A Influência de um Programa de Reeducação Uroginecológica na Incontinência Urinária de Esforço

Purpose: The objective of this study was to analyze the influence of a retraining urogynecology program in women with the diagnosis of stress urinary incontinence, compared to the amount of urine leakage, strength of the pelvic floor muscles and subjective perception of improvement. Methodology: This case study with multiple subjects, constituted a sample group of 14 women, who underwent a retraining urogynecology program (Manual Reeducation, Electrical Stimulation and Biofeedback), twice a week for a total of twenty sessions, lasting three months. Before and after the program, perineometry was performed to assess the strength of maximum voluntary contraction of the pelvic muscles, and pad-test to quantify urinary leakage. The final questionnaire allowed to assess the subjective perception of improvement. Results: After implementation of the program in the sample group, a total of 14 women with a mean age of 51,6 years (sd = 5,43), was obtained a significantly increased by 26,95% of maximum voluntary contraction of the pelvic floor muscles (3,1cmH2O, p=0,004), significantly reduced the amount of urinary leakage of 60,81% (Pad Test/1 Hour – 4,5 grams, p=0,008) and 92,9% of women feel improved, almost healed or healed. The correlation between the increase of maximum voluntary contraction and decrease the quantity of urine leakage was not statistically significant (r = -0,378, p= 0,183). Conclusion: After the application of the retraining urogynecology program, women with stress urinary incontinence of the sample group presented statistically significant improvements on the maximal voluntary contraction force of the pelvic floor muscles, in the amount of urinary leakage and the subjective perception of improvement