[Working with urinary incontinence in primary health care: satisfaction, sexuality and therapeutic compliance]. / Trabajando la incontinencia urinaria en atención primaria: satisfacción, sexualidad y cumplimiento terapéutico.

OBJECTIVES: Our aim is not only to measure the satisfaction of both sex patients with urinary incontinence but also to analyse the influence of urgency incontinence in our patient's sexuality as well as their treatment fulfilment. METHODS: This is a quasi-experimental naturalistic, longitudinal, open and not controlled study made during 24 weeks with before-after analysis on 60 urgent or mixed urinary incontinence patients treated with physic therapy and tolterodine. We have used the Spanish version of the questionnaire about overactive bladder (OAB-q), the Spanish version of the King's Health Questionnaire (KHQ) and the Golombok Rust Inventory of Sexual Satisfaction (G.R.I.S.S.) about sexual satisfaction. We have born in mind treatment fulfilment. RESULTS: The 56.25% (18) of the valid calendars showed "normal" mictional values at the end of the study (p < 0.001). Each item of the OAB-q has improved after the treatment of the 26.55% (p < 0.001). The health status has also improved in the KHQ (p < 0.001), but it hasn't happened the same in the G.R.I.S.S. Finally, an improvement in several items of the treatment fulfilment can be contrasted. CONCLUSIONS: The results of this study corroborate the efficiency of pelvic floor rehabilitation combined with pharmacological therapy in urinary incontinence treatment. These results are very hope-giving because the incontinence problem affects negatively to the patients' perception of their own health status, so solving this problem their health status will be improved.

Trabajando la incontinencia urinaria en Atención Primaria: satisfacción, sexualidad y cumplimiento terapéutico / Working with urinary incotinence in primary health care: satisfaction, sexuality and therapeutic compliance

Objetivo: Pretendemos valorar la satisfacción de los pacientes de ambos sexos con incontinencia urinaria y secundariamente pretendemos analizar la influencia de la incontinencia de urgencia en la sexualidad de nuestros pacientes y el cumplimiento terapéutico en aquellos pacientes con incontinencia de urgencia. Método: Se ha realizado un estudio naturalístico quasi-experimental, longitudinal, abierto, no controlado, durante 24 semanas con análisis antes-después, de 60 pacientes diagnosticados de incontinencia urinaria de urgencia o mixta, y tratados con terapia física y tolterodina, utilizando el cuestionario sobre vejiga hiperactiva OAB-q, versión española, el cuestionario de calidad de vida King's Health Questionnaire (KHQ) versión española, el de satisfacción sexual Golombok Rust Inventory of Sexual Satisfaction (G.R.I.S.S.) y valorando el cumplimiento terapéutico. Resultados: De los calendarios valorables, el 56,25% (18) presentan al finalizar el estudio criterios de «normalidad» miccional (p<0,001). Se ha producido una mejoría de todos los ítems del OAB-p tras la intervención del 26,55% (p<0,001). También se ha producido una mejora significativa (p<0,001) en la percepción del estado de salud en el KHQ, pero no ha sucedido lo mismo con el GRISS. Finalmente se puede constatar una mejora en los diversos items sobre cumplimiento terapéutico. Conclusiones: Los resultados de este estudio vienen a corroborar la eficacia conjunta de medidas de rehabilitación de suelo pélvico y terapia farmacológica en el tratamiento de la incontinencia urinaria. Además son muy esperanzadores, en el sentido de que el problema de incontinencia está influyendo negativamente en su percepción de salud, y en la medida en que intervengamos sobre la incontinencia de estos pacientes mejoraremos su estado de salud (AU)

Objectives: Our aim is not only to measure the satisfaction of both sex patients with urinary incontinence but also to analyse the influence of urgency incontinence in our patient’s sexuality as well as their treatment fulfilment. Methods: This is a quasi-experimental naturalistic, longitudinal, open and not controlled study made during 24 weeks with before-after analysis on 60 urgent or mixed urinary incontinence patients treated with physic therapy and tolterodine. We have used the Spanish version of the questionnaire about overactive bladder (OAB-q), the Spanish version of the King’s Health Questionnaire (KHQ) and the Golombok Rust Inventory of Sexual Satisfaction (G.R.I.S.S.) about sexual satisfaction. We have born in mind treatment fulfilment. Results: The 56,25% (18) of the valid calendars showed «normal» mictional values at the end of the study (p<0,001). Each item of the OAB-q has improved after the treatment of the 26,55% (p<0,001). The health status has also improved in the KHQ (p<0,001), but it hasn't happened the same in the G.R.I.S.S. Finally, an improvement in several items of the treatment fulfilment can be contrasted. Conclusions: The results of this study corroborate the efficiency of pelvic floor rehabilitation combined with pharmacological therapy in urinary incontinence treatment. These results are very hope-giving because the incontinence problem affects negatively to the patients' perception of their own health status, so solving this problem their health status will be improved (AU)