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‣ Urinary incontinence following surgery for BPH: the role of aging on the incidence of bladder dysfunction

BRUSCHINI, Homero; SIMONETTI, Rogério; ANTUNES, Alberto A.; Srougi, Miguel
Fonte: Sociedade Brasileira de Urologia Publicador: Sociedade Brasileira de Urologia
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
370.08047%
PURPOSE: The reported incidence of urinary incontinence (UI) due to bladder dysfunction following surgery of BPH is variable. We described the causes of incontinence in a large group of men that developed this unsual complication and analyzed the influence of age on the prevalence of bladder dysfunction. MATERIALS AND METHODS: We wvaluated a total of 125 patients with urinary incontinence following surgical treatment for BPH : Transurethral resection of the prostate (81men) and open prostatectomy (44 men). A third group of 21 patients with incontinence following radical prostatectomy was used for comparison. All patients underwent urodynamic analysis. Urethral Sphincter Insufficiency (USI)was defined as involuntary loss of urine induced by Valsalva maneuver in the absence of a detrusor contraction. Bladder dysfunction was defined as detrusor overactivity and/or decreased compliance. RESULTS: Urethral sphincter insufficiency was the most common etiology of urinary incontinence in the three groups of patients. However, bladder dysfunction was observed in 59.3%, 56.8% and 57.1% of patients who underwent transurethral resection, open prostatectomy and radical prostatectomy, respectively. Median patient age was 69 and 75 years for patients with and without bladder dysfunction...

‣ Prevalência e fatores associados de incontinência urinária autorreferida no pós-parto; Prevalence and associated factors of urinary incontinence self-reported in the postpartum period

Lopes, Daniela Biguetti Martins
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 15/04/2010 Português
Relevância na Pesquisa
371.35465%
A incontinência urinária (IU) é definida como toda perda involuntária de urina, sendo um problema social e de higiene. No Brasil, é incipiente a produção bibliográfica sobre incontinência urinária no pós-parto. Trata-se de uma morbidade pouco explorada pelo profissional de saúde, o que dificulta a identificação da mulher que apresenta a intercorrência. O objetivo deste estudo foi verificar a prevalência de incontinência urinária autorreferida no pós-parto e relacionar os fatores associados. Trata-se de um estudo epidemiológico, transversal sobre os fatores relacionados à incontinência urinária autorreferida no pós-parto, realizado no Centro de Saúde Escola Samuel Barnsley Pessoa, localizado na região oeste do município de São Paulo. A população foi constituída por 288 mulheres com 30 dias a seis meses de pós-parto, entrevistadas no período de janeiro a agosto de 2009. Os resultados indicaram prevalência de 24,6% de perda involuntária de urina autorreferida no pós-parto. A idade das mulheres variou de 18 a 45 anos. Quanto às características sociodemográficas, apenas a cor da pele apresentou diferença estatística significante (p-valor=0,0043), com maior representatividade em mulheres brancas. Dentre as 71 entrevistadas que referiram IU no pós-parto...

‣ Prevalência e fatores associados de incontinência urinária em profissionais de enfermagem de um hospital universitário; Prevalence and factors associated with urinary incontinence among professional nursing a university hospital Ribeirão Preto

Ribeiro, Juliana
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 15/08/2011 Português
Relevância na Pesquisa
370.08047%
A Incontinência Urinária (IU) é um sintoma multifatorial associado ao estilo de vida, sendo uma disfunção anatomopatológica que interfere, principalmente, na saúde da mulher. Objetivo: O estudo teve como objetivo analisar a prevalência de incontinência urinária e fatores associados em profissionais de enfermagem que atuam em um Hospital Universitário de Ribeirão Preto-SP. Materiais e Método: Trata-se de uma pesquisa descritiva e exploratória de corte transversal com abordagem quantitativa, sobre a prevalência e fatores associados à incontinência urinária entre estes profissionais. A população foi composta por 119 profissionais das unidades de Clínica Médica (CM),Clínica Cirúrgica (CC),Ginecologia (GO) e Obstétricia (OBST), nas categorias de enfermeira, técnica de enfermagem e auxiliar de enfermagem; o período de coleta de dados foi de Junho a Outubro de 2010 .Foi solicitada a autorização da Divisão de Enfermagem do HCFMRP-USP e , posteriormente, enviado o projeto para análise do Comitê de Ética em Pesquisa (CEP) da mesma instituição. Este procedimento visa a preservação dos aspectos éticos relacionados à pesquisa envolvendo seres humanos, segundo a resolução 196/96. Resultados: Das 91 mulheres entrevistadas a maioria estava na média de 40 anos e 58 (65...

