Associated factors to urinary incontinence in women undergoing urodynamic testing

Detalhes bibliográficos
Autor(a) principal: Silva, Juliana Cristina Pereira da
Data de Publicação: 2017
Outros Autores: Soler, Zaida Aurora Sperli Geraldes, DominguesWysocki, Anneliese
Tipo de documento: Artigo
Idioma: eng
por
Título da fonte: Revista da Escola de Enfermagem da USP (Online)
Texto Completo: https://www.revistas.usp.br/reeusp/article/view/129795
Resumo: OBJECTIVE Analyzing factors associated with urinary incontinence (UI) among women submitted to urodynamic testing. METHOD A cross-sectional study of 150 women attended at a urological center. Data were analyzed using univariate and multivariate statistics. RESULTS White women (79.3%), overweight (45.3%), menopausal (53.3%), who drink coffee (82.7%), sedentary (65.3%), who had vaginal birth (51.4%), with episiotomy (80%), and who underwent the Kristeller maneuver (69%). 60.7% had Urethral Hypermobility (UH). A statistical association was found between: weight change and UH (p = 0.024); menopause, Intrinsic Sphincter Deficiency (ISD) and Detrusor Instability (DI) (p = 0.001); gynecological surgery, ISD and DI (p = 0.014); hysterectomy and all types of UI (p = 0.040); physical activity and mixed UI (p = 0.014). CONCLUSION Interventions and guidance on preventing UI and strengthening pelvic muscles should be directed at women who present weight changes, who are sedentary menopausal women, and those who have undergone hysterectomy or other gynecological surgery. Studies on pelvic strengthening methods are needed in order to take into account the profile of the needs presented by women.
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spelling Associated factors to urinary incontinence in women undergoing urodynamic testing Factores asociados con la incontinencia urinaria en mujeres sometidas al estudio urodinámico Fatores associados à incontinência urinária em mulheres submetidas ao exame urodinâmico OBJECTIVE Analyzing factors associated with urinary incontinence (UI) among women submitted to urodynamic testing. METHOD A cross-sectional study of 150 women attended at a urological center. Data were analyzed using univariate and multivariate statistics. RESULTS White women (79.3%), overweight (45.3%), menopausal (53.3%), who drink coffee (82.7%), sedentary (65.3%), who had vaginal birth (51.4%), with episiotomy (80%), and who underwent the Kristeller maneuver (69%). 60.7% had Urethral Hypermobility (UH). A statistical association was found between: weight change and UH (p = 0.024); menopause, Intrinsic Sphincter Deficiency (ISD) and Detrusor Instability (DI) (p = 0.001); gynecological surgery, ISD and DI (p = 0.014); hysterectomy and all types of UI (p = 0.040); physical activity and mixed UI (p = 0.014). CONCLUSION Interventions and guidance on preventing UI and strengthening pelvic muscles should be directed at women who present weight changes, who are sedentary menopausal women, and those who have undergone hysterectomy or other gynecological surgery. Studies on pelvic strengthening methods are needed in order to take into account the profile of the needs presented by women. OBJETIVO Analizar los factores asociados con la Incontinencia Urinaria (IU) entre mujeres sometidas al estudio urodinámico MÉTODO Estudio transversal llevado a cabo con 150 mujeres atendidas en un centro urológico. Los datos fueron analizados por medio de estadística uni y multivariada. RESULTADOS Mujeres blancas (79,3%), con sobrepeso (45,3%), en la menopausia (53,3%), que ingerían café (82,7%), sedentarias (65,3%), que tuvieron parto normal (51,4%), con episiotomía (80%), que sufrieron Maniobra de Kristeller (69%), el 60,7% presentaban Hipermovilidad Uretral (HU). Hubo asociación estadística entre: cambio de peso e HU (p = 0,024); menopausia, Deficiencia Intrínseca del Esfínter (DIE)e Inestabilidad del Detrusor (ID) (p = 0,001); cirugía ginecológica, DIE e ID (p = 0,014); histerectomía y todos los tipos de IU (p = 0,040); realización de actividad física e IU mixta (p = 0,014). CONCLUSIÓN Intervenciones y orientaciones en cuanto a la prevención de la IU y al fortalecimiento de la musculatura pélvica deben dirigirse a mujeres que presentan cambio de peso, sedentarias, que se hallan en la menopausia y las que realizaron histerectomía u otra cirugía ginecológica. Son necesarios estudios sobre métodos de fortalecimiento pélvico, de modo a contemplar el perfil de las necesidades presentadas por las mujeres. OBJETIVO Analisar os fatores associados à Incontinência Urinária (IU) entre mulheres submetidas a estudo urodinâmico. MÉTODO Estudo transversal realizado com 150 mulheres atendidas em um centro urológico. Os dados foram analisados por meio de estatística uni e multivariada. RESULTADOS Mulheres brancas (79,3%), com sobrepeso (45,3%), na menopausa (53,3%), que ingeriam café (82,7%), sedentárias (65,3%), que fizeram parto normal (51,4%), com episiotomia (80%), que sofreram Manobra de Kristeller (69%). 