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‣ Prevalence and clinical characteristics of urinary incontinence in elderly individuals of a low income

Burti, Juliana Schulze; Barsante Santos, Adriana M.; Pereira, Rosa Maria R.; Zambon, Joao Paulo; Marques, Amelia Pasqual
Fonte: ELSEVIER IRELAND LTD; CLARE Publicador: ELSEVIER IRELAND LTD; CLARE
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
70.21219%
To estimate the prevalence of urinary incontinence (UI) in elderly individuals of low income assisted by the primary health care system in Sao Paulo, Brazil. In this community-based, observational, cross-sectional study, participants assisted by the health family program in Sao Paulo, Brazil, were sampled and interviewed face to face by questionnaire. Participants (n = 388) were selected from the collaborative program developed by the 10/66 Dementia Research Group, an International Network of investigators. Demographics, health history and a detailed assessment of UI and urinary symptoms were obtained. Prevalence of UI was calculated. Other variables included age, body mass index (BMI), duration of incontinence and characteristics of the symptoms. The association between UI and the variables was estimated using the Kruskal-Wallis test, Chi-squared test and Fisher test (depending on normality of the distribution and expected frequencies). Prevalence of UI was 38.4%. UI was more common in women than in men (50% vs. 18.3%, p < 0.001). Diabetes, obesity and hypertension were associated with UI. Almost 36.2% of the cases were of mixed incontinence, 26.8% of urge incontinence and 24.2% of stress incontinence. Men were more likely to have urge-incontinence...

‣ Disfunção do trato urinário inferior em crianças com sintomas de incontinência urinária diurna: análise crítica dos métodos investigativos; Lower urinary tract dysfunction in children with daytime urinary incontinence symptoms: critical analysis of the investigation methods

Teixeira de Carvalho, Adrienne Surri Lebl
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 17/03/2015 Português
Relevância na Pesquisa
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Introdução e objetivo: Incontinência urinária é o sintoma mais frequente de disfunção do trato urinário inferior. Caracterizada como perda de urina involuntária diurna em crianças com controle urinário ou maiores de 5 anos de idade, as disfunções do trato urinário inferior representam aproximadamente 40% das consultas nefrourológicas. A incontinência, além de ser causa de perda de autoestima e prejudicar a qualidade de vida do paciente e de sua família, está associada a maior risco de infecções urinárias, retardo na resolução do refluxo vesicoureteral e aumento da pressão intravesical, podendo provocar lesões graves do trato urinário superior. Este estudo teve como objetivo descrever a casuística de pacientes com incontinência diurna de etiologia não orgânica em um serviço terciário, e analisar a concordância entre diagnóstico de bexiga hiperativa obtido pela anamnese, pela anamnese mais exames não invasivos, e o diagnóstico de hiperatividade detrusora pelo estudo urodinâmico invasivo. Casuística e Métodos: A investigação foi realizada no Ambulatório de Nefrologia Pediátrica do Instituto da Criança do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo de março de 2000 a dezembro de 2012. Foram analisados...

‣ Intravaginal electrical stimulation: a randomized, double-blind study on the treatment of mixed urinary incontinence

Amaro, J. L.; Gameiro, M. O.; Kawano, P. R.; Padovani, C. R.
Fonte: Taylor & Francis As Publicador: Taylor & Francis As
Tipo: Artigo de Revista Científica Formato: 619-622
Português
Relevância na Pesquisa
69.386123%
Background the aim of this study was to compare effective and sham intravaginal electrical stimulation (IES) in treating mixed urinary incontinence. Methods. Between January 2001 and February 2002, 40 women were randomly distributed, in a double-blind study, into two groups: group G1 (n = 20), effective IES, and group G2 (n = 20), sham IES, with follow up at one month. Different parameters was studied: 1. clinical questionnaire, 2. body mass index; 3. 60-min pad test; 4. urodynamic study. The protocol of IES consisted of three 20-min sessions per week over a seven-week period. The Dualpex Uro 996 used a frequency of 4 Hz. Results. There was no statistically significant difference in the demographic data of both groups. The number of micturitions per 24 h after treatment was reduced significantly in both groups. Urge incontinence was reduced to 15% in G1 and 31.5% in G2; there was no significant difference between the groups. In the analog wetness and discomfort sensation evaluations were reduced significantly in both groups. The pretreatment urodynamic study showed no statistical difference in urodynamic parameters between the groups. Ten percent of the women presented involuntary detrusor contractions. In the 60-min pad test, there was a significant reduction in both groups. In regards to satisfaction level...

