Estudo comparativo randomizado do tratamento da bexiga hiperativa com eletroestimulação vaginal e eletroestimulação transcutânea do nervo tibial posterior(PTNS)
Autor(a) principal: | |
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Data de Publicação: | 2012 |
Tipo de documento: | Tese |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFG |
Texto Completo: | http://repositorio.bc.ufg.br/tede/handle/tde/1530 |
Resumo: | INTRODUCTION: The overactive bladder syndrome (OAB) is a lower urinary tract pathology that negatively affects the quality of life (QOL) of women whose main symptom is your definition for urinary urgency, with or without incontinence usually accompanied by urinary frequency and nocturia in the absence of metabolic, infectious or local. The diagnosis of BH is defined from the clinical symptoms, but the voiding diary and urodynamic studies are good tools for objective evaluation of this pathology. There are several forms of treatment for OAB, are the main pharmacological and physical therapy, physical therapy has been being considered an important option in a clinical setting. OBJECTIVES: to do a systematic review article about physical therapy in the treatment of female miccional urgency, to evaluate and compare the effects, discomfort and improvement in quality of life (QOL) of vaginal electrostimulation and percutaneous tibial nerve stimulation (PTNS) in women with overactive bladder. METHODS: We conducted a comparative, prospective, randomized trial of physiotherapy in the sector of the Hospital Materno Infantil (HMI) in Goiânia-GO, from march 2010 to august 2011. We randomized 40 women with urodynamic diagnosis of detrusor overactivity, mixed incontinence with predominant symptoms of overactive bladder or urinary urgency only in two groups: vaginal electrical stimulation (n=20) and PTNS (n=20), being held 10 sessions in each group. We used urodynamic studies, voiding diary and QoL questionnaire of King's Health Questionnaire (KHQ) before and after the two procedures, and then visual analog scale. Statistical analysis used: Fisher exact tests, chi quadratic, U Mann Whitney and Wilcoxon tests with a significance level of 0.05. RESULTS: In voiding diary was a reduction in urinary frequency, urge incontinence, nocturia and urgency in both groups. The urgency was present in all women and disappeared in 90% in the PTNS group (p<0.001) and 80% in vaginal electrical stimulation (p<0.001). According to urodynamic evaluation, the group of vaginal electrostimulation showed disappearance of detrusor overactivity in 60% (p=0.005) and PTNS in 75% (p= 0.002). The urodynamics showed significant differences in some parameters analyzed within each specific group and to compare the two groups was not observed differences. The scale and the KHQ domains of the two procedures had similar results as physical therapy to improve QOL, but no significant difference between them. In relation to the discomfort of procedures, PTNS in 80% of women reported no discomfort and 80% reported vaginal electrostimulation mild to moderate discomfort (p<0.001). CONCLUSION: There was no significant difference in the effects and QOL between the vaginal electrical stimulation and PTNS. The PTNS promoted less discomfort for women. |
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AMARAL, Waldemar Naves dohttp://lattes.cnpq.br/4092560599116579http://lattes.cnpq.br/7564656685074038BERQUÓ, Marcela Souza2014-07-29T15:25:18Z2012-04-232012-02-15BERQUÓ, Marcela Souza. Randomized comparative study of the treatment of overactive bladder with vaginal electrical stimulation and percutaneous tibial nerve stimulation (PTNS). 2012. 99 f. Tese (Doutorado em Ciencias da Saude) - Universidade Federal de Goiás, Goiânia, 2012.http://repositorio.bc.ufg.br/tede/handle/tde/1530INTRODUCTION: The overactive bladder syndrome (OAB) is a lower urinary tract pathology that negatively affects the quality of life (QOL) of women whose main symptom is your definition for urinary urgency, with or without incontinence usually accompanied by urinary frequency and nocturia in the absence of metabolic, infectious or local. The diagnosis of BH is defined from the clinical symptoms, but the voiding diary and urodynamic studies are good tools for objective evaluation of this pathology. There are several forms of treatment for OAB, are the main pharmacological and physical therapy, physical therapy has been being considered an important option in a clinical setting. OBJECTIVES: to do a systematic review article about physical therapy in the treatment of female miccional urgency, to evaluate and compare