60,7% apresentavam HipermobilidadeUretral (HU).Houve associação estatística entre: mudança de peso e HU (p=0,024); menopausa,Deficiência Esfincteriana Intrínseca (DEI) e Instabilidade Detrusora (ID) (p=0,001); cirurgia ginecológica, DEI e ID (p=0,014); histerectomia etodos os tipos de IU (p=0,040); realização de atividade física eIU mista (p=0,014). CONCLUSÃO Intervenções e orientações quanto à prevenção da IU e ao fortalecimento da musculatura pélvica devem ser voltadas amulheres que apresentam mudança de peso, sedentárias, que se encontram na menopausa e àquelas que realizaram histerectomia ou outra cirurgia ginecológica. São necessários estudos sobre métodos de fortalecimento pélvico, de modo a contemplar o perfil dasnecessidades apresentadaspelas mulheres. Universidade de São Paulo. Escola de Enfermagem2017-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/reeusp/article/view/12979510.1590/s1980-220x2016140903209Revista da Escola de Enfermagem da USP; v. 51 (2017); e03209-Revista da Escola de Enfermagem da USP; Vol. 51 (2017); e03209-Revista da Escola de Enfermagem da USP; Vol. 51 (2017); e03209-1980-220X0080-6234reponame:Revista da Escola de Enfermagem da USP (Online)instname:Universidade de São Paulo (USP)instacron:USPengporhttps://www.revistas.usp.br/reeusp/article/view/129795/126395https://www.revistas.usp.br/reeusp/article/view/129795/126396http://creativecommons.org/licenses/by-nc/4.0info:eu-repo/semantics/openAccessSilva, Juliana Cristina Pereira daSoler, Zaida Aurora Sperli GeraldesDominguesWysocki, Anneliese2018-04-13T17:18:59Zoai:revistas.usp.br:article/129795Revistahttps://www.revistas.usp.br/reeuspPUBhttps://www.revistas.usp.br/reeusp/oai||nursingscholar@usp.br1980-220X0080-6234opendoar:2018-04-13T17:18:59Revista da Escola de Enfermagem da USP (Online) - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Associated factors to urinary incontinence in women undergoing urodynamic testing
Factores asociados con la incontinencia urinaria en mujeres sometidas al estudio urodinámico
Fatores associados à incontinência urinária em mulheres submetidas ao exame urodinâmico
title Associated factors to urinary incontinence in women undergoing urodynamic testing
spellingShingle Associated factors to urinary incontinence in women undergoing urodynamic testing
Silva, Juliana Cristina Pereira da
title_short Associated factors to urinary incontinence in women undergoing urodynamic testing
title_full Associated factors to urinary incontinence in women undergoing urodynamic testing
title_fullStr Associated factors to urinary incontinence in women undergoing urodynamic testing
title_full_unstemmed Associated factors to urinary incontinence in women undergoing urodynamic testing
title_sort Associated factors to urinary incontinence in women undergoing urodynamic testing
author Silva, Juliana Cristina Pereira da
author_facet Silva, Juliana Cristina Pereira da
Soler, Zaida Aurora Sperli Geraldes
DominguesWysocki, Anneliese
author_role author
author2 Soler, Zaida Aurora Sperli Geraldes
DominguesWysocki, Anneliese
author2_role author
author
dc.contributor.author.fl_str_mv Silva, Juliana Cristina Pereira da
Soler, Zaida Aurora Sperli Geraldes
DominguesWysocki, Anneliese
description OBJECTIVE Analyzing factors associated with urinary incontinence (UI) among women submitted to urodynamic testing. METHOD A cross-sectional study of 150 women attended at a urological center. Data were analyzed using univariate and multivariate statistics. RESULTS White women (79.3%), overweight (45.3%), menopausal (53.3%), who drink coffee (82.7%), sedentary (65.3%), who had vaginal birth (51.4%), with episiotomy (80%), and who underwent the Kristeller maneuver (69%). 60.7% had Urethral Hypermobility (UH). A statistical association was found between: weight change and UH (p = 0.024); menopause, Intrinsic Sphincter Deficiency (ISD) and Detrusor Instability (DI) (p = 0.001); gynecological surgery, ISD and DI (p = 0.014); hysterectomy and all types of UI (p = 0.040); physical activity and mixed UI (p = 0.014). CONCLUSION Interventions and guidance on preventing UI and strengthening pelvic muscles should be directed at women who present weight changes, who are sedentary menopausal women, and those who have undergone hysterectomy or other gynecological surgery. Studies on pelvic strengthening methods are needed in order to take into account the profile of the needs presented by women.
publishDate 2017
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dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/reeusp/article/view/129795
10.1590/s1980-220x2016140903209
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identifier_str_mv 10.1590/s1980-220x2016140903209
dc.language.iso.fl_str_mv eng
por
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dc.relation.none.fl_str_mv https://www.revistas.usp.br/reeusp/article/view/129795/126395
https://www.revistas.usp.br/reeusp/article/view/129795/126396
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info:eu-repo/semantics/openAccess
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dc.publisher.none.fl_str_mv Universidade de São Paulo. Escola de Enfermagem
publisher.none.fl_str_mv Universidade de São Paulo. Escola de Enfermagem
dc.source.none.fl_str_mv Revista da Escola de Enfermagem da USP; v. 51 (2017); e03209-
Revista da Escola de Enfermagem da USP; Vol. 51 (2017); e03209-
Revista da Escola de Enfermagem da USP; Vol. 51 (2017); e03209-
1980-220X
0080-6234
reponame:Revista da Escola de Enfermagem da USP (Online)
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