‣ A comparative analisys of pelvic floor muscle strength in women with stress and urge urinary incontinence

Gameiro, Monica Orsi; Moreira, Eliane Cristina; Ferrari, Renata Spagnoli; Kawano, Paulo Roberto; Padovani, Carlos Roberto; Amaro, Joao Luiz
Fonte: Brazilian Soc Urol Publicador: Brazilian Soc Urol
Tipo: Artigo de Revista Científica Formato: 661-666
Português
Relevância na Pesquisa
90.32692%
Aims: To assess pelvic floor muscle (PFM) strength in women with stress urinary incontinence (SUI) and urge urinary incontinence (UUI).Materials and Methods: 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.

‣ Urinary incontinence and perineal muscle function in physically active and sedentary elderly women

Virtuoso,Janeisa F.; Mazo,Giovana Z.; Menezes,Enaiane C.
Fonte: Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia Publicador: Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/08/2011 Português
Relevância na Pesquisa
69.553364%
OBJECTIVE: To identify the presence of urinary incontinence and compare perineal muscle function among physically active and sedentary older women. METHODS: The sample consisted of 39 elderly women, 28 of whom got regular physical activity (AG) and 11 did not (SG). We collected data on risk factors for pelvic floor weakness and the presence of urinary incontinence (UI). The evaluation of perineal function was performed using PERFECT and perineometry. The data were processed with descriptive (simple frequencies, percentages, measures of position and dispersion) and inferential statistics (Chi-square or Fisher Exact Test, when necessary, and Mann-Whitney) with a significance level of 5%. RESULTS: There was a higher mean age (p=0.04) in AG. The occurrence of UI in the sample was 56.4%. Urge UI was associated with SG (p=0.022). All PERFECT variables were higher in AG than SG, with significant differences for the variables "repetitions" (p=0.008) and "fast" (p=0.022). Perineometry revealed that fast twitch fibers (p=0.008) and slow twitch fibers (p=0.05) were higher in the AG. CONCLUSION: AG had better pelvic floor muscle function. However, the prevalence of UI was higher in this group, which suggested the influence of age on the urinary continence mechanism.

‣ A comparative analisys of pelvic floor muscle strength in women with stress and urge urinary incontinence

Gameiro,Monica Orsi; Moreira,Eliane Cristina; Ferrari,Renata Spagnoli; Kawano,Paulo Roberto; Padovani,Carlos Roberto; Amaro,João Luiz
Fonte: Sociedade Brasileira de Urologia Publicador: Sociedade Brasileira de Urologia
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/10/2012 Português
Relevância na Pesquisa
90.32692%
AIMS: To assess pelvic floor muscle (PFM) strength in women with stress urinary incontinence (SUI) and urge urinary incontinence (UUI). MATERIALS AND METHODS: 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.

‣ 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
80.798745%
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...

‣ The comparison of urodynamic findings ?n women with various types of urinary ?ncontinence

Zeren,Mehmet Fatih; Yüksel,Mehmet Bilgehan; Temeltas,Gokhan
Fonte: Sociedade Brasileira de Urologia Publicador: Sociedade Brasileira de Urologia
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/04/2014 Português
Relevância na Pesquisa
69.69393%
PurposeWe aimed to determine the differences of the urodynamic findings of mix urinary incontinence (MUI), urge urinary incontinence (UUI), and stress urinary incontinence (SUI), and to evaluate the urodynamic findings in different groups by using bladder sensitivity index (BSI).Materials and MethodsThe data of 99 patients who underwent urodynamic testing related to the suspicion of SUI, UUI or MUI were analysed. This analysis included a retrospective evaluation of patients’ cards, voiding diaries, and urodynamic reports. At filling cystometry, the parameters of first sensation of bladder filling (FSBF), first desire to void (FDV), strong desire to void (SDV), and bladder capacity (Vmax), which were related to the bladder sensation, were determined. Subsequently, uroflowmetric findings were recorded during bladder emptying. BSI was defined as the ratio of Vmax/FDV. These results were statistically compared among the goups.ResultsThe sample included 35(35.5%) MUI, 33(33.3%) UUI and 31 (31.1%) SUI. The mean ages were similar in all groups (P = 0.868). The mean FSBF, FDV, SDV and Vmax values were significantly different among groups (p = 0.004, p < 0.001, p < 0.001, p < 0.001 respectively). Nevertheless, there was no statistically significant difference among the mean daily voiding accounts (P = 0.005). Although the mean maximum flow rate (Qmax) values were similar (P = 0.428)...