‣ Urinary incontinence and vaginal squeeze pressure two years post-cesarean delivery in primiparous women with previous gestational diabetes mellitus

Barbosa, Angélica Mércia Pascon; Dias, Adriano; Marini, Gabriela; Calderon, Iracema de Mattos Paranhos; Witkin, Steven; Rudge, Marilza Vieira Cunha
Fonte: Universidade de São Paulo (USP), Faculdade de Medicina Publicador: Universidade de São Paulo (USP), Faculdade de Medicina
Tipo: Artigo de Revista Científica Formato: 1341-1345
Português
Relevância na Pesquisa
370.76977%
Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP); Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES); OBJECTIVE: To assess the prevalence of urinary incontinence and associated vaginal squeeze pressure in primiparous women with and without previous gestational diabetes mellitus two years post-cesarean delivery.METHODS: Primiparous women who delivered by cesarean two years previously were interviewed about the delivery and the occurrence of incontinence. Incontinence was reported by the women and vaginal pressure evaluated by a Perina perineometer. Sixty-three women with gestational diabetes and 98 women without the disease were screened for incontinence and vaginal pressure. Multiple logistic regression models were used to evaluate the independent effects of gestational diabetes.RESULTS: The prevalence of gestational incontinence was higher among women with gestational diabetes during their pregnancies (50.8% vs. 31.6%) and two years after a cesarean (44.8% vs. 18.4%). Decreased vaginal pressure was also significantly higher among women with gestational diabetes (53.9% vs. 37.8%). Maternal weight gain and newborn weight were risk factors for decreased vaginal pressure. Maternal age, gestational incontinence and decreased vaginal pressure were risk factors for incontinence two years after a cesarean. In a multivariate logistic model...

‣ Incontinencia urinaria e atividade fisica : uma revisão da literatura; Urinary incontinence and physical activity

Aletha Silva Caetano
Fonte: Biblioteca Digital da Unicamp Publicador: Biblioteca Digital da Unicamp
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 22/02/2007 Português
Relevância na Pesquisa
372.67605%
A incontinência urinária é definida como ?queixa de qualquer perda involuntária de urina?. Apesar da incontinência urinária não ameaçar a vida das mulheres que apresentem os sintomas, ela causa danos de ordem social, econômica e emocional podendo assim influenciar de forma negativa na qualidade de vida de mulheres com incontinência urinária. O objetivo desta pesquisa foi realizar uma revisão bibliográfica sobre a incontinência urinária entre mulheres que praticam atividades físicas e esportivas e suas implicações acerca dessa prática. Essa dissertação foi redigida sob a forma de três artigos que já foram submetidos à publicação. O primeiro artigo intitulado ?Incontinência urinária e a prática de atividades físicas?, corresponde à revisão bibliográfica relacionada com a prevalência da incontinência urinária entre mulheres atletas e não atletas durante atividades físicas e esportivas. O segundo artigo intitulado ?Atividade sexual, exercícios perineais e incontinência urinária?, refere-se à sexualidade da mulher com incontinência urinária. O terceiro artigo, ?Incontinência urinária entre estudantes de Educação Física? corresponde a um trabalho no qual foi verificada a freqüência de perda de urina entre estudantes de Educação Física. Os dados da literatura mostraram que a prática de atividades físicas e esportivas constituídas de exercícios que exijam muito esforço e alto impacto pode contribuir para o desenvolvimento da incontinência urinária. Muitas mulheres com incontinência urinária abandonam a prática de atividades físicas e esportivas para evitarem perder urina durante essa prática...

