O impacto da incontinência urinária sobre a qualidade de vida e sua relação com a sintomatologia depressiva e ansiedade em mulheres

Objective: To identify the similarity of lower urinary tract symptoms presented in the urodynamic study compared to the urinary diary. Method: This is a comparative study carried out in an urodynamics clinic in southern Santa Catarina, Brazil, with 44 patients who underwent the examination. Data collection was carried out by applying a questionnaire and a 72-hour bladder diary and comparing it with the findings of the urodynamic study using the SPSS for Windows and Stata/SE v.14.1 programs. Results: The bladder diary showed high specificity, sensitivity, and accuracy for identifying detrusor hyperactivity and stress urinary incontinence. There was no difference for bladder capacity (p* 0.198). It pointed to bladder sensitivity with a volume smaller than that presented by the urodynamic study (p*<0.001). It was able to identify lower urinary tract symptoms that were not present in the urodynamic study. Conclusion: The bladder diary was effective for identifying lower urinary tract symptoms and can be used to define first-line treatment with a broader range of population diagnosis, shorter time between complaints and treatment, cost reduction for the system, and less discomfort for the patient.

Comparative Study Between Bladder Diary and Urodynamic Study to Identify Lower Urinary Tract Symptoms

Assis

Salvador

Olandoski

2022

Estudo Comparativo Entre Diário Vesical E Estudo Urodinâmico Para Identificação De Sintomas Do Trato Urinário Inferior

Assis

Salvador

Olandoski

2022

Objetivo:Avaliar a efetividade do diário vesical para identificar sintomas do trato urinário inferior, em comparação ao estudo urodinâmico. Método: Trata-se de estudo observacional de corte transversal realizado em uma clínica de urodinâmica do sul catarinense com 44 pacientes submetidos ao exame. A coleta de dados deu-se por aplicação de questionário de dados epidemiológicos e de sintomas e diário vesical de 72 horas e comparação deste com os achados do estudo urodinâmico por meio do programa Stata/SE v.14.1. Resultados: O diário vesical apresentou alta especificidade, sensibilidade e acurácia para identificação de hiperatividade detrusora e incontinência urinária de esforço. Não apresentou diferença para capacidade vesical (p* 0,198) e apontou sensibilidade vesical com volume menor do que o apresentado pelo estudo urodinâmico (p*<0,001). Foi capaz de identificar sintomas de trato urinário inferior que não haviam se revelado no estudo urodinâmico. Conclusão: O diário vesical mostrou-se tão efetivo quanto o estudo urodinâmico para identificação de sintomas de trato urinário inferior, podendo ser utilizado para definição de tratamento de primeira linha com maior abrangência de diagnóstico populacional, menor tempo entre queixa e tratamento, redução de custo para o sistema e menor desconforto para o paciente.

Urinary Incontinence and Quality of Life in a Primary Health Care Unit: A Pilot Study

Francelino

Cavalcante

Gomes

et al. 2023

Objective: Characterize urinary incontinence (UI) prevalence and assess the quality of life (QoL) of women treated at a primary health care unit in order to compare the general QoL of continent and incontinent women. Methods: An exploratory-descriptive, cross-sectional pilot study with a quantitative approach. Sample composed of women over 18 years old who went to the unit for any reason. Data collection carried out from August to December 2021, through a standardized questionnaire with information on demographic, socioeconomic, obstetric, urinary habits and QoL. Results: Fifty-three women with a mean age of 44.49 (± 15.38) years participated. Most women declared themselves to be brown (62.3%), married or in a stable union (52.8%), exercising paid occupational activity (64.2%). As for urinary characteristics, 35.8% were diagnosed as incontinent, reporting that they lost urine once a week when they coughed or sneezed, and that this had a moderate impact on QoL. The differences in the values of QoL domains have a statistically significant correlation between the continent and incontinent groups. Conclusion: Urinary complaints prevail in a significant portion of women and UI is a factor capable of negatively impacting QoL, but it is necessary to prove the findings in a significant sample.