‣ Pathophysiology of Overactive Bladder and Urge Urinary Incontinence

Steers, William D
Fonte: MedReviews, LLC Publicador: MedReviews, LLC
Tipo: Artigo de Revista Científica
Publicado em //2002 Português
Relevância na Pesquisa
70.303906%
Storage symptoms such as urgency, frequency, and nocturia, with or without urge incontinence, are characterized as overactive bladder (OAB). OAB can lead to urge incontinence. Disturbances in nerves, smooth muscle, and urothelium can cause this condition. In some respects the division between peripheral and central causes of OAB is artificial, but it remains a useful paradigm for appreciating the interactions between different tissues. Models have been developed to mimic the OAB associated with bladder instability, lower urinary tract obstruction, neuropathic disorders, diabetes, and interstitial cystitis. These models share the common features of increased connectivity and excitability of both detrusor smooth muscle and nerves. Increased excitability and connectivity of nerves involved in micturition rely on growth factors that orchestrate neural plasticity. Neurotransmitters, prostaglandins, and growth factors, such as nerve growth factor, provide mechanisms for bidirectional communication between muscle or urothelium and nerve, leading to OAB with or without urge incontinence.

‣ 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
70.47437%
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...

‣ Trospium chloride: an update on a quaternary anticholinergic for treatment of urge urinary incontinence

Guay, David RP
Fonte: Dove Medical Press Publicador: Dove Medical Press
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
69.698047%
Trospium chloride is a quaternary ammonium compound, which is a competitive antagonist at muscarinic cholinergic receptors. Preclinical studies using porcine and human detrusor muscle strips demonstrated that trospium chloride was many-fold more potent than oxybutynin and tolterodine in inhibiting contractile responses to carbachol and electrical stimulation. The drug is poorly bioavailable orally (< 10%) and food reduces absorption by 70%– 80%. It is predominantly eliminated renally as unchanged compound. Trospium chloride, dosed 20 mg twice daily, is significantly superior to placebo in improving cystometric parameters, reducing urinary frequency, reducing incontinence episodes, and increasing urine volume per micturition. In active-controlled trials, trospium chloride was at least equivalent to immediate-release formulations of oxybutynin and tolterodine in efficacy and tolerability. The most problematic adverse effects of trospium chloride are the anticholinergic effects of dry mouth and constipation. Comparative efficacy/tolerability data with long-acting formulations of oxybutynin and tolterodine as well as other anticholinergics such as solifenacin and darifenacin are not available. On the basis of available data, trospium chloride does not appear to be a substantial advance upon existing anticholinergics in the management of urge urinary incontinence.

‣ Abnormal Connections in the Supraspinal Bladder Control Network in Women with Urge Urinary Incontinence

Tadic, Stasa D.; Griffiths, Derek; Schaefer, Werner; Resnick, Neil M.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
69.712236%
The regions of the supraspinal network that controls urinary bladder behavior are well known, but little is known about their interconnections. We tested the feasibility of using physiophysiological interaction to explore the effective connections of the network and to seek disease-related differences in connectivity. This was a secondary analysis of fMRI data obtained from women aged 26 - 85 years, 11 with urge urinary incontinence and 10 with normal bladder function. In each subject, fMRI BOLD images were obtained during a period with full bladder and strong bladder sensation (without detrusor overactivity) while repeatedly infusing and withdrawing a small amount of liquid in and out of the bladder. Regions of interest included right insula (RI) and anterior cingulate gyrus (ACG), both consistently involved in bladder control. Other regions effectively connected to them were identified by significant correlation between their fMRI signal and the interaction RIxACG. Among normal subjects, many regions involved in bladder control were effectively connected with RI/ACG, including frontotemporal and sensorimotor cortex, forebrain, midbrain and pontine regions. The sign of the correlation with RIxACG was near-uniformly positive, perhaps suggesting mainly inhibitory connections. Among urge-incontinent subjects the effective connectivity was shifted to a parieto-temporal complex...

