Orientador: Viviane Herrmann Rodrigues / Tese (doutorado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas / Made available in DSpace on 2018-08-11T00:13:29Z (GMT). No. of bitstreams: 1 Marques_AndreadeAndrade_D.pdf: 1123882 bytes, checksum: 0d246b4e1e0c7351ce6062d29d3ff7ca (MD5) Previous issue date: 2008 / Resumo: Introdução: Bexiga Hiperativa é uma síndrome de alta prevalência, caracterizada por urgência miccional, com ou sem incontinência de urgência, geralmente acompanhada por freqüência e noctúria, em pacientes sem infecções ou outras patologias. O tratamento conservador tem sido recomendado como primeira linha para o tratamento da Bexiga Hiperativa. Entre os diferentes recursos fisioterapêuticos disponíveis, a eletroestimulação vem sendo utilizada há cerca de 30 anos com bons resultados, principalmente através de eletrodos intracavitários. Objetivo: avaliar os efeitos da eletroestimulação transcutânea no nervo tibial posterior para o tratamento da Bexiga Hiperativa. Metodologia: Foram selecionadas 43 pacientes e divididas em dois grupos: grupo I (estímulo) recebeu a eletroestimulação durante 30 minutos, duas vezes por semana, por quatro semanas, utilizando corrente transcutânea, bifásica (alternada) com largura de pulso de 200 microssegundos, a uma freqüência de estímulo de 10Hz, com variação de intensidade e freqüência (VIF) através de um canal e dois eletrodos. A intensidade foi mantida imediatamente abaixo do limiar motor. O grupo II (controle) foi submetido ao mesmo protocolo, porém sem passagem de corrente elétrica. Foram realizadas oito sessões. As medidas de avaliação incluíram exame urodinâmico e diário miccional, realizados antes e após o tratamento. Resultados: Houve diferença estatística entre o grupo estímulo e o grupo controle ao final do tratamento com relação à freqüência urinária (p=0,0001) e noctúria (p=0,0186). Com relação à urgência miccional, a diferença encontrada entre os grupos após o tratamento foi de p=0,05, apresentando melhora de 3,5 (DP +/- 3,9) para 1,5 (DP +/- 1,5) episódios ao dia. Houve melhora significativa nos episódios de Incontinência Urinária de Esforço (IUE) no grupo estímulo, quando comparadas ao grupo controle (p=0,0273). Não houve alteração significativa nos episódios de incontinência por urgência. A capacidade cistométrica máxima apresentou aumento significativo no grupo estímulo, variando em média de 322,9ml para 381,0ml (p=0,0328). Não foram observadas alterações significativas com relação ao primeiro desejo miccional. Em quatro casos do grupo estímulo e cinco casos do grupo controle houve desaparecimento das contrações não inibidas do detrusor. Nas pacientes em que as contrações não inibidas do detrusor se mantiveram (n=14), não foram observadas alterações significativas com relação à intensidade da contração ou volume infundido, quando comparados grupo controle e grupo estímulo. Conclusões: A eletroestimulação transcutânea do nervo tibial posterior demonstrou trazer benefícios às pacientes com Bexiga Hiperativa, trazendo melhora para alguns dos parâmetros objetivos e subjetivos da síndrome / Abstract: Introduction: Overactive Bladder (OAB) is a prevalent syndrome characterized by miccional urgency, with or without urge-incontinence, usually with frequency and noctúria, in patients without infection or other pathologies. Conservative management has been recomended as first-line treatment for OAB. Among the different physiotherapeutic resources available, electrical stimulation has been used for about 30 years with good results, mainly with intra-cavitary probes. Objective: to evaluate the effects of transcutaneous electrical nerve stimulation of the posterior tibial nerve in the treatment of the OAB. Methodology: A total of 43 women were selected and divided into two different groups: Group I (Stimulation) received electrical stimulation during 30 minutes, twice a week, during 4 weeks, using a TENS current, biphasic (alternating) with a pulse duration of 200 microseconds, stimulation frequency of 10Hz, with VIF (variation of intensity and frequency) through one channel and two electrodes. The intensity level was kept immediately under the motor threshold. Group II (Control) was submitted to the same protocol, but without electrical stimulation. Eight sections were done. Outcome measures included urodynamics exam and voiding diary before and after de treatment. Results: There was statistical difference between Control and Stimulation group at the end of the treatment regarding to daytime urinary frequency (p=0.0001), and noctúria (p=0.0186). Regarding to urgency symptom, the difference found between the groups before and after treatment was p=0.05, improving from 3.5 (SD +/- 3.9) to 1.5 (SD +/- 1.5) episodes per day. There was improvement of stress urinary incontinence episodes in the Stimulation Group when compared to Control Group (p=0.0273). We didn¿t find statistical difference of urgeincontinence symptoms between the groups, before and after the treatment. The