‣ EARLY FUNCTIONAL RESULTS OF BIOFEEDBACK AND ITS IMPACT ON QUALITY OF LIFE OF PATIENTS WITH ANAL INCONTINENCE

LEITE,Fernando Rocha; LIMA,Marcilio Jose Rodrigues de; LACERDA-FILHO,Antonio
Fonte: Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia - IBEPEGE ; Colégio Brasileiro de Cirurgia Digestiva - CBCD ; Sociedade Brasileira de Motilidade Digestiva - SBMD ; Federação Brasileira de Gastroenterologia - FBG; Sociedade Brasileira de Hepatologia - SBH; Sociedade Brasileira de Endoscopia Digestiva - SOBED Publicador: Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia - IBEPEGE ; Colégio Brasileiro de Cirurgia Digestiva - CBCD ; Sociedade Brasileira de Motilidade Digestiva - SBMD ; Federação Brasileira de Gastroenterologia - FBG; Sociedade Brasileira de Hepatologia - SBH; Sociedade Brasileira de Endoscopia Digestiva - SOBED
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/09/2013 Português
Relevância na Pesquisa
370.76977%
Context Biofeedback has been used successfully in the treatment of fecal incontinence, working mainly on rehabilitation of the sphincter muscle. However, there are few studies presenting objective results of biofeedback, in terms of functional results and those related to the quality of life. Objectives The aims of this study was to evaluate the immediate results of biofeedback in the treatment of fecal incontinence and its impact on the quality of life of patients by using validated questionnaires, correlating the results with those related to functional parameters of quality of life and clinical variables. Methods We analyzed and compared the results of biofeedback in 52 patients with fecal incontinence before the start of the sessions and immediately after the end of them, by applying validated questionnaires assessing the degree of intensity of fecal incontinence (FISI - Fecal Incontinence Severity Index) and evaluation of quality of life related to fecal incontinence (FIQL - Faecal Incontinence Quality of Life Scale) as compared to clinical variables (age, onset of symptoms, etiology of the fecal incontinence, number of sessions of biofeedback and number and types of deliveries). Results The evaluation of the results of FISI showed a significant increase in the number of individuals who had low severity scores of symptoms before and after the biofeedback (from 48.1 to 65.4%) with P = 0.004. There was significant improvements in domains of the FIQL...

‣ Prevalence of urinary incontinence and pelvic floor muscle dysfunction in primiparae two years after cesarean section: cross-sectional study

Barbosa,Angélica Mércia Pascon; Marini,Gabriela; Piculo,Fernanda; Rudge,Cibele Vieira Cunha; Calderon,Iracema Mattos Paranhos; Rudge,Marilza Vieira Cunha
Fonte: Associação Paulista de Medicina - APM Publicador: Associação Paulista de Medicina - APM
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2013 Português
Relevância na Pesquisa
371.35465%
CONTEXT AND OBJECTIVE There is uncertainty in the literature regarding the theory that obstetric events and pelvic floor injuries give rise to lower risk of subsequent urinary incontinence among women delivering via cesarean section than among women delivering vaginally. The objective of this study was to assess the two-year postpartum prevalence of urinary incontinence and pelvic floor muscle dysfunction and the factors responsible for them. DESIGN AND SETTING Cross-sectional study, conducted in a public university. METHODS 220 women who had undergone elective cesarean section or vaginal childbirth two years earlier were selected. Their urinary incontinence symptoms were investigated, and their pelvic floor muscle dysfunction was assessed using digital palpation and a perineometer. RESULTS The two-year urinary incontinence prevalences following vaginal childbirth and cesarean section were 17% and 18.9%, respectively. The only risk factor for pelvic floor muscle dysfunction was weight gain during pregnancy. Body mass index less than 25 kg/m 2 and normal pelvic floor muscle function protected against urinary incontinence. Gestational urinary incontinence increased the risk of two-year postpartum urinary incontinence. CONCLUSION Gestational urinary incontinence was a crucial precursor of postpartum urinary incontinence. Weight gain during pregnancy increased the subsequent risk of pelvic floor muscle dysfunction...

