores sendo necessários para confirmar estes achados. Literatura foi escassa para IOP, HAC e HPL.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Polycystic Ovary Syndrome / Urinary Incontinence Type of study: Observational study / Prevalence study / Risk factors / Systematic reviews Limits: Female / Humans Language: English Journal: Rev. Assoc. Med. Bras. (1992) Year: 2020 Type: Article Institution/Affiliation country: Ribeirão Preto Medical School/BR / School of Medical Sciences/BR

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Full text: Available Index: LILACS (Americas) Main subject: Polycystic Ovary Syndrome / Urinary Incontinence Type of study: Observational study / Prevalence study / Risk factors / Systematic reviews Limits: Female / Humans Language: English Journal: Rev. Assoc. Med. Bras. (1992) Year: 2020 Type: Article Institution/Affiliation country: Ribeirão Preto Medical School/BR / School of Medical Sciences/BR