‣ Anticholinergic Versus Botulinum Toxin A Comparison Trial for the Treatment of Bothersome Urge Urinary Incontinence: ABC Trial

Visco, Anthony G.; Brubaker, Linda; Richter, Holly E.; Nygaard, Ingrid; Paraiso, Marie Fidela; Menefee, Shawn A.; Schaffer, Joseph; Wei, John; Chai, Toby; Janz, Nancy; Spino, Cathie; Meikle, Susan;
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
70.00078%
This trial compares the change in urgency urinary incontinence episodes over 6 months, tolerability and cost effectiveness between women receiving daily anticholinergic therapy plus a single intra-detrusor injection of saline versus a single intra-detrusor injection of 100 unit of botulinum toxin A plus daily oral placebo tablets. We present the rationale and design of a randomized controlled trial, Anticholinergic versus Botulinum Toxin, Comparison Trial for the Treatment of Bothersome Urge Urinary Incontinence: ABC Trial, conducted by the NICHD-funded Pelvic Floor Disorders Network. We discuss the innovative nature of this trial and the challenges related to choice of patient population, maintaining masking, cost-effectiveness, ethical considerations, measuring adherence, and placebo development and testing. Enrollment began in April, 2010. 242 participants will be randomized and primary outcome data analysis is anticipated to begin in mid 2012. Several challenges in the trial design are discussed. Randomization to placebo intradetrusor injections may limit recruitment, potentially impacting generalizability. Other challenges included the heavy marketing of drugs for overactive bladder which could impact recruitment of drug naïve women. In addition...

‣ Prevalence of urinary incontinence among spanish older people living at home

Damián, Javier; Martín-Moreno, José María; Lobo, Félix; Bonache, Jaime; Cerviño, Julio; Redondo-Márquez, Luis; Martínez-Agulló, Eduardo
Fonte: Karger Publicador: Karger
Tipo: info:eu-repo/semantics/acceptedVersion; info:eu-repo/semantics/article Formato: application/pdf
Publicado em //1998 Português
Relevância na Pesquisa
69.25063%
Objective: To estimate the prevalence and characteristics of urinary incontinence (UI) in the noninstitutionalized elderly population of Madrid. Spain. Methods: We carried out a cross-sectional study in a representative sample of all community-dwelling people aged 65 or over. Subjects were interviewed in their homes. The question: Do you currently experience any difficulty in controlling your urine?... In other words, does your urine escape involuntarily? Was used to identify UI. Type of UI, use of absorbents and specific drugs were also assessed, as well as consultation behaviour. Results: 589 persons were interviewed (response rate: 71,2 %). The prevalence of UI was 15,5%. No significant difference was observed between men and women. Urge UI was the main type for men and mixed UI for women. Use of pads was referred by 20,2% of men. A total of 34,4% of subjects never went to the doctor for their problem (25,2% of men and 39,4% of women). Conclusion: Compared to other populations the overall prevalence of UI in Spanish elders living at home is relatively high. A very small difference by gender was found, although a lower response rate in women could in part explain this unexpected finding.

‣ Childhood enuresis is a risk factor for bladder dysfunction in adult life?

Levi D'Ancona, Carlos Arturo; Baena de Moraes Lopes, Maria Helena; Faleiros-Martins, Anna Carolina; Lucio, Adelia Correia; Campos, Renata Martins; Costa, Jose Vilton
Fonte: Wiley-Blackwell; Hoboken Publicador: Wiley-Blackwell; Hoboken
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
70.38593%
Aims To verify the relationship between enuresis in childhood and the type of urinary incontinence in adults, considering the gender and age. Methods In this retrospective cohort study the database used contained the records of patients who had with urinary complaints and underwent urodynamic studies in the period from 1999 to 2008. A multinomial logistic regression model was adjusted for the type of UI. Results A total of 661 patient records were analyzed, 585 (88.5%) women and 76 (11.5%) men, with mean age 54 (SD?=?13.3). Patients with urge urinary incontinence (UUI) were compared to those with stress urinary incontinence (SUI) and the variables associated were the presence of enuresis in childhood (OR?=?2.37, IC: 1.433.92) and age >50 years (OR?=?2.64, CI: 1.684.15). Comparing patients with mixed urinary incontinence (MUI) and SUI, the presence of enuresis was also associated ((OR?=?1.77, CI: 1.152.73) and the age of more than 50 years (OR?=?1.71, CI: 1.192.44). For both categories of urinary incontinence, the variable sex was not associated. Conclusions Individuals with MUI and UUI in adult life were more likely to have a history of enuresis in childhood than those with SUI. Neurourol. Urodynam. 31:634636, 2012. (C) 2012 Wiley Periodicals...

