Pelvic floor muscle training for overactive bladder symptoms - A prospective study

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dc.citation.issue12
dc.citation.volume63
dc.contributor.authorFitz, Fatima [UNIFESP]
dc.contributor.authorSartori, Marair [UNIFESP]
dc.contributor.authorGirao, Manoel Joao [UNIFESP]
dc.contributor.authorCastro, Rodrigo [UNIFESP]
dc.coverageSao Paulo
dc.date.accessioned2020-07-02T18:52:20Z
dc.date.available2020-07-02T18:52:20Z
dc.date.issued2017
dc.description.abstractIntroduction: Pelvic floor muscle training (PFMT) involves the contraction of the puborectal, anal sphincter and external urethral muscles, inhibiting the detrusor contraction, what justify its use in the treatment of overactive bladder (OAB) symptoms. Objective: To verify the effects of isolated PFMT on the symptoms of OAB. Method: Prospective clinical trial with 27 women with mixed urinary incontinence (MUI), with predominance of OAB symptoms and loss >= 2 g in the pad test. It was evaluated: pelvic floor muscles (PFMs) function (digital palpation and manometry)en
dc.description.abstracturinary symptoms (nocturia, frequency and urinary loss)en
dc.description.abstractdegree of discomfort of OAB symptomsen
dc.description.abstractand quality of life (Incontinence Quality-of-Life Questionnaire [I-QoL]). The PFMT program consisted of 24 outpatient sessions (2x/week + home PFMT). The Mann-Whitney and Wilcoxon tests (with a significance level of 5%) were used to analyse the data. Results: There was a significant improvement of the urinary symptoms to the pad test (5.8 +/- 9.7, p<0.001), urinary loss (0.7 +/- 1.1, p=0.005) and nocturia (0.8 +/- 0.9, p=0.011). Reduction in the degree of discomfort of urinary symptoms was observed according to OAB-V8 questionnaire (10.0 +/- 7.7, p=0.001). There were also significant results in PFMs function: Oxford (3.6 +/- 0.9, p=0.001), endurance (5.2 +/- 1.8, p<0.001), fast (8.9 +/- 1.5, p<0.001) and manometry (26.6 +/- 15.8, p=0.003). In addition, quality of life had a significant improvement in the three domains evaluated by I-QoL. Conclusion: The PFMT without any additional guidelines improves the symptomatology, the function of PFMs and the quality of life of women with OAB symptoms.en
dc.description.affiliationUniv Fed Sao Paulo UNIFESP, Dept Gynecol, Sao Paulo, SP, Brazil
dc.description.affiliationUniv Fed Sao Paulo, Dept Gynecol, Sao Paulo, SP, Brazil
dc.description.affiliationUniv Fed Sao Paulo UNIFESP, EPM, Setor Uroginecol & Cirurgia Vaginal, Dept Gynecol, Sao Paulo, SP, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo UNIFESP, Dept Gynecol, Sao Paulo, SP, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo, Dept Gynecol, Sao Paulo, SP, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo UNIFESP, EPM, Setor Uroginecol & Cirurgia Vaginal, Dept Gynecol, Sao Paulo, SP, Brazil
dc.description.sourceWeb of Science
dc.format.extent1032-1038
dc.identifierhttp://dx.doi.org/10.1590/1806-9282.63.12.1032
dc.identifier.citationRevista Da Associacao Medica Brasileira. Sao Paulo, v. 63, n. 12, p. 1032-1038, 2017.
dc.identifier.doi10.1590/1806-9282.63.12.1032
dc.identifier.fileWOS000426268800006.pdf
dc.identifier.issn0104-4230
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/54012
dc.identifier.wosWOS:000426268800006
dc.language.isoeng
dc.publisherAssoc Medica Brasileira
dc.relation.ispartofRevista Da Associacao Medica Brasileira
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjecturinary incontinenceen
dc.subjectpelvic flooren
dc.subjectphysical therapy modalitiesen
dc.titlePelvic floor muscle training for overactive bladder symptoms - A prospective studyen
dc.typeinfo:eu-repo/semantics/article
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