Influence of the type of delivery on the outcome of urinary incontinence physical therapy treatment

Authors

  • Mara Regina Knorst Pontifícia Universidade católica do Rio Grande do Sul
  • Flávia Elize Lisot Pontifícia Universidade Católica do Rio Grande do Sul
  • Larissa Lovatel Zollner Pontifícia Universidade do Rio Grande do Sul
  • Maria Cristina Barbosa Pontifícia Universidade do Rio Grande do Sul
  • Thais de Lima Resende Pontifícia Universidade do Rio Grande do Sul

DOI:

https://doi.org/10.15448/1983-652X.2012.2.11096

Keywords:

urinary incontinence, parturition, women, women's health, pregnancy

Abstract

Objectives: To analyze the influence of the type of delivery on the pelvic floor muscle strength (PFMS) of women with urinary incontinence (UI), before and after physical therapy intervention and the relationship between the different types of UI and type of delivery. Materials and Methods: In this nonrandomized, uncontrolled clinical trial, 46 women (35 to 78 years) with a medical diagnosis of UI (stress – SUI, mixed – MUI, urgency – UUI), who did not undergo gynecological surgery were included. The voluntaries were evaluated (perineometry and bidigital test) and undertook a conservative treatment consisting of pelvic floor exercise and transvaginal electrical stimulation. Results: The mean age was 53.6±10.5 years. Half the voluntaries had MUI, 39.1% had SUI and 10.9% UUI. After treatment, the women who had had normal delivery presented a significant increase in the PFMS, both measured by the perineometer (p=0.031; paired Student´s T test) and by the bidigital test (p≤0.05; Wilcoxon’s Test), while the women who had cesarean section or both types of delivery did not present a significant gain. The relationship between the type of delivery and types of UI did not present a significant difference. Over 80% of the women that had normal delivery or cesarean section were continent or satisfied after the treatment. Conclusion: The voluntaries that had normal delivery presented the greatest gains in the PFMS. Notwithstanding, the type of delivery did not influence the results of the physical therapy intervention regarding urinary continence, since the majority of the women treated reported being continent or satisfied with the treatment.

Author Biographies

Mara Regina Knorst, Pontifícia Universidade católica do Rio Grande do Sul

Doutorem Gerontologia Biomédica, professora do curso de Fisioterapia da PUCRS.

Flávia Elize Lisot, Pontifícia Universidade Católica do Rio Grande do Sul

Fisioterapeuta formada pela PUCRS

Larissa Lovatel Zollner, Pontifícia Universidade do Rio Grande do Sul

Fisioterapeuta formada pela PUCRS

Maria Cristina Barbosa, Pontifícia Universidade do Rio Grande do Sul

Fisioterapeuta formada pela PUCRS

Thais de Lima Resende, Pontifícia Universidade do Rio Grande do Sul

Doutor em Ciências da Saúde (PUCRS). Professora do Curso de Fisioterapia (PUCRS).

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Published

2012-08-17

Issue

Vol. 5 No. 2 (2012)

Section

Original Articles

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