‣ Determinantes da qualidade de vida em mulheres com incontinência urinária

Fernandes, Susana Filipa Pinto; Coutinho, Emília Carvalho, orient.; Duarte, João Carvalho, co-orient.
Fonte: Instituto Politécnico de Viseu. Escola Superior de Saúde de Viseu Publicador: Instituto Politécnico de Viseu. Escola Superior de Saúde de Viseu
Tipo: Dissertação de Mestrado
Publicado em //2012 Português
Relevância na Pesquisa
60.114%
Enquadramento: A incontinência urinária provoca alterações profundas nas várias dimensões da vida de uma mulher, quer pelas limitações fisiológicas impostas pela doença, quer pelo confronto psicológico face à inibição social e familiar, o que determina implicações na sua qualidade de vida (QDV). Objetivos: Avaliar a qualidade de vida das mulheres com incontinência urinária; analisar em que medida as variáveis sociodemográficas, obstétricas e ginecológicas interferem na QDV das mulheres com incontinência urinária; verificar se os estilos de vida têm efeito significativo na QDV destas mulheres; analisar a influência do tipo de incontinência urinária na sua QDV; determinar se o estado depressivo influencia a QDV das mulheres com incontinência urinária. Métodos: Optou-se por um estudo não experimental, de natureza quantitativa, do tipo descritivo-correlacional e explicativo. Para avaliar as variáveis em estudo, o instrumento de colheita de dados é constituído por um questionário (caracterização sociodemográfica, obstétrica e ginecológica, estilos de vida) e escalas (Escala do Impato da Incontinência (ICIQ-SF Short Form), Valorização da Incontinência Urinária, King’s Health Questionnaire...

‣ Effect of mode of delivery and parities on the occurrence of urinary incontinence during pregnancy

Lima,Mônica Cruvinel de; Moccelin,Gislaine Barreto Amaral; Silva,Mayara Bogarim da; Nogueira,Gabriel Bogalho
Fonte: Pontifícia Universidade Católica do Paraná Publicador: Pontifícia Universidade Católica do Paraná
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/03/2015 Português
Relevância na Pesquisa
69.946846%
Introduction The urinary incontinence (UI) is a common pathology among women. In the gestation period, it is even more predominant, affecting between 20% and 67%. Objective To evaluate the relation between modes of delivery and parity on the occurrence of urinary incontinence during pregnancy. Methodology 80 pregnant and postpartum women, treated at the Hospital da Mulher, in Campo Grande, MS, Brazil, were selected during September and October 2011, following the inclusion and exclusion criteria of the research. The evaluation protocol consisted of a questionnaire on the clinical history of the patients, gynecological complications, urogynecologic and obstetric information. Results For independent samples, the comparison between the main values observed for the UI was given by the Mann-Whitney test and correlations between urinary incontinence and other variables were given by the Spearman's rank correlation coefficient. The studied group consisted of 40 (50%) primiparous and 40 (50%) multiparous women. The correlation between the following variables was not significant: parity and UI (r = 0.04, p = 0.7); parity and SUI (r = -0.81, p = 0.5); and parity and urge incontinence (r = 0.14, p = 0.19). In addition, the correlation obtained between vaginal delivery and the presence of urinary incontinence in primiparous (r = 0.08...