‣ Urinary incontinence following surgery for BPH: the role of aging on the incidence of bladder dysfunction

Bruschini,Homero; Simonetti,Rogério; Antunes,Alberto A.; Srougi,Miguel
Fonte: Sociedade Brasileira de Urologia Publicador: Sociedade Brasileira de Urologia
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/06/2011 Português
Relevância na Pesquisa
370.08047%
PURPOSE: The reported incidence of urinary incontinence (UI) due to bladder dysfunction following surgery of BPH is variable. We described the causes of incontinence in a large group of men that developed this unsual complication and analyzed the influence of age on the prevalence of bladder dysfunction. MATERIALS AND METHODS: We wvaluated a total of 125 patients with urinary incontinence following surgical treatment for BPH : Transurethral resection of the prostate (81men) and open prostatectomy (44 men). A third group of 21 patients with incontinence following radical prostatectomy was used for comparison. All patients underwent urodynamic analysis. Urethral Sphincter Insufficiency (USI)was defined as involuntary loss of urine induced by Valsalva maneuver in the absence of a detrusor contraction. Bladder dysfunction was defined as detrusor overactivity and/or decreased compliance. RESULTS: Urethral sphincter insufficiency was the most common etiology of urinary incontinence in the three groups of patients. However, bladder dysfunction was observed in 59.3%, 56.8% and 57.1% of patients who underwent transurethral resection, open prostatectomy and radical prostatectomy, respectively. Median patient age was 69 and 75 years for patients with and without bladder dysfunction...

‣ Electrical Stimulation for Urinary Incontinence in Women: A Systematic Review

Schreiner,Lucas; Santos,Thais Guimaraes dos; Souza,Alessandra Borba Anton de; Nygaard,Christiana Campani; Filho,Irenio Gomes da Silva
Fonte: Sociedade Brasileira de Urologia Publicador: Sociedade Brasileira de Urologia
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/08/2013 Português
Relevância na Pesquisa
370.08047%
Background Electrical stimulation is commonly recommended to treat urinary incontinence in women. It includes several techniques that can be used to improve stress, urge, and mixed symptoms. However, the magnitude of the alleged benefits is not completely established. Objectives To determine the effects of electrical stimulation in women with symptoms or urodynamic diagnoses of stress, urge, and mixed incontinence. Search Strategy: Our review included articles published between January 1980 and January 2012. We used the search terms “urinary incontinence”, “electrical stimulation”, “intravaginal”, “tibial nerve” and “neuromodulation” for studies including female patients. Selection Criteria We evaluated randomized trials that included electrical stimulation in at least one arm of the trial, to treat women with urinary incontinence. Data Collection and Analysis Two reviewers independently assessed the data from the trials, for inclusion or exclusion, and methodological analysis. Main Results A total of 30 randomized clinical trials were included. Most of the trials involved intravaginal electrical stimulation. Intravaginal electrical stimulation showed effectiveness in treating urge urinary incontinence...

‣ Urinary incontinence and vaginal squeeze pressure two years post-cesarean delivery in primiparous women with previous gestational diabetes mellitus

Barbosa,Angélica Mércia Pascon; Dias,Adriano; Marini,Gabriela; Calderon,Iracema Mattos Paranhos; Witkin,Steven; Rudge,Marilza Vieira Cunha
Fonte: Faculdade de Medicina / USP Publicador: Faculdade de Medicina / USP
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2011 Português
Relevância na Pesquisa
370.76977%
OBJECTIVE: To assess the prevalence of urinary incontinence and associated vaginal squeeze pressure in primiparous women with and without previous gestational diabetes mellitus two years post-cesarean delivery. METHODS: Primiparous women who delivered by cesarean two years previously were interviewed about the delivery and the occurrence of incontinence. Incontinence was reported by the women and vaginal pressure evaluated by a Perina perineometer. Sixty-three women with gestational diabetes and 98 women without the disease were screened for incontinence and vaginal pressure. Multiple logistic regression models were used to evaluate the independent effects of gestational diabetes. RESULTS: The prevalence of gestational incontinence was higher among women with gestational diabetes during their pregnancies (50.8% vs. 31.6%) and two years after a cesarean (44.8% vs. 18.4%). Decreased vaginal pressure was also significantly higher among women with gestational diabetes (53.9% vs. 37.8%). Maternal weight gain and newborn weight were risk factors for decreased vaginal pressure. Maternal age, gestational incontinence and decreased vaginal pressure were risk factors for incontinence two years after a cesarean. In a multivariate logistic model...

