Eletroestimulação funcional do assoalho pélvico versus terapia com os cones vaginais para o tratamento de incontinência urinária de esforço

Santos, Patrícia Fernandes Diniz; Oliveira, Emerson; Zanetti, Míriam Raquel Diniz; Arruda, R. P.; Sartori, Marair Grácio Ferreira; Girão, Manoel Joâo Batista Castello; Castro, Rodrigo de Aquino

doi:10.1590/s0100-72032009000900005

Cited by 30 publications

(11 citation statements)

References 23 publications

(22 reference statements)

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“…We used the electrostimulation protocol based on the study by Franco et al 17 who adapted the use of intravaginal electrodes in rats with low-frequency stimulation like the parameters used for stress urinary incontinence treatment in women. 28,29 However, we must consider that there are differences in relation to the regeneration/recovery period of injured rat and human urethra.…”

Section: Discussionmentioning

confidence: 99%

Electrotherapy for urethral modulation: Are extracellular matrix molecules and growth factors potential targets?

Feitosa

Bortolini

Salerno

et al. 2021

Neurourology and Urodynamics

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Aims: To evaluate the expression of genes and proteins involved in the urethral components: vessels, nerves, and extracellular matrix, in female rats after trauma by vaginal distension (VD) and after electrical stimulation therapy (electrotherapy). Methods: We analyzed the urethras of three groups of 18 female rats 30 days posttrauma by VD: control (no interventions); trauma (animals that had VD); and electrotherapy group (those that had VD and were treated with electrical stimulation). We compared the expression of vascular endothelial growth factor (VEGF), nerve growth factor (NGF), collagen types I and III (COL1a1 and COL3a1), and lysyl-oxidase like 1 (LOXL1) among the groups. Real-time reverse transcription-polymerase chain reaction, Western blot, and immunohistochemistry were used for molecule quantification. We used the Kruskal-Wallis test and analysis of variance for statistical analyses with p < 0.05 for significance.Results: The COL1a1 gene expression was higher in the electrotherapy group than the trauma group (p = 0.036). COL3a1, VEGF, NGF, LOXL1 messenger RNA (mRNA) expression did not differ among the groups (p ≥ 0.05). COL1a1, COL3a1, VEGF, NGF, LOXL1 protein levels did not significantly differ among the groups (p ≥ 0.05) in Western blot analysis or immunohistochemistry assays. Conclusions: Electrotherapy caused a long-term increase in the COL1a1 mRNA level but did not change COL1a1 protein expression or VEGF, NGF, COL3a1, and LOXL1 genes and proteins in the urethras of rats after trauma by VD.

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Section: Discussionmentioning

confidence: 99%

Electrotherapy for urethral modulation: Are extracellular matrix molecules and growth factors potential targets?

Feitosa

Bortolini

Salerno

et al. 2021

Neurourology and Urodynamics

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“…Entretanto. o estudo de Santos et al 18, ao realizarem um estudo comparando duas técnicas em 45 mulheres com IUE, que consistiram em cones vaginais e eletroestimulação funcional do AP, durante 4 meses. Obtiveram melhora significativa na QV e na diminuição da perda urinária, não havendo diferença significativa entre as técnicas no tratamento de IUE 18 .…”

Section: Discussionunclassified

Eficácia dos cones vaginais no fortalecimento do assoalho pélvico na incontinência urinária feminina pós- menopausa: estudo de casos

Holzschuh

Sudbrack

2019

Rev Pesq Fisio

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INTRODUÇÃO: A incontinência urinária (IU), pode afetar ambos os sexos, porém apresenta alta prevalência no sexo feminino, sendo as mulheres, na terceira idade, as mais acometidas. A IU afeta a qualidade de vida (QV), pois causa desconforto, redução da autoconfiança, alteração do comportamento, interferência na sexualidade, no convívio social, na saúde física e emocional. OBJETIVO: Avaliar o uso de cones vaginais no fortalecimento do assolho pélvico (AP) em mulheres com incontinência urinaria pós-menopausa. MÉTODOS: Estudo quantitativo, de delineamento observacional exploratório do tipo estudo de casos, realizado com 2 mulheres inscritas para tratamento de IU. Foi realizado a aplicação do questionário International Consultation on Incontinense Questionnaire (ICIQ-SF) e avaliação funcional do AP por meio do perineômetro, antes e após 10 sessões, realizadas 3 vezes por semana, durante 45 minutos, através de um programa de tratamento com uso de cones vaginais e cinesioterapia, associando aos exercícios de Kegel. RESULTADOS: Quanto ao ICIQ-SF, a paciente 1, na avaliação pontou o escore de 10 pontos (muito grave) e na reavaliação 2 (leve impacto). A paciente 2, inicialmente pontuou 9 (grave impacto) e após o tratamento, 1 (leve impacto).. Na avaliação da contração muscular a paciente 1 obteve 40 sauers (normal) e passou para 44 (bom). A paciente 2 passou de 16 sauers (regular) para 28 (normal). CONCLUSÃO: Os cones vaginais beneficiaram mulheres com incontinência urinário de esforço, fortalecendo os músculos do assoalho pélvico, proporcionando melhora na qualidade de vida.

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“…According to Aslan et al (23), such results decrease urinary loss from 30 to 50% within a twelve-month period. The proper contraction of the pelvic floor (PF) muscles, especially the levator ani muscle, has been an efficient way to treat patients with UI and improve their toilet training (24,25).…”

Section: Methodsmentioning

confidence: 99%

Physical therapy treatment in incontinent women provided by a Public Health Service

et al. 2011

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INTRODUCTION: Urinary incontinence affects more than 50 million people worldwide, it has a great impact on quality of life by affecting social, domestic, occupational and sex life, regardless of age. Objective: The objective of this study was to analyze the effectiveness of physical therapy treatment in women attending the Urogynecology service of Hospital and Maternity Leonor Mendes de Barros. METHOD: We retrospectively assessed 65 records of patients with diagnosis of urinary incontinence treated between November 2005 and November 2006. In order to have their data analyzed, patients were divided into two groups; group MF, which underwent medical treatment and physiotherapy, and group M, which had only medical treatment. In order to compare both groups' quantitative data, the analysis was performed in Statistica® software using Mann Whitney's non-parametric test. The analysis of association between the quantitative variables was performed through the Chi-Square test at 5% (p > 0.05) significance level. RESULTS: We observed that 60.6% of patients who underwent physical therapy treatment and medical treatment had the urinary incontinence symptoms decreased or completely cured, while 80% of women belonging to the medical treatmen only-group underwent surgery. CONCLUSION: Thus, we conclude that physical therapy is essential in treatment protocols of urinary incontinence outpatient clinics and to prevent surgery.

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Eletroestimulação funcional do assoalho pélvico versus terapia com os cones vaginais para o tratamento de incontinência urinária de esforço

Abstract: both electrostimulation and vaginal cones were effective in the treatment of women with SUI.

Cited by 30 publications

References 23 publications

Electrotherapy for urethral modulation: Are extracellular matrix molecules and growth factors potential targets?

Electrotherapy for urethral modulation: Are extracellular matrix molecules and growth factors potential targets?

Eficácia dos cones vaginais no fortalecimento do assoalho pélvico na incontinência urinária feminina pós- menopausa: estudo de casos

Physical therapy treatment in incontinent women provided by a Public Health Service

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