Impacto dos sintomas do assoalho pélvico na qualidade de vida de mulheres com incontinência urinária

Abstract

Objective: To analyze the impact of pelvic floor-related symptoms on the quality of life (QoL) of women with stress or mixed urinary incontinence. Methods: This is an observational and cross-sectional observational study of women with Urinary Incontinence Stress (SUI) and Mixed (MUI). Sociodemographic, clinical, obstetrical, urinary and physical activity data were collected through anamnesis. The pelvic floor musculature was evaluated using the PERFECT scale and perineometry, and the data of discomfort and impact on the quality of life of the pelvic floor symptoms were collected using the instruments The short Pelvic Floor Distress Inventory (PFDI-SF-20) and Pelvic Floor Impact Questionnaire (PFIQ-7). The averages of the questionnaires were compared by the Person Correlation test, adopting a significance level of 5%. Results: 72 women aged 51.75 ± 11.91 years participated in the study, the majority (54.2%) with IUM. The presence and discomfort of pelvic floor symptoms negatively impacted the QoL of the sample considering activities, feelings and relationships (r = 0.52, p <0.001). Urinary symptoms, especially those related to incontinence, were more prevalent, uncomfortable and impacting in the reduction of QoL (r = 0.51, p <0.001), compared to the other symptoms of the pelvic floor. It was found impairment in MAP function, but this was not related to the discomfort of the symptoms. Conclusion: The severity of pelvic floor symptoms negatively affected the quality of life of the sample, with urinary symptoms being the most striking.