‣ The Prevalence of Urinary Incontinence

Nitti, Victor W
Fonte: MedReviews, LLC Publicador: MedReviews, LLC
Tipo: Artigo de Revista Científica
Publicado em //2001 Português
Relevância na Pesquisa
373.31496%
Urinary incontinence is a significant health problem with considerable social and economic impact. It is important to distinguish between prevalence and incidence with regard to incontinence, and prevalence—the probability of having incontinence within a defined population at a defined point in time—is the more important when considering its impact and the utilization of healthcare resources. There are large variations in the severity and impact of incontinence, and its severity, frequency, and predictability all need to be considered when evaluating its effects on patients, The degree of bother is particularly significant when determining who will need treatment. Incontinence may be a result of bladder dysfunction, sphincter dysfunction, or a combination of both, but large-scale studies are not designed to determine the etiology. In young women, the prevalence of incontinence is usually low, but prevalence peaks around menopause, with a steady rise there-after into later life. Although the prevalence of stress and mixed (stress and urge) incontinence is higher than urge incontinence, the latter is more likely to require treatment. In women, moderate and severe bother have a prevalence ranging from about 3% to 17%. Severe incontinence has a low prevalence in young women...

‣ Urodynamics or history? Clinical decision-making in women presenting with urinary incontinence

Duggan, P.
Fonte: Blackwell Publishing Asia Publicador: Blackwell Publishing Asia
Tipo: Artigo de Revista Científica
Publicado em //2010 Português
Relevância na Pesquisa
370.08047%
Background: Preoperative urodynamic testing is recommended by experts, but evidence for clinical benefit is limited. Aims: To determine whether urodynamic stress incontinence could be confirmed in women presenting with a history of stress incontinence. Methods: History and urodynamic diagnoses of 444 women presenting to a general unit between June 2003 and July 2007 are described. Results: Urodynamic Stress Incontinence (USI) or mixed USI and detrusor overactivity were observed in 61% reporting any stress incontinence. 15% who reported no stress incontinence had USI. Compared with a normal urodynamic diagnosis, incontinence occurred more frequently in all other diagnostic categories (P < 0.0001) and was worst in the USI and mixed groups (P < 0.0004). Conclusions: Urodynamic Stress Incontinence is a more severe entity than stress incontinence diagnosed by history. It is yet to be established if this information benefits patients.; Paul Duggan

‣ Identifying the quality of life effects of urinary incontinence with depression in an Australian population

Avery, J.; Stocks, N.; Duggan, P.; Braunack-Mayer, A.; Taylor, A.; Goldney, R.; MacLennan, A.
Fonte: BioMed Central Ltd. Publicador: BioMed Central Ltd.
Tipo: Artigo de Revista Científica
Publicado em //2013 Português
Relevância na Pesquisa
372.2935%
Background: To explore the additive effect of urinary incontinence, in people with comorbid depression, on health related quality of life. Methods: Males and females, 15 to 95 years (n = 3010, response rate 70.2%) were interviewed face to face in the 1998 Autumn South Australian Health Omnibus Survey. Results: Self-reported urinary incontinence was found in 20.3% (n=610), and depression as defined by the PRIME-MD in 15.2% (n=459) of the survey population. Urinary incontinence with comorbid depression was found in 4.3% of the overall population. Univariate analysis showed that respondents with urinary incontinence and comorbid depression were more likely to be aged between 15 and 34 years and never married when compared to those with incontinence only. Multivariate analysis demonstrated that in people with incontinence, the risk of having comorbid depression was increased by an overall health status of Fair or Poor, or the perception that their incontinence was moderately or very serious. Respondents reporting that they experienced incontinence with comorbid depression scored significantly lower than those experiencing incontinence without depression on all dimensions of the SF-36. The interaction of the presence of incontinence and the presence of depression was significantly associated with the dimensions of physical functioning. Conclusions: Depression and incontinence both reduce QOL. When they occur together there appears to be an additive effect which affects both physical and mental health...