maximal cystometric capacity increased statistically at Stimulation Group increasing from 322.9ml to 381.0ml in media (p=0.0328). We didn¿t find difference between Stimulation and Control Group regarding first desire to void. In 4 cases from Stimulation Group and 5 cases from the Control Group, involuntary detrusor contraction (IDC) disappeared. Patients who maintained IDC (n=14), we didn¿t find statistical difference regarding the intensity of the contraction or bladder volume at first contraction when compared Control and Stimulation Group. Conclusion: Transcutaneous posterior tibial nerve stimulation proved to be beneficial to patients with OAB, improving objective and subjective parameters / Doutorado / Ciencias Biomedicas / Doutor em Tocoginecologia

Orientador: Elizabeth Maria Aparecida Barasnevicius Quagliato / Tese (doutorado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas / Made available in DSpace on 2018-08-22T20:16:26Z (GMT). No. of bitstreams: 1 Sousa_RaimundoNonatoCampos_D.pdf: 2351873 bytes, checksum: aa05f2a60629deedfa05db1c8ace9d8b (MD5) Previous issue date: 2013 / Resumo: Objetivos: Avaliar em mulheres com doença de Parkinson e disfunções urinárias as correlações dos sintomas urinários com os sintomas motores e disfunções mentais. Verificar a prevalência de hiper-reflexia detrusora (HD), bem como analisar em longo prazo a gravidade do desempenho motor, estadiamento de Hoenh-Yahr, habilidades funcionais, funções neuropsicológicas e a magnitude da progressão desses aspectos clínicos e do declínio cognitivo em pacientes com HD. Sujeitos e Métodos: Estudamos uma coorte ambulatorial de sessenta e três (63) pacientes com DP cujos aspectos neurológicos foram avaliados com a utilização das escalas Unified Parkinson's Disease Rating Scale (UPDRS) e a escala de Hoehn-Yahr. As habilidades funcionais foram avaliadas pela escala Schwab & England e a função urológica foi quantificada pela International Prostatic Symptom Scale (IPSS) e qualificada pelo estudo urodinâmico. Foram então categorizados dois grupos: pacientes com e sem HD. Após sete anos os mesmos parâmetros foram reavaliados e a escala Montreal Cognitive Assessment (MoCA)-versão brasileira foi utilizada para o rastreamento neuropsicológico. Resultados: Na avaliação inicial foi constatada correlação positiva entre os sintomas urinários e a gravidade da doença, porém não havia correlação entre a sintomatologia urinária e os sintomas mentais. Sintomas motores, estágio de gravidade da doença e habilidades funcionais eram mais graves em pacientes com HD. Na reavaliação, os grupos não apresentavam diferença quanto à magnitude da progressão dos sintomas motores, do estadiamento da doença e das inabilidades funcionais. Foi observado no grupo com HD maior declínio cognitivo e uma nítida progressão dos escores mentais com risco aumentado para demência. Conclusão: Hiper-reflexia detrusora é um achado urodinâmico frequente em mulheres com DP e embora esteja associada à pior desempenho motor, estágios de maior gravidade da doença e inabilidades funcionais, não é um fator de maior progressão desses aspectos clínicos. Por outro lado as pacientes com HD tiveram, em longa duração, significante progressão da sintomatologia neuropsicológica.O perfil do declínio cognitivo e o risco para demência necessitam ser confirmados em estudos posteriores / Abstract: Objectives: This long-term study in women with Parkinson's disease (PD) and lower urinary tract dysfunctions aimed to verify the correlation of urinary symptoms with the severity of the disease and mental functions. Verify the prevalence of detrusor hiper-reflexia (DH) and analyze the severity of motor symptoms, Hoehn and Yahr stage, functional abilities and neuropsychological functions, as well as analyze the progression of these clinical aspects and cognitive decline in patients with DH. Subjects and Methods: We studied a cohort of sixty-three (63) PD patients whose neurological aspects were evaluated with the Unified Parkinson's Disease Rating Scale (UPDRS) and Hoehn-Yahr scale. Functional abilities were evaluated by Schwab and England scale and the urological function was quantified by International Prostatic Symptom Scale (IPSS) and qualified by urodynamic study. Two groups were then categorized: patients with and without HD. After seven years the same parameters were re-evaluated and the cognitive functions were assessed with the Montreal Cognitive Assessment (MoCA). Results: At baseline a correlation between urinary symptoms and motor dysfunction was verified but no correlation between urinary symptoms and mental symptoms was observed. The severity of motor symptoms, stage of the disease and functional disabilities were significant in patients with DH. In the follow up, the groups were similar in regards to progression of motor symptoms, Hoehn and Yahr stage and functional disabilities. On the other hand, decline in cognitive function and clear progression of mental scores and risk for dementia was observed in the group with DH. Conclusion: Urinary symptoms are correlated with the severity of the Parkinson's disease. Detrusor hyper-reflexia is a frequent urodynamic finding in women with DP and although it is associated with worse motor performance, stage of the disease and functional disabilities, it is not a factor of greater progression of these clinical aspects of the disease. On the other hand, patients with DH had a significant progression of the neuropsychological symptoms and risk of dementia. The profile of cognitive decline and dementia risk need to be confirmed in subsequent prospective studies / Doutorado / Neurologia / Doutor em Ciências Médicas

