PURPOSE: to compare women's quality of life (QoL) before and after physical therapy treatment for stress urinary incontinence (SUI). METHODS: an uncontrolled clinical trial of 26 women, who had mainly complaints of SUI. Post-menopausal women with overactive bladder, cystocele >grade II and previous surgical/conservative treatments were excluded from the study. The physiotherapy treatment relied on 12 individual pelvic floor exercises assisted by electromyographyc-biofeedback sessions. A total of 200 contractions were carried out, divided in phasic (quick) and tonic (slow). The tool used to evaluate QoL was the King's Health Questionnaire (KHQ), before and after the treatment. RESULTS: there was a decrease in the urinary symptoms, particularly in urinary frequency, nocturia, urgency and urinary incontinence. Regarding the QoL, there was a significant improvement in the following domain scores: general health perception (49.0±24.0 versus 26.9±15.7; p=0.0015), incontinence impact (78.2±28.2 versus 32.1±30.5; p=0.001), activity limitation (75.0±28.2 versus 13.5±22.6; p<0.001), physical limitation (72.4±29.4 versus 15.4±24.5; p<0.001), social limitations (38.3±28.6 versus 6.4±14.5; p<0.001), emotions (59.0±33.8 versus 14.1±24.7; p=0.0001, sleep/energy (34.0±23.8 versus 6.4±16.4; p=0.001) and severity measures (66.9±19.6 versus 22.3±24.2; p<0.001), except for personal relationships (60.5±33.9 versus 41.7±16.7; p=0.0679). CONCLUSIONS: there was an improvement in several aspects of women's QoL treated by physiotherapy, when evaluated with a specific tool, the KHQ.

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Qualidade de vida em mulheres após tratamento da incontinência urinária de esforço com fisioterapia

Objectives: To compare the impact of the type of urinary incontinence on women's quality of life. Methods: A retrospective evaluation was conducted on the medical records of 77 incontinent women who underwent physical therapy treatment between February 2005 and October 2006. Based on the urodynamic test data, the women were classified into three groups: stress urinary incontinence (SUI), overactive bladder (OB) and mixed urinary incontinence (MUI). The subjects' history was taken, the women provided demographic data and they answered the King's Health Questionnaire, which is a specific questionnaire for assessing the quality of life among individuals with urinary incontinence. Results: Most of the patients (44%) had MUI. The patients affected by OB were significantly older than the patients in the other groups. The negative impact of incontinence on quality of life (General Health Perception domain) and lifestyle was significantly greater among the women affected by MUI than among the patients in the other groups. Conclusion: This study indicated that the negative impact of incontinence on quality of life was greater among patients with MUI.

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Comparison of quality of life for different types of female urinary incontinence Comparação da qualidade de vida nos diferentes tipos de incontinência urinária feminina

O envelhecimento humano vem acompanhado de um desgaste fisico funcional do corpo e da mente, bem como de uma diminuicao das respostas fisiologicas as acoes do meio. Isto acaba por alterar a qualidade de vida das pessoas em processo de envelhecimento, especialmente, no que tange a independencia e autonomia. Dentre as alteracoes comuns com o processo de envelhecimento encontramos a incontinencia urinaria, que, alem de possuir multiplas etiologias com grande complexidade terapeutica, gera um enorme impacto sobre a qualidade de vida dessas pessoas. Sendo assim, este artigo abordara um recorte da pesquisa realizada para a dissertacao de mestrado de uma das autoras, onde se buscou compreender em que proporcao a incontinencia urinaria atinge nao so o cotidiano das pessoas que a possuem, como tambem a sua qualidade de vida, sendo esse o foco de discussao deste artigo.

/pdf/incontinencia-urinaria-e-envelhecimento-impacto-no-cotidiano-2eb2yba040.pdf

Incontinência urinária e envelhecimento: impacto no cotidiano e na qualidade de vida

The aim of this study is to examine the relationship among psychological, clinical and sociodemographic variables, and quality of life in women with urinary incontinence. The sample consisted of 80 women diagnosed with urinary incontinence (UI) followed in a Northern Central Hospital in Portugal. Participants answered the Incontinence Quality of Life (I-QOL); Satisfaction with Sexual Relationship Questionnaire (SSRQ); Hospital Anxiety and Depression Scales (HADS) and the Brief Cope. The results revealed that women with higher quality of life considered their symptoms of urine loss as mild or moderated compared to those with severe urine loss. The less severe urine loss was associated with greater sexual satisfaction and less use of religion and self-blame as coping strategies. In terms of coping, women who considered the loss of urine as severe expressed more feelings regarding UI. Stress urinary incontinence, high sexual satisfaction, and less use of denial, distraction, and religion as coping strategies, predicted higher quality of life. According to the results, UI has an impact on women's sexual satisfaction and quality of life. Therefore, intervention programs should target these women, including their partners, helping them to adjust to their condition and teaching effective coping strategies in order to improve their sexual satisfaction and quality of life.

https://www.scielo.br/pdf/ramb/v61n2/0104-4230-ramb-61-02-0178.pdf

Quality of life in women with urinary incontinence

The objective of this study was to evaluate the prevalence of urinary incontinence (UI), the pelvic floor, and the quality of life during pregnancy and in the postpartum. Three hundred and forty-three women in the third trimester of pregnancy were submitted to physiotherapeutic evaluation for UI and evaluation of pelvic floor muscle function and were asked to fill out the King’s Health Questionnaire (KHQ). Of these, 236 returned for postpartum evaluation (65.31 ± 22.63 days). The prevalence of UI was 30.61% during pregnancy and 6.78% postpartum (p < 0.001), with mean vaginal pressure of 3.60 ± 5.35 and 2.56 ± 3.24 mmHg, respectively (p = 0.008). UI was associated with multiparity (p = 0.028). No associations were found between intrapartum variables and UI. UI and vaginal pressure decreased in the postpartum. UI was found to be associated with multiparity. Results of the KHQ indicated impaired quality of life in the symptoms and domains evaluated.

Evaluation of urinary incontinence in pregnancy and postpartum in Curitiba Mothers Program: a prospective study

Our purpose with this study was to verify the restriction of the urinary incontinence (UI) in a woman's daily life, considering the type of incontinence, and find out how women deal with that. It is a secondary analysis of data taken from a previous study that were obtained using open and closed questions. Interviews were held with 164 incontinent inpatients of gynecological and urological clinics of two hospital schools in the city of Campinas, in the State of Sao Paulo, with ages ranging from 25 to 85 years. Of this universe, 104 (64%) indicated one or more restrictions regarding their daily life activities, such as altered sexual (40.9%), social (33.5%), domestic (18.9%) and occupational activities (15.2%). Mixed urinary incon-tinence and urge incontinence were mentioned as that affected the most women's daily life. The disposable pad system was the most utilized strategy in dealing with UI. It was concluded that UI has a negative impact on the daily life of these women.

R Higa

Papers

Urinary Incontinence Restrictions In Women's Life [restrições Causadas Pela Incontinência Urinária A Vida Da Mulher.]