the effects, discomfort and improvement in quality of life (QOL) of vaginal electrostimulation and percutaneous tibial nerve stimulation (PTNS) in women with overactive bladder. METHODS: We conducted a comparative, prospective, randomized trial of physiotherapy in the sector of the Hospital Materno Infantil (HMI) in Goiânia-GO, from march 2010 to august 2011. We randomized 40 women with urodynamic diagnosis of detrusor overactivity, mixed incontinence with predominant symptoms of overactive bladder or urinary urgency only in two groups: vaginal electrical stimulation (n=20) and PTNS (n=20), being held 10 sessions in each group. We used urodynamic studies, voiding diary and QoL questionnaire of King's Health Questionnaire (KHQ) before and after the two procedures, and then visual analog scale. Statistical analysis used: Fisher exact tests, chi quadratic, U Mann Whitney and Wilcoxon tests with a significance level of 0.05. RESULTS: In voiding diary was a reduction in urinary frequency, urge incontinence, nocturia and urgency in both groups. The urgency was present in all women and disappeared in 90% in the PTNS group (p<0.001) and 80% in vaginal electrical stimulation (p<0.001). According to urodynamic evaluation, the group of vaginal electrostimulation showed disappearance of detrusor overactivity in 60% (p=0.005) and PTNS in 75% (p= 0.002). The urodynamics showed significant differences in some parameters analyzed within each specific group and to compare the two groups was not observed differences. The scale and the KHQ domains of the two procedures had similar results as physical therapy to improve QOL, but no significant difference between them. In relation to the discomfort of procedures, PTNS in 80% of women reported no discomfort and 80% reported vaginal electrostimulation mild to moderate discomfort (p<0.001). CONCLUSION: There was no significant difference in the effects and QOL between the vaginal electrical stimulation and PTNS. The PTNS promoted less discomfort for women.INTRODUÇÃO: A síndrome de bexiga hiperativa (BH) é uma patologia do trato urinário inferior que afeta negativamente a qualidade de vida (QV) das mulheres, cujo principal sintoma para a sua definição é a urgência miccional, com ou sem incontinência, geralmente acompanhada por polaciúria e noctúria, na ausência de fatores metabólicos, infecciosos ou locais. O diagnóstico da BH é definido a partir dos sintomas clínicos, porém o estudo urodinâmico e o diário miccional são bons instrumentos de avaliação objetiva dessa patologia. Existem diversas formas de tratamento para a BH, os principais são o farmacológico e a fisioterapia, uma vez que a fisioterapia vem sendo considerada como uma opção de relevância no meio clínico. OBJETIVO: Fazer um artigo de revisão sistemática sobre a atuação da fisioterapia no tratamento da urgência miccional feminina, avaliar e comparar os efeitos, o desconforto e a melhoria na qualidade de vida (QV) da eletroestimulação vaginal e da eletroestimulação transcutânea do nervo tibial posterior (PTNS) em mulheres com bexiga hiperativa. MÉTODOS: Foi realizado um estudo comparativo, prospectivo e randomizado no setor de fisioterapia do Hospital Materno Infantil (HMI) de Goiânia-GO, no período de março 2010 a agosto de 2011. Foram randomizadas 40 mulheres com o diagnóstico urodinâmico de hiperatividade do detrusor, incontinência urinária mista com predomínio dos sintomas de bexiga hiperativa ou apenas urgência miccional em dois grupos: eletroestimulação vaginal (n=20) e PTNS (n=20), sendo realizado 10 sessões em cada grupo. Foram utilizados o estudo urodinâmico, diário miccional e o questionário de QV King s Health Questionnaire (KHQ) antes e após os dois procedimentos, e posteriormente a escala visual analógica. Para análise estatística utilizou-se: os testes Exato de Fisher, Qui Quadrad, u Mann Whitney e Wilcoxon com nível de significância de 0,05. RESULTADOS: No diário miccional houve a redução da frequência miccional, urgeincontinência, noctúria e urgência nos dois grupos. A urgência estava presente em todas as mulheres e desapareceu em 90% no grupo PTNS (p<0,001) e 80% na eletroestimulação vaginal (p<0,001). Conforme avaliação urodinâmica, o grupo da eletroestimulação vaginal apresentou desaparecimento da hiperatividade detrusora em 60% (p=0,005) e na PTNS 75% (p=0,002). A urodinâmica demonstrou diferença significante em alguns parâmetros analisados dentro de cada grupo específico e ao comparar os dois grupos não foi constatado diferenças. Quanto à escala e os domínios do KHQ os dois procedimentos da fisioterapia apresentaram resultados similares