‣ Urinary incontinence in institutionalized elderly: prevalence and impact on quality of life

Roig,Javier Jerez; Souza,Dyego Leandro Bezerra de; Lima,Kenio Costa
Fonte: Pontifícia Universidade Católica do Paraná Publicador: Pontifícia Universidade Católica do Paraná
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/09/2015 Português
Relevância na Pesquisa
370.08047%
AbstractIntroduction Urinary incontinence is a geriatric syndrome that generates strong economic and social impacts as well as emotional changes and negative consequences for the health of the elderly.Objective The objective of this work was to identify the prevalence of urinary incontinence and its associated factors, as well as its impact on quality of life of institutionalized elderly.Materials and methods A cross-sectional study was conducted herein, with 10 long-term institutions for the elderly of the municipality of Natal (Northeast Brazil). The Minimum Data Set was completed by caregivers to determine the presence of incontinence, and the Short Form of the International Consultation on Incontinence Questionnaire was answered by the elderly, to assess the frequency and amount of urinary leakage, the impact on quality of life, and the type of incontinence. The chi-square test and Fisher’s exact test were applied in the bivariate analysis, and logistic regression was utilized for multivariate analysis.Results The prevalence of urinary incontinence was 42.7% (95% CI: 34.8–50.8). The impact of this condition on daily life was mild in 46.5% of cases, moderate for 29.3% of cases, and severe in 24.1% of cases. The condition was associated with functional impairment (p < 0.001; RP: 4.13).Final considerations The prevalence of urinary incontinence in this sample...

‣ Depression and its association with the psychosocial factors of urinary incontinence

Avery, Jodie Christine
Fonte: Universidade de Adelaide Publicador: Universidade de Adelaide
Tipo: Tese de Doutorado
Publicado em //2014 Português
Relevância na Pesquisa
374.43027%
Urinary Incontinence has been associated with psychological distress, depression and anxiety. However, research exploring these psychological effects has been minimal, mostly concentrating on older people, women or samples of convenience. Only a few studies have examined quality of life, management and coping behaviours, social connectedness, and beliefs and knowledge of the condition, focussing more upon risk factors such as gender, age, cognitive impairment and physical health. The research question for this thesis is whether the depression experienced by people with urinary incontinence is associated with psychosocial factors related to incontinence. The group of studies that contribute to the project “Depression and its Association with the Psychosocial Factors of Urinary Incontinence” include a population study examining incontinence, depression and quality of life in both men and women; another population study looking at perceptions of seriousness and severity of incontinence in women; a review of the literature; and a qualitative study examining women’s experience of urinary incontinence and depression. A review of the literature found that incontinence and psychological wellbeing are intertwined. Enquiring about the mental health status of those with incontinence should include an assessment of psychosocial factors to help reduce the burden of incontinence. I found that depression and incontinence both reduce health related quality of life (HRQoL). When they occur together there appears to be an additive effect which affects both physical and mental health. Clinicians should identify and manage comorbid depression when treating patients who have incontinence to improve their overall HRQoL. I also found that severity and limitations to lifestyle were predictors of women perceiving that their incontinence was moderate to very serious. Help-seeking for incontinence improves if education and information target women who use continence management aids...

‣ Incontinência urinária no puerpério : fatores de risco e impacto na qualidade de vida; Urinary incontinence in postpartum period : risk factors and impact on quality of life

