Perfil epidemiológico e sintomas urinários de mulheres com disfunções do assoalho pélvico atendidas em ambulatório

Abstract

Introduction: Pelvic floor dysfunction (PFD) are frequent gynecological conditions responsible for morbidities in the female population. PFD may be classified as urinary incontinence (UI), pelvic organ prolapse (POP), overactive bladder, sexual dysfunction and anorectal disorders. Objectives: To present the epidemiological profile and urinary symptoms in women with PFD treated at outpatient urogynecological clinic. Methodology: A retrospective quantitative descriptive study, from October 2014 to April 2015 in urogynecological Clinic of MEAC, linked to the Projeto de Fisioterapia na Saúde da Mulher. Data collection was based on the records and physical therapy forms related to socio-demographic data; gynecological and reproductive history; urinary symptoms and PFD. Results: 38 women were considered. Most women were up to 59 years (62.16%) with a mean of 55.07 ± 10,2 years, were married (53.85%) and had a mean BMI 28.93 ± 4.06 kg/m², with 63.16% of overweight. The average number of births was 3.86 ± 2.18, highlighting vaginal delivery with an average of 3.52 ± 2.07; 55.56% were sexually active. All users had UI, divided into stress (42.11%), urgency (23.68%) and mixed (34.21%); 62.86% had POP and 25.93% fecal incontinence. In symptoms of bladder emptying, the prevalent data were Postmicturition leakage (42.31%) and Feeling of incomplete (bladder) emptying (53.57%); in symptoms of bladder filling, urine leakage before voiding (68.57%), urgeincontinence (72.73%), urgency (81.82%) and nocturia (78.57%) were prevalent. Conclusion: The conditions found may compromise the quality of life, necessitating preventive and therapeutic measures.