Incontinência urinária de esforço em mulheres pertencentes ao Programa de Saúde da Família de Dourados (MS)

Abstract

StreSS urinary incontinence among women participating in the family health program of DouraDoS (mS), Brazil 649Rev Assoc Med Bras 2010; 56(6): 649-54 IntroductIonUrinary incontinence (UI) is defined as involuntary loss of urine through the urethra. 1 This condition can be classified into three common types: stress urinary incontinence (SUI), urge urinary incontinence (UUI), and mixed urinary incontinence. In SUI, urine leakage occurs when there is increased intraabdominal pressure, such as while practicing physical exercise, coughing, or sneezing. UUI is the inability to hold urine because of a strong need to void. Mixed urinary incontinence is a combination of the two previous conditions. 2 The economic impact of UI is significant both for the public health system and the families of patients with this pathology. In the United States, the cost of the treatment of patients with UI was estimated to be approximately $ 19.5 million in 2000. 3 The annual amount paid for routine care of a U.S. woman with UI was estimated at $ 900.00. 4 Studies have shown the negative impact of UI on the social, sexual, and psychological dimensions. 5 Fultz et al. assessed the impact of UI in 3,364 employed women and demonstrated impairment of work rhythm because of increased frequency of bathroom breaks. 6 Tamanini et al., using the International Consultation on Incontinence Questionnaire (ICIQ-SF), showed that among 225 patients with UI, 8.9% (20) and 17.8% (40) considered the impact of this condition on their quality of life to be severe and very severe, respectively. 7 Telephone interviews conducted in 2003 with 82,196 people over 65 years demonstrated that the prevalence of UI is twice as high in women compared to men and UI is significantly associated with depression. 8 The prevalence of female UI can range from 8.5% to 55%. showed a weak association. Using logistic regression, only pairing of weight and hysterectomy was able to predict the outcome (SUI). Most women with SUI (63.9%) had very severe impairment in the QOL. conclusIon. The prevalence of SUI was similar to that found in other studies; BMI, parity, number of pregnancies, and hysterectomy were associated with this disease, which seriously impairs the QOL.

Prevalence and factors associated with urinary incontinence in climacteric

“…8,10,14,30 In our study, SUI affected 15.9% of climacteric women and was similar to the population findings by Brito et al 8 With regard to factors associated with UI, the literature is controversial and often shows association between UI and socio-demographic data such as age, education and race; obstetric factors such as pregnancy, multiparity, type of delivery, newborn weight; gynecological factors such as gynecological surgeries and menopausal status; and morbidities such as diabetes mellitus and obesity. 1,4,[27][28][29][30][31] The bivariate analysis performed in our study showed a positive association with education, skin color, pregnancy, gynecologic surgery, which was not confirmed in the logistic regression. Our findings are in line with those documented by Brito et al 8 and Guarisi et al, 14 who also found no association between UI and socioeconomic and reproductive factors.…”

Diabetes and Vaginal Surgery Are Associated With Mixed Urinary Incontinence in Patients Treated in a Tertiary Unit of Rio De Janeiro Public Healthcare System

“…Currently, with changes in life expectancy and lifestyle, other factors have emerged, such as chronic diseases and the medications used to treat them 7 . In Brazil, there is an increasing interest in the prevalence, risk factors and distribution of female UI [8][9][10][11][12] . Women living in urban areas in the Midwest region and in the Southeast region of the country present a prevalence of UI ranging from 21.4% to 32.9% [9][10][11][12] .…”

“…In Brazil, there is an increasing interest in the prevalence, risk factors and distribution of female UI [8][9][10][11][12] . Women living in urban areas in the Midwest region and in the Southeast region of the country present a prevalence of UI ranging from 21.4% to 32.9% [9][10][11][12] . Those with a higher number of pregnancies and births and with a higher body mass index (BMI) have a greater risk of developing UI 12 .…”

Efeito do fortalecimento dos músculos do assoalho pélvico e músculos do quadril no tratamento da incontinência urinária de esforço: ensaio clínico randomizado cego

“…Estudos no Brasil também apresentam variações de prevalência (Guarisi et al, 2001;Tamanini et al, 2009;Gomes, Silva, 2010;Santos C, Santos V, 2010;Burti et al, 2012;Menezes et al, 2012;Cinara Sacomori et al, 2013).…”

“…Em mulheres climatéricas do município de Campinas, a prevalência de IUE foi de 35% (Guarisi et al, 2001), enquanto que em Dourados, Mato Grosso do Sul, foi de 21,4% entre mulheres acima de 20 anos de idade (Gomes, Silva, 2010).…”