Sintomas do trato urinário inferior em mulheres privadas de liberdade: prevalência e impacto na qualidade de vida

Abstract

This study aimed to estimate the prevalence of lower urinary tract symptoms in women deprived of their liberty. And, specific goals of assess ing voiding habits in women deprived of their liberty; Identify reported urinary complaints and associated factors; Check the impact of urinary symptoms on quality of life. Methodology: A cross sectional study carried out with the female prison population of the state of Ceará, made up of the units Auri Moura Costa Criminal Women's Institute (IPFDAMC), in Fortaleza, Juazeiro do Norte Women's Prison (CPFJN), Cariri, and Public of Sobral (CPS) in Sobral. The sample consisted of 307 women incarcerated from Jun e to September 2018. Initially, a structured questionnaire was applied for detailed investigation, in accordance with the recommendations of ICS (International Continence Society), with the objective of identifying STUI. As symptoms were identified, specif ic validated questionnaires were applied to Portuguese in order to measure the impact on quality of life. For those who reported complaints of urinary incontinence (UI), the International Consultation on Incontinence Questionnaire (ICIQ SF) Short Form was used for those with overactive bladder complaint, the "International Consultation Incontinence Questionnaire Overactive Bladder" ( ICIQ OAB), and, for all other bladder problems, the "King's Health Questionnaire" (KHQ). Data were analyzed using the Stati stical Package for Social Sciences (SPSS) version 22.0. Submitted to the Research Ethics Committee CEP of the Federal University of Ceará UFC, with approval under number 012635/2018. Results: The majority of the women were young (M: 32.9 ± 11.8 years), age d between 18 and 68 years, without companions, who declared themselves to be nonwhite, from Ceará, between the years 2015 and 2017 , sentenced to an average of 6 years, varying from 21 to 196 months; arrested mainly for crimes related to drug trafficking ( 160/307). Gynecobstétrico profile, mostly of fertile age (90.4%), multigesta (M: 2,7 ± 2,1), multiparous (M: 2,2 ± 1,9), mainly vaginally (M: 1, 4 ± 1.8), with newborns weighing, on average, 3,447.80 ± 491.95g. Regarding the habits, the average water intak e was 5.1 ± 1.4 glasses per day. The majority of women surveyed use as toilets, the bulges, which are holes located on the bathroom floor (n = 213/69.8%). No woman has access to toilet paper, or soap and water in the bathroom to wash her hands. Among the storage symptoms, the three most cited in the total sample were: nocturia (42.7%), incontinence (21.5%) and urinary urgency (16.3%). Of the symptoms of emptying, dysuria and recurrent UTI, were the most pointed, with the highest incidence in TA (15.3%). The only post mictional symptom identified in this study was the sensation of incomplete bladder emptying, reported by 49 (21.4%) women, starting before imprisonment to 83. 6% (n 10 = 41). An association was = 41). An association was found between the three types of symptoms and the marfound between the three types of symptoms and the marital and ital and menopausal status. The gynecological history, number of pregnancies, number of births, and menopausal status. The gynecological history, number of pregnancies, number of births, and water / day glasses are associated with storage symptoms. Regarding Quality of Life (QOL), water / day glasses are associated with storage symptoms. Regarding Quality of Life (QOL), measured by the KHQ, the general perception of health obtained a measured by the KHQ, the general perception of health obtained a mean score of 50 points in mean score of 50 points in TA. Conclusion: STUI are prevalent in women in prison, with a greater emphasis on storage TA. Conclusion: STUI are prevalent in women in prison, with a greater emphasis on storage symptoms. A small number of women reported presenting symptoms only after their symptoms. A small number of women reported presenting symptoms only after their incarceration. However, an association between characteristincarceration. However, an association between characteristics of the incarceration situation ics of the incarceration situation and the presence of STUI was found, suggesting some influence, which needs to be better and the presence of STUI was found, suggesting some influence, which needs to be better investigated, as it reflects on individual health and generates important QV.investigated, as it reflects on individual health and generates important QV.