quanto à melhora da QV, mas sem diferença significativa entre eles. Em relação ao desconforto dos procedimentos, na PTNS 80% das mulheres relataram ausência de desconforto e na eletroestimulação vaginal 80% relataram desconforto leve a moderado (p<0,001). CONCLUSÃO: não houve diferença significativa nos efeitos e na QV entre a eletroestimulação vaginal e a PTNS. A PTNS promoveu menos desconforto para as mulheres.Made available in DSpace on 2014-07-29T15:25:18Z (GMT). No. of bitstreams: 1 Tese Marcela Souza Berquo.pdf: 1144728 bytes, checksum: 5ef0c624200c91e9dc3f54dd56320b9a (MD5) Previous issue date: 2012-02-15application/pdfhttp://repositorio.bc.ufg.br/TEDE/retrieve/4316/Tese%20Marcela%20Souza%20Berquo.pdf.jpgporUniversidade Federal de GoiásDoutorado em Ciencias da SaudeUFGBRCiencias da SaudeBexiga urinária hiperativaEstimulação elétricaModalidade de fisioterapiaNervo tibial posteriorQualidade de vidaUrinary Bladder, OveractivePhysical therapy modalitiesElectric stimulationPosterior tibial nerveQuality of lifeCNPQ::CIENCIAS DA SAUDE::MEDICINA::CLINICA MEDICAEstudo comparativo randomizado do tratamento da bexiga hiperativa com eletroestimulação vaginal e eletroestimulação transcutânea do nervo tibial posterior(PTNS)Randomized comparative study of the treatment of overactive bladder with vaginal electrical stimulation and percutaneous tibial nerve stimulation (PTNS)info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesisinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFGinstname:Universidade Federal de Goiás (UFG)instacron:UFGORIGINALTese Marcela Souza Berquo.pdfapplication/pdf1144728http://repositorio.bc.ufg.br/tede/bitstreams/94eaf188-14d0-4bfe-9470-a425429315f0/download5ef0c624200c91e9dc3f54dd56320b9aMD51THUMBNAILTese Marcela Souza Berquo.pdf.jpgTese Marcela Souza Berquo.pdf.jpgGenerated Thumbnailimage/jpeg3882http://repositorio.bc.ufg.br/tede/bitstreams/ce16967d-d85c-4188-8c91-84cd5bd47940/download04cc21c61a71c0c7af7d7ab2a876cbf4MD52tde/15302014-07-30 03:13:16.817open.accessoai:repositorio.bc.ufg.br:tde/1530http://repositorio.bc.ufg.br/tedeRepositório InstitucionalPUBhttp://repositorio.bc.ufg.br/oai/requesttasesdissertacoes.bc@ufg.bropendoar:2014-07-30T06:13:16Repositório Institucional da UFG - Universidade Federal de Goiás (UFG)false |
dc.title.por.fl_str_mv |
Estudo comparativo randomizado do tratamento da bexiga hiperativa com eletroestimulação vaginal e eletroestimulação transcutânea do nervo tibial posterior(PTNS) |
dc.title.alternative.eng.fl_str_mv |
Randomized comparative study of the treatment of overactive bladder with vaginal electrical stimulation and percutaneous tibial nerve stimulation (PTNS) |
title |
Estudo comparativo randomizado do tratamento da bexiga hiperativa com eletroestimulação vaginal e eletroestimulação transcutânea do nervo tibial posterior(PTNS) |
spellingShingle |
Estudo comparativo randomizado do tratamento da bexiga hiperativa com eletroestimulação vaginal e eletroestimulação transcutânea do nervo tibial posterior(PTNS) BERQUÓ, Marcela Souza Bexiga urinária hiperativa Estimulação elétrica Modalidade de fisioterapia Nervo tibial posterior Qualidade de vida Urinary Bladder, Overactive Physical therapy modalities Electric stimulation Posterior tibial nerve Quality of life CNPQ::CIENCIAS DA SAUDE::MEDICINA::CLINICA MEDICA |
title_short |
Estudo comparativo randomizado do tratamento da bexiga hiperativa com eletroestimulação vaginal e eletroestimulação transcutânea do nervo tibial posterior(PTNS) |
title_full |
Estudo comparativo randomizado do tratamento da bexiga hiperativa com eletroestimulação vaginal e eletroestimulação transcutânea do nervo tibial posterior(PTNS) |
title_fullStr |
Estudo comparativo randomizado do tratamento da bexiga hiperativa com eletroestimulação vaginal e eletroestimulação transcutânea do nervo tibial posterior(PTNS) |
title_full_unstemmed |
Estudo comparativo randomizado do tratamento da bexiga hiperativa com eletroestimulação vaginal e eletroestimulação transcutânea do nervo tibial posterior(PTNS) |
title_sort |
Estudo comparativo randomizado do tratamento da bexiga hiperativa com eletroestimulação vaginal e eletroestimulação transcutânea do nervo tibial posterior(PTNS) |
author |
BERQUÓ, Marcela Souza |
author_facet |
BERQUÓ, Marcela Souza |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
AMARAL, Waldemar Naves do |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/4092560599116579 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/7564656685074038 |
dc.contributor.author.fl_str_mv |
BERQUÓ, Marcela Souza |
contributor_str_mv |
AMARAL, Waldemar Naves do |
