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

Daniela D'Attilio Toledo,Anny Caroline Dedicação,Patricia Driusso,Miriam Haddad,Maria Elisabete Salina Saldanha

doi:10.1590/s0103-51502011000200014

Daniela D'Attilio Toledo, Anny Caroline Dedicação + Show 3 more

Open Access

https://doi.org/10.1590/s0103-51502011000200014

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Abstract

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.

Highlights

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
UI can be classified according to its symptoms, clinical findings and additional examinations, as: Stress Urinary Incontinence (SUI), Overactive Bladder (OB) or Mixed Urinary Incontinence (MUI) [2]
The MUI is characterized by the symptoms of both incontinence types described above [7]

Summary

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. 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 treatment. The SUI is characterized by involuntary urine loss, when intravesical pressure exceeds the maximum urethral pressure in the absence of detrusor urinae muscle contraction. It usually happens when the person coughs, sneezes, laughs, jumps or even performs activities such as changing body position [3, 4]. The OB is characterized by involuntary urine loss while feeling strong desire to urinate, whether the bladder is full or not, and is associated with increased urinary frequency, nocturia and urge incontinence. The MUI is characterized by the symptoms of both incontinence types described above [7]

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