Lígia da Silva Leroy
Fonte: Biblioteca Digital da Unicamp Publicador: Biblioteca Digital da Unicamp
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 29/06/2011 Português
Relevância na Pesquisa
371.85715%
Objetivos: Caracterizar a Incontinência Urinária (IU) no puerpério quanto ao tipo, freqüência, quantidade, situações de perda urinária e período de início dessa condição; investigar os fatores de risco para IU após o parto e avaliar se esta compromete a Qualidade de Vida Relacionada à Saúde (QVRS) e em quais aspectos. Método: Trata-se de estudo caso-controle. Foram incluídas 344 puérperas (77 casos e 267 controles) de até 90 dias pós-parto que compareceram ao Ambulatório de Obstetrícia de um hospital público terciário e de ensino, do interior do estado de São Paulo, Brasil, para consulta de revisão pós-parto. Aplicou-se questionário com dados sociodemográficos e clínicos, formulado e validado para o estudo, acrescido do International Consultation on Incontinence Questionnaire - Short Form (ICIQ-SF), King´s Health Questionnaire (KHQ) e Medical Outcomes Study 36 - Item Short Form Health Survey (SF-36). Resultados: A IU de esforço foi o tipo mais freqüente no puerpério (45,5%). A maior parte das mulheres tinha perda urinária diversas vezes ao dia (44,2%), em pequena quantidade (71,4%), ao tossir ou espirrar (57,1%). A IU iniciou freqüentemente durante a gestação (70,1%) e permaneceu após o parto. A ocorrência de IU no puerpério esteve associada à IU durante gestação (p<0...

‣ Estudo da associação entre o escore do International Consultation on Incontinence Questionnaire - Urinary Incontinence / Short Form e a avaliação urodinâmica em mulheres com incontinência urinária = : Correlation of the International Consultation on Incontinence Questionnaire - Urinary Incontinence / Short Form to urodynamic diagnosis in women with urinary incontinence; Correlation of the International Consultation on Incontinence Questionnaire - Urinary Incontinence / Short Form to urodynamic diagnosis in women with urinary incontinence

Renata Gebara de Grande Di Sessa
Fonte: Biblioteca Digital da Unicamp Publicador: Biblioteca Digital da Unicamp
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 23/10/2012 Português
Relevância na Pesquisa
373.31496%
Introdução: A Incontinência Urinária (IU) tem impacto na qualidade de vida da mulher, física, psicológica e socialmente. A Avaliação Urodinâmica (AU) pode ser considerada o padrão ouro no diagnóstico da etiologia da IU. Entretanto, trata-se de exame invasivo, que provoca desconforto e constrangimento à paciente e cujo resultado nem sempre reproduz a sintomatologia clínica. Objetivo: Avaliar a associação entre o "International Consultation on Incontinence Questionnaire - Urinary Incontinence/Short Form" (ICIQ-UI/SF) e a Avaliação Urodinâmica, em mulheres com incontinência urinária. Métodos: Foi realizada análise retrospectiva dos dados clínicos e AU de 358 mulheres com IU atendidas em clínica privada. Utilizou-se a curva ROC com os valores de sensibilidade e especificidade dos escores do ICIQ-UI/SF apresentados pelas pacientes, a fim de estabelecer o escore capaz de discriminar o diagnóstico urodinâmico nos grupos estudados. Para o cálculo do p valor foi utilizado o teste de qui-quadrado ou exato de Fisher. O teste de Spearman avaliou a correlação entre o ICIQ-UI/SF e os parâmetros urodinâmicos. O nível de significância foi de 5% e o software utilizado para a análise foi o SAS versão 9.2. Resultados: A média de idade entre as pacientes foi de 51...

‣ Psychological perspectives in urinary incontinence: a metasynthesis

Avery, J.; Braunack-Mayer, A.; Stocks, N.; Taylor, A.; Duggan, P.
Fonte: OAPublishing Publicador: OAPublishing
Tipo: Artigo de Revista Científica
Publicado em //2013 Português
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Introduction: Urinary incontinence with co-morbid depression has been found to have a significant effect on quality of life. Examining the associations between the psychosocial factors related to urinary incontinence and mental health may help in improving the care for patients with these conditions. The aim of this research study is to explore the relationship between mental health status and urinary incontinence, focusing on the role of psychosocial factors. Materials and Methods: A search of Medline, CINAHL and SCOPUS databases yielded 15 studies on the topic, and 10 studies were found to be in scope. A metasynthesis using Noblit and Hare’s approach of meta-ethnography was undertaken. This involved a number of steps including determining how studies are related and identifying major themes. Results: Three psychosocial aspects of urinary incontinence appear to influence mental health status: living with, management of and attitudes about incontinence. Other smaller component themes included control, seeking help and personal beliefs. Discussion: Psychosocial factors appear to mediate the relationship between urinary incontinence and mental health status. An increased awareness of the major psychosocial issues that can influence both incontinence and mental health may contribute to a better management of the condition as well as reduce the burden of the condition on individuals. Conclusion: Incontinence and psychological wellbeing are intertwined and this adversely affects a number of aspects of life. Enquiring about the mental health status of those with incontinence should include an assessment of psychosocial factors to help reduce the burden of incontinence. To improve the management of these conditions...

