A comparative analisys of pelvic floor muscle strength in women with stress and urge urinary incontinence
Int. braz. j. urol
;
38(5): 661-666, Sept.-Oct. 2012. tab
Article
in English
| LILACS
| ID: lil-655993
ABSTRACT
AIMS:
To assess pelvic floor muscle (PFM) strength in women with stress urinary incontinence (SUI) and urge urinary incontinence (UUI). MATERIALS ANDMETHODS:
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.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Urinary Incontinence, Stress
/
Pelvic Floor
/
Urinary Incontinence, Urge
/
Muscle Strength
Type of study:
Observational study
Limits:
Female
/
Humans
Language:
English
Journal:
Int. braz. j. urol
Journal subject:
Urology
Year:
2012
Type:
Article
Affiliation country:
Brazil
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