‣ Correlação entre sintomas urinários e qualidade de vida em mulheres com incontinência urinária; Correlation between urinary symptoms and quality of life among women with urinary incontinence

Oliveira, Jéssica Moura Sousa; Salgado, Ligia Bissoli Galvão; Schmitt, Ana Carolina Basso; Rosa, Luiz Carlos Laureano da
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 31/12/2007 Português
Relevância na Pesquisa
70.23514%
Incontinência urinária (IU) é a queixa de qualquer perda involuntária de urina, podendo provocar diversos problemas de ordem social e de higiene. Os objetivos deste estudo foram caracterizar os sintomas urinários e correlacionálos com a qualidade de vida de 34 mulheres com incontinência urinária, descrevendo seu perfil socioeconômico, ginecológico e obstétrico. Foi investigado o histórico ginecológico e obstétrico das participantes – idade média de 55 anos, 76,4% na pós-menopausa – e aplicado o King’s Health Questionnaire traduzido e validado para o português. Mais de ¾ (79%) das mulheres referiram que a IU de esforço afeta suas vidas e 44% queixaram-se da urge-incontinência. A maioria das mulheres consideraram negativo o impacto da incontinência urinária em sua saúde. As participantes relataram que os sintomas urinários pouco afetavam a qualidade das atividades de vida diária, física e social. Ao considerar a interferência dos sintomas em sua vida, verificou-se forte correlação entre enurese e piora do sono e da disposição (r=0,65,p=0,0001) e entre urgência e comprometimento emocional (r=0,67, p=0,0001).; Urinary incontinence (UI) is the complaint of any involuntary leakage of urine; it may bring about several hygiene and social problems. The purpose of this study was to characterize urinary symptoms and to correlate them with the quality of life of 34 women with UI...

‣ Urinary incontinence restrictions in women's life; Restricciones ocasionadas por la incontinencia urinaria en la vida de la mujer; Restrições causadas pela incontinência urinária à vida da mulher

Lopes, Maria Helena Baena de Moraes; Higa, Rosângela
Fonte: Universidade de São Paulo. Escola de Enfermagem Publicador: Universidade de São Paulo. Escola de Enfermagem
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; Artigo Avaliado pelos Pares Formato: application/pdf
Publicado em 01/03/2006 Português
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Our purpose with this study was to verify the restriction of the urinary incontinence (UI) in a woman's daily life, considering the type of incontinence, and find out how women deal with that. It is a secondary analysis of data taken from a previous study that were obtained using open and closed questions. Interviews were held with 164 incontinent inpatients of gynecological and urological clinics of two hospital schools in the city of Campinas, in the State of São Paulo, with ages ranging from 25 to 85 years. Of this universe, 104 (64%) indicated one or more restrictions regarding their daily life activities, such as altered sexual (40.9%), social (33.5%), domestic (18.9%) and occupational activities (15.2%). Mixed urinary incon-tinence and urge incontinence were mentioned as that affected the most women's daily life. The disposable pad system was the most utilized strategy in dealing with UI. It was concluded that UI has a negative impact on the daily life of these women.; En este estudio se tuvo como objetivo identificar las restricciones causadas por la incontinencia urinaria (IU) en la vida de la mujer, considerándose el tipo de incontinencia, y verificar cómo manejan este problema. Se trata de un análisis secundario de datos obtenidos en un estudio anterior...

‣ Prevalence of silent fecal and urinary incontinence in women from the town of Teruel

Ballester,A.; Mínguez,M.; Herreros,B.; Hernández,V.; Sanchiz,V.; Benages,A.
Fonte: Revista Española de Enfermedades Digestivas Publicador: Revista Española de Enfermedades Digestivas
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/02/2005 Português
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Objectives: to study the prevalence of fecal (FI) and urinary incontinence (UI) in women from Teruel (Spain), as well as the clinical conditions associated with these disorders. Methods: we studied prospectively women with an age range of 20-64 yrs. who were randomly selected from the population seen in a primary care center because of medical disorders not related to incontinence. Patients with functional or cognitive impairment were excluded. Medical and obstetric antecedents, as well as the type and frequency of incontinence symptoms were collected in a questionnaire. Results: out of 115 women, 103 completed the study (mean age: 41±12 yrs. range 20-64). UI was present in 34.9% (stress 33%, urge 14%, mixed 47%), FI in 14 (13.6%) (flatus 57%, liquid stools 43%), and 10 (9.7%) displayed both disorders. Age > 42 yr. and body mass index ≥ 25 were associated with FI and UI; pregnancy was only associated with UI, but the group of women with ≥ 2 vaginal deliveries showed a higher frequency of FI (p < 0.05, Chi squared test). In the multivariate analysis, only the presence of UI was associated with FI (OR 6.0; CI 95% 1.7-21). Association of FI and UI was more frequent in women older than 42 yr. (OR 16.7, CI 95% 1.9-141). No statistical differences were found when smoking...