¿Por qué una unidad del suelo pélvico?

Oceja, José María Martínez-Sagarra; Rodríguez-Toves, L.A.

doi:10.4321/s0004-06142010000900002

Cited by 2 publications

(4 citation statements)

References 2 publications

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“…Debido a esto, se ha calculado que el 33% de las intervenciones quirúrgicas por disfunciones del suelo pélvico son reintervenciones por malos resultados de procedimientos quirúrgicos previos (21) .…”

Section: Discussionunclassified

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Prevalencia y factores asociados a incontinencia urinaria en el área de salud este de Valladolid

Tuda¹,

Fernández²

2019

Enf Global

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Introducción: La incontinencia urinaria (IU) es la pérdida involuntaria de orina que constituye un problema social o higiénico importante y es demostrable de forma objetiva. Es un síntoma común que aparece en muchas enfermedades, afectando a todos los grupos de edad y a ambos sexos. En España se estima una prevalencia global de 24% en la mujer y 7% en el hombre, aumentando con la edad hasta el 50% y 29% respectivamente. A pesar de su repercusión en la calidad de vida se encuentra infradiagnosticada por diversos motivos. Objetivo: Determinar la prevalencia de la IU y sus factores asociados. Material y Método: En este estudio epidemiológico observacional retrospectivo se recogieron datos de las historias clínicas de pacientes con IU de la Unidad de Suelo Pélvico del Área de Salud Este de Valladolid. Resultados: Los tipos de incontinencia más frecuentes fueron: de esfuerzo (43,13%) y mixta (39,21%). Los factores de riesgo y patología asociada más importantes fueron episiotomía (57,1%) y cistocele (32,6%) en las mujeres y adenocarcinoma de próstata (60%) en los hombres. Tras tratamiento rehabilitador en un intervalo de 2 a 3 meses mejoraron las respuestas en los cuestionarios de incontinencia urinaria (ICIQ-SF).Conclusiones: Los datos recopilados están en consonancia con estudios revisados, y viendo los avances en prevención y tratamiento de IU resulta coherente su abordaje multidisciplinar. Introduction: Urinary incontinence (UI) is the involuntary loss of urine that is a major social or hygienic problem and is objectively provable. It is a common symptom that appears in many diseases, affecting all age groups and both sexes. In Spain it is estimated a prevalence of 24% in women and 7% in men, increasing with age up to 50% and 29% respectively. Despite its impact on quality of life, it is under-diagnosed for various reasons. Objective: To determine the prevalence of UI and its associated factors. Material and method: In this retrospective longitudinal epidemiological study data were collected from the medical histories of patients with UI belonging to the Pelvic Floor Unit of the East Health Area in Valladolid. Results: The most frequent types of incontinence were: effort (43,13%) and mixed (39,21%). The most important risk factors and associated diseases were episiotomy (57.1%) and cystocele (32.6%) in women and adenocarcinoma of prostate (60%) in men. Responses in the questionnaires of urinary incontinence (ICIQ-SF) improved after 2-3 months of rehabilitation treatment.Conclusions: The collected data are consistent with studies reviewed, and seeing the progress in prevention and treatment of UI, multidisciplinary approach is coherent.

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“…Por último, y no menos importante, deben llevarse a cabo estudios retrospectivos y ensayos prospectivos dentro de la unidad a fin de mejorar la asistencia sanitaria y aumentar el estándar de calidad de dicha unidad. El beneficio para la sociedad es claro en términos económicos y de morbilidad (21) .…”

Section: Discussionunclassified

Prevalencia y factores asociados a incontinencia urinaria en el área de salud este de Valladolid

Tuda¹,

Fernández²

2019

Enf Global

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“…It is estimated that only 25% of patients consult for this problem. 7,8 The influence of some pelvic floor disorders on female sexual function has only been studied briefly. Moreover, these studies presented contradictory results, did not include all pelvic floor disorders, and recommended further investigations.…”

Section: Introductionmentioning

confidence: 99%

“…Despite the high prevalence, it is considered to be an underdiagnosed problem. It is estimated that only 25% of patients consult for this problem 7,8 …”

Section: Introductionmentioning

confidence: 99%

Influence of pelvic floor disorders on sexuality in women

Martínez‐Galiano,

Peinado‐Molina,

Martínez‐Vazquez

et al. 2023

Intl J Gynecology & Obste

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ObjectiveTo determine the association between different pelvic floor disorders and the presence of sexual dysfunction in women.MethodAn observational study of non‐pregnant women was carried out in Spain in 2021 and 2022. To assess the presence of pelvic floor problems, the Pelvic Floor Distress Inventory (PFDI‐20) was used, consisting of the subscales Pelvic Organ Prolapse Distress Inventory‐6 (POPDI‐6; prolapse symptoms), Colorectal‐Anal Distress Inventory (CRADI‐8; colorectal symptoms), and Urinary Distress Inventory‐6 (UDI‐6; urinary symptoms). The validated tool, Female Sexual Function (FSF), was used to evaluate female sexual function.ResultsIn total, 1008 women participated. Of these, 288 (28.6%) had some type of sexual dysfunction. Regarding symptoms, 52 (5.2%) stated that they do not reach orgasm and 172 (17.1%) said they had never or occasionally felt sexual desire in the last month. Women with sexual dysfunctions had higher mean scores on the POPDI‐6, CRADI‐8, and UDI‐6 subscales than those who did not have sexual dysfunction (P ≤ 0.005). Risk factors identified included being postmenopausal, with an adjusted odds ratio (aOR) of 2.98 (95% confidence interval [CI] 2.12–4.18), and a greater impact of the symptoms of pelvic floor problems as assessed by the PFDI‐20 scale, in such a way that for each point increase the probability of sexual dysfunction increases with an aOR of 1.008 (95% CI 1.005–1.011).ConclusionWomen with pelvic floor disorders and postmenopausal women present sexual dysfunction more frequently.

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¿Por qué una unidad del suelo pélvico?

Cited by 2 publications

References 2 publications

Prevalencia y factores asociados a incontinencia urinaria en el área de salud este de Valladolid

Prevalencia y factores asociados a incontinencia urinaria en el área de salud este de Valladolid

Influence of pelvic floor disorders on sexuality in women

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