‣ Protocol for the value of urodynamics prior to stress incontinence surgery (VUSIS) study: a multicenter randomized controlled trial to assess the cost effectiveness of urodynamics in women with symptoms of stress urinary incontinence in whom surgical treatment is considered

van Leijsen, S.; Kluivers, K.; Mol, B.; Broekhuis, S.; Milani, F.; Huub van der Vaart, C.; Roovers, J.P.; Bongers, M.; den Boon, J.; Spaans, W.; de Leeuw, J.; Dietz, V.; Kleinjan, J.; Brolmann, H.; Roos, E.; Schaafstra, J.; Heesakkers, J.; Vierhout, M.
Fonte: BioMed Central Ltd. Publicador: BioMed Central Ltd.
Tipo: Artigo de Revista Científica
Publicado em //2009 Português
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BACKGROUND Stress urinary incontinence (SUI) is a common problem. In the Netherlands, yearly 64.000 new patients, of whom 96% are women, consult their general practitioner because of urinary incontinence. Approximately 7500 urodynamic evaluations and approximately 5000 operations for SUI are performed every year. In all major national and international guidelines from both gynaecological and urological scientific societies, it is advised to perform urodynamics prior to invasive treatment for SUI, but neither its effectiveness nor its cost-effectiveness has been assessed in a randomized setting. The Value of Urodynamics prior to Stress Incontinence Surgery (VUSIS) study evaluates the positive and negative effects with regard to outcome, as well as the costs of urodynamics, in women with symptoms of SUI in whom surgical treatment is considered. METHODS/DESIGN A multicentre diagnostic cohort study will be performed with an embedded randomized controlled trial among women presenting with symptoms of (predominant) SUI. Urinary incontinence has to be demonstrated on clinical examination and/or voiding diary. Physiotherapy must have failed and surgical treatment needs to be under consideration. Patients will be excluded in case of previous incontinence surgery...

‣ Urinary incontinence and vaginal squeeze pressure two years post-cesarean delivery in primiparous women with previous gestational diabetes mellitus

Barbosa, Angélica Mércia Pascon; Dias, Adriano; Marini, Gabriela; Calderon, Iracema Mattos Paranhos; Witkin, Steven; Rudge, Marilza Vieira Cunha
Fonte: Universidade de São Paulo. Faculdade de Medicina Publicador: Universidade de São Paulo. Faculdade de Medicina
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; ; ; ; Formato: application/pdf
Publicado em 01/01/2011 Português
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OBJECTIVE: To assess the prevalence of urinary incontinence and associated vaginal squeeze pressure in primiparous women with and without previous gestational diabetes mellitus two years post-cesarean delivery. METHODS: Primiparous women who delivered by cesarean two years previously were interviewed about the delivery and the occurrence of incontinence. Incontinence was reported by the women and vaginal pressure evaluated by a Perina perineometer. Sixty-three women with gestational diabetes and 98 women without the disease were screened for incontinence and vaginal pressure. Multiple logistic regression models were used to evaluate the independent effects of gestational diabetes. RESULTS: The prevalence of gestational incontinence was higher among women with gestational diabetes during their pregnancies (50.8% vs. 31.6%) and two years after a cesarean (44.8% vs. 18.4%). Decreased vaginal pressure was also significantly higher among women with gestational diabetes (53.9% vs. 37.8%). Maternal weight gain and newborn weight were risk factors for decreased vaginal pressure. Maternal age, gestational incontinence and decreased vaginal pressure were risk factors for incontinence two years after a cesarean. In a multivariate logistic model...