Incontinência Urinária de Esforço e Disfunção Sexual Feminina: O Papel da Reabilitação do Pavimento Pélvico

Abstract

Introduction: The prevalence of urinary incontinence in Portuguese women is 21.4% and has a very negative impact on quality of life including women’s sexual activity. Pelvic floor rehabilitation is the first line treatment used in stress urinary incontinence and may be a tool in the treatment of sexual dysfunction in women with urinary incontinence. The aim of this review is to ascertain whether pelvic floor rehabilitation can improve sexual function in women with stress urinary incontinence.Material and Methods: We reviewed 12 articles in PubMed using the keywords: ‘urinary incontinence’, ‘female sexual dysfunction’ and ‘pelvic floor physical therapy’.Results: Pelvic floor rehabilitation is linked to a decrease in frequency of urinary leakage episodes as well as an improvement of coital incontinence. Furthermore, sexual function evaluation scores post-treatment revealed a positive change. Higher parity, higher adherence to treatment, improvement in the strength of pelvic floor muscles, and a decrease in the frequency of urine leakage were associated with higher improvement in sexual function.Discussion: Sexual function should be considered in the approach of urinary incontinence and standard tools of evaluation are essential tools for clinical assessment and follow-up. More evidence is required to identify the role of pelvic floor rehabilitation in sexual dysfunction of Portuguese women with urinary incontinence.Conclusion: Pelvic floor rehabilitation improves sexual function of women with stress urinary incontinence not only because it decreases the episodes of urine leakage but also because it strengthens pelvic floor muscles.

The Clinical Application and Prospect of Smart Prenatal Care and Postpartum Recovery

“…Stress urinary incontinence is a common concern in women, which has a wide range of adverse effects on the quality of life and has significantly affected patients and society [ 22 ]. A growing body of epidemiological evidence suggests that the gestational prevalence of stress urinary incontinence is 18.6–60% and increases with age [ 23 ].…”

Physiotherapy and pelvic floor health within a contemporary biopsychosocial model of care: From research to education and clinical practice

“…Evidence is emerging regarding PFMT and PFM function as related to sexual dysfunction (Candy et al 2016 ; Ferreira et al 2015 ; Pastore et al 2018 ; Preda & Moreira 2019 ). This tendency is evident in the publication of protocols and reviews such as by Sobhgol et al ( 2019 ) planning to investigate the effect of ante-natal PFMT on female sexual function during pregnancy and 3 months following delivery.…”

“…More recently, a review by Preda and Moreira ( 2019 ) identified 12 publications that investigated the effect of PFM rehabilitation on sexual function in women with stress urinary incontinence. They concluded that PFM rehabilitation can improve sexual dysfunction in this population because of decreased episodes of incontinence as well as improved PFM strength.…”

Evaluation of Nursing Effect of Pelvic Floor Rehabilitation Training on Pelvic Organ Prolapse in Postpartum Pregnant Women under Ultrasound Imaging with Artificial Intelligence Algorithm

“…Pregnancy and childbirth were the main causes of pelvic floor muscle injury. Data showed that about 40% of women suffered from pelvic floor muscles varying degrees of injury after birth, and the incidence rate increased [ 2 , 3 ] with age. During pregnancy, the fetus continues to grow with the increase of the number of weeks of pregnancy, and the weight and amniotic fluid also increase.…”