dc.subject.por.fl_str_mv |
Bexiga urinária hiperativa Estimulação elétrica Modalidade de fisioterapia Nervo tibial posterior Qualidade de vida |
topic |
Bexiga urinária hiperativa Estimulação elétrica Modalidade de fisioterapia Nervo tibial posterior Qualidade de vida Urinary Bladder, Overactive Physical therapy modalities Electric stimulation Posterior tibial nerve Quality of life CNPQ::CIENCIAS DA SAUDE::MEDICINA::CLINICA MEDICA |
dc.subject.eng.fl_str_mv |
Urinary Bladder, Overactive Physical therapy modalities Electric stimulation Posterior tibial nerve Quality of life |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS DA SAUDE::MEDICINA::CLINICA MEDICA |
description |
INTRODUCTION: The overactive bladder syndrome (OAB) is a lower urinary tract pathology that negatively affects the quality of life (QOL) of women whose main symptom is your definition for urinary urgency, with or without incontinence usually accompanied by urinary frequency and nocturia in the absence of metabolic, infectious or local. The diagnosis of BH is defined from the clinical symptoms, but the voiding diary and urodynamic studies are good tools for objective evaluation of this pathology. There are several forms of treatment for OAB, are the main pharmacological and physical therapy, physical therapy has been being considered an important option in a clinical setting. OBJECTIVES: to do a systematic review article about physical therapy in the treatment of female miccional urgency, to evaluate and compare the effects, discomfort and improvement in quality of life (QOL) of vaginal electrostimulation and percutaneous tibial nerve stimulation (PTNS) in women with overactive bladder. METHODS: We conducted a comparative, prospective, randomized trial of physiotherapy in the sector of the Hospital Materno Infantil (HMI) in Goiânia-GO, from march 2010 to august 2011. We randomized 40 women with urodynamic diagnosis of detrusor overactivity, mixed incontinence with predominant symptoms of overactive bladder or urinary urgency only in two groups: vaginal electrical stimulation (n=20) and PTNS (n=20), being held 10 sessions in each group. We used urodynamic studies, voiding diary and QoL questionnaire of King's Health Questionnaire (KHQ) before and after the two procedures, and then visual analog scale. Statistical analysis used: Fisher exact tests, chi quadratic, U Mann Whitney and Wilcoxon tests with a significance level of 0.05. RESULTS: In voiding diary was a reduction in urinary frequency, urge incontinence, nocturia and urgency in both groups. The urgency was present in all women and disappeared in 90% in the PTNS group (p<0.001) and 80% in vaginal electrical stimulation (p<0.001). According to urodynamic evaluation, the group of vaginal electrostimulation showed disappearance of detrusor overactivity in 60% (p=0.005) and PTNS in 75% (p= 0.002). The urodynamics showed significant differences in some parameters analyzed within each specific group and to compare the two groups was not observed differences. The scale and the KHQ domains of the two procedures had similar results as physical therapy to improve QOL, but no significant difference between them. In relation to the discomfort of procedures, PTNS in 80% of women reported no discomfort and 80% reported vaginal electrostimulation mild to moderate discomfort (p<0.001). CONCLUSION: There was no significant difference in the effects and QOL between the vaginal electrical stimulation and PTNS. The PTNS promoted less discomfort for women. |
publishDate |
2012 |
dc.date.available.fl_str_mv |
2012-04-23 |
dc.date.issued.fl_str_mv |
2012-02-15 |
dc.date.accessioned.fl_str_mv |
2014-07-29T15:25:18Z |
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dc.identifier.citation.fl_str_mv |
BERQUÓ, Marcela Souza. Randomized comparative study of the treatment of overactive bladder with vaginal electrical stimulation and percutaneous tibial nerve stimulation (PTNS). 2012. 99 f. Tese (Doutorado em Ciencias da Saude) - Universidade Federal de Goiás, Goiânia, 2012. |
dc.identifier.uri.fl_str_mv |
http://repositorio.bc.ufg.br/tede/handle/tde/1530 |
identifier_str_mv |
BERQUÓ, Marcela Souza. Randomized comparative study of the treatment of overactive bladder with vaginal electrical stimulation and percutaneous tibial nerve stimulation (PTNS). 2012. 99 f. Tese (Doutorado em Ciencias da Saude) - Universidade Federal de Goiás, Goiânia, 2012. |
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Ciencias da Saude |
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Universidade Federal de Goiás |
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