Comparação dos resultados do tratamento cirúrgico da incontinência urinária de esforço por três diferentes técnicas cirúrgicas

Ramos, José Geraldo Lopes; Xavier, Nilton Leite; Nácul, Andréa Prestes; Zucatto, Ângela Erguy; Hentschel, Eduardo Lange

doi:10.1590/s0100-72032000000100008

Cited by 3 publications

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References 7 publications

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“…About 40% of the patients had had previous surgery, reflecting the high rates of recurrence after such treatment [20]. The best chance of surgical cure of urinary incontinence is at the first procedure, because subsequent procedures will be on scarred and fibrotic tissue, with an unfavourable prognosis [1,21].…”

Section: Discussionmentioning

confidence: 99%

Transvaginal electrical stimulation in the treatment of urinary incontinence

Barroso¹,

Ramos²,

Martins‐Costa³

et al. 2004

BJU International

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OBJECTIVE To determine the effectiveness of transvaginal electrical stimulation (TES) in treating urinary incontinence, and to assess the clinical improvement 6 months after ending the treatment. PATIENTS AND METHODS In a double‐blind randomized controlled clinical trial, 36 women (24 patients and 12 controls) with stress, urge or mixed urinary incontinence were chosen to use TES or placebo (identical equipment but with no electrical current). The patients had their treatment at home twice a day (20‐min sessions) for 12 weeks. They completed a voiding diary and had a urodynamic study at the beginning and end of treatment. They were clinically re‐evaluated after 6 months. RESULTS The mean time of use of TES was similar in both groups (≈ 40 h); the treatment group had a significant increase in maximum bladder capacity (P < 0.02), a significant reduction in the total number of voids (over 24 h; P < 0.02), in the number of episodes of voiding urgency (P < 0.001) and, importantly, in the number of episodes of urinary incontinence (P < 0.001). At the first evaluation, after ending the treatment, 88% of the patients had a significant reduction in symptoms or went into remission. At the 6‐month re‐evaluation, a third of the patients required another therapeutic approach. CONCLUSION TES is a practical alternative with few side‐effects, and is effective for treating the main forms of female urinary incontinence.

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Section: Discussionmentioning

confidence: 99%

Transvaginal electrical stimulation in the treatment of urinary incontinence

Barroso¹,

Ramos²,

Martins‐Costa³

et al. 2004

BJU International

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“…Ramos et al (2000), ao compararem a recidiva de três técnicas de cirurgias para tratamento da IU, apontaram recidiva de todas as técnicas, com variação de 29,2 a 50%.…”

Section: Oficinas Educativas: Os Ganhos Segundo a Avaliação Das Mulheunclassified

Conhecer para prevenir e cuidar: pesquisa-ação para promover a saúde da mulher com incontinência urinária

Mendes¹

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Home exercises for pelvic floor in continent women one year after physical therapy treatment for urinary incontinence: an observational study

Kruger¹,

Luz²,

Virtuoso³

2011

Rev. bras. fisioter.

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Objectives: To describe the results of home exercise targeting the pelvic floor in continent women one year after the end of a physical therapy treatment for the following outcomes: functional assessment of the pelvic floor and urinary incontinence. Methods: This is an observational study that evaluated fifteen women one year after physical therapy treatment for Stress Urinary Incontinence (SUI). The outcomes for this study were: situations of urinary loss, use of daily protection, practice of home exercises for the pelvic floor, functional assessment of the pelvic floor (FAPF) and patient satisfaction. We also investigated some confounding variables such as hormonal status, number of vaginal deliveries and previous history of episiotomy. Results: One year after completion of physical therapy treatment, we observed that the FAPF median remained stable over time (Median=5, p=0.08). The presence of urinary incontinence was reported by 40% of women in the sample, however, was characterized as mild (i.e. not requiring the use of daily protection). There was also a significant association (p=0.001) between the completion of home exercises (twice or more per week) and the normal clinical status.Confounding variables, which could compromise the clinical status, showed no significant association with the outcomes (p≥0.05). Conclusion:Home exercises contributed to the maintenance of continence following a physical therapy treatment.Keywords: urinary continence; woman; physical therapy. ResumoObjetivos: Descrever os resultados da prática de exercícios domicilares para o assoalho pélvico em mulheres continentes nos quesitos avaliação funcional do assoalho pélvico (AFA) e presença de incontinência urinária após um ano de tratamento fisioterapêutico.Métodos: Estudo observacional com 15 mulheres um ano após o tratamento fisioterapêutico para incontinência urinária de esforço (IUE). As variáveis analisadas neste estudo foram: situações de perda urinária, utilização de proteção diária, manutenção dos exercícios domiciliares para o assoalho pélvico, AFA e satisfação da paciente em relação ao tratamento. Também foram investigadas algumas variáveis de confusão, como: estado hormonal, número de partos vaginais e realização de episiotomia. Resultados: Após um ano do término do tratamento fisioterapêutico, observou-se que a AFA manteve-se (Md=5; p=0,08). Quanto à presença de perda urinária, 40% da amostra relatou ser leve, não sendo necessária a utilização de protetores diários. Observou-se também associação significante (p=0,001) entre a prática de exercícios domiciliares e o quadro clínico normal. As variáveis de confusão, que poderiam comprometer o quadro clínico, não apresentaram associação significativa (p≥0,05). Conclusão: A realização dos exercícios domiciliares sugeridos demonstra ser uma variável importante na manutenção da continência urinária ao final do tratamento fisioterapêutico.

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Comparação dos resultados do tratamento cirúrgico da incontinência urinária de esforço por três diferentes técnicas cirúrgicas

Cited by 3 publications

References 7 publications

Transvaginal electrical stimulation in the treatment of urinary incontinence

Transvaginal electrical stimulation in the treatment of urinary incontinence

Conhecer para prevenir e cuidar: pesquisa-ação para promover a saúde da mulher com incontinência urinária

Home exercises for pelvic floor in continent women one year after physical therapy treatment for urinary incontinence: an observational study

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