The aim of the thesis " A Physiotherapist's View of Overactive Bladder function in Multiple Sclerosis Patients" and the influence of physiotherapy on the symptoms of the overactive bladder. This thesis deals with exert influence on symptoms of an overactive bladder by physiotherapy. Therapy is based on the fact that guarding reflexes that maintains continence at the level of spine and subcortical (micturition centre in pons) are activated by the contraction of the pelvic floor muscles. Physiotherapy contains pelvic floor muscle training with biofeedback, behavioral training and training of stabilizing function of pelvic floor muscles. Powered by TCPDF (www.tcpdf.org)

Orientador: Cássio Luis Zanettini Riccetto / Tese (doutorado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas / Made available in DSpace on 2018-08-24T12:04:58Z (GMT). No. of bitstreams: 1 Palma_ThaisFigueiredo_D.pdf: 5188121 bytes, checksum: 3443d8a70ab4644713a51d88beb4d20c (MD5) Previous issue date: 2014 / Resumo: Introdução: A Síndrome da Bexiga Hiperativa (BH) é definida pela ICS (International Continence Society) como urgência urinária, acompanhada ou não por incontinência e frequentemente associada ao aumento da frequência urinária e noctúria. Objetivo: O objetivo do estudo foi verificar a influência da idade, do índice de massa corporal (IMC) e de antecedentes gestacionais nos sintomas de bexiga hiperativa em mulheres no menacme. Pacientes e Métodos: No total foram avaliados os questionários preenchidos por 1052 mulheres com idade entre 20 e 45 anos na região de Campinas. Foi utilizado o questionário ICIQ-OAB, uma ferramenta específica para bexiga hiperativa, em sua versão validada em Português e uma ficha de avaliação para dados demográficos e história médica, incluindo: idade, peso, altura, paridade e via de parto. Resultados: De modo geral, mulheres com idade entre 35 e 45 anos apresentaram escore do ICIQ-OAB significativamente maior do que todos os outros grupos (20 a 22; 23 a 27 e 38 a 34) (p<0.0001). Mulheres multíparas e primíparas apresentaram escore significativamente maior do que as nulíparas (p<0,001); e os sintomas não diferiram de acordo com a via de parto - vaginal ou cesárea (p=0.0074). Não foram encontradas diferenças significativas no escore entre os grupos de IMC (<18,5; 18,8 a 24,9; 25 a 29,9 e ? 30) (p=0,0066). Também foram encontradas diferenças significativas com relação ao incômodo causado pelos sintomas. Mulheres de 35 a 45 anos se sentem mais incomodadas do que os outros grupos com relação á frequência (p<0.0001), noctúria (p=0.0011), urgência (p=0.0015) e incontinência por urgência (p<0.0001). O incômodo causado pelos sintomas não diferiu entre os grupos de mulheres nulíparas, primíparas e multíparas (p=0,9363). As mulheres com IMC entre 25 e 29,9 apresentaram incômodo maior do que aquelas com IMC entre 18,5 e 24,9, com relação à incontinência por urgência (p=0,002). Conclusões: Na população estudada de mulheres no menacme, os sintomas de bexiga hiperativa são encontrados mais frequentemente e causam mais incômodo em mulheres com idade mais avançada, índice de massa corporal mais elevado e com histórico de pelo menos uma gestação / Abstract: Introduction: Overactive Bladder Syndrome (OAB) is defined by the ICS (International Continence Society) as urinary urgency, with or without urgency incontinence and frequently associated with increase of frequency and nocturia. Objectives: The aim of the study was to verify the influence of age, body mass index (BMI) and obstetric history in the symptoms of overactive bladder in premenopausal women. Patients and Methods: We analyzed a total of 1052 questionnaires that were filled out by women aged 20-45 in the area of Campinas, SP. We chose the ICIQ-OAB questionnaire, a tool that is specific for overactive bladder, in its Portuguese validated version and na assessment form with demographics and medical history, that included: age, weight, height, parity and mode of delivery (vaginal or cesarean). Results: Overall, women aged 35-45 presented higher scores than all other age groups (20 - 22; 23 - 27 and 38 - 34) (p<0.0001). Multiparous and primiparous women presented higher scores than nulliparous ones (p<0,001); and the symptoms did not differ according to mode of delivery ¿ vaginal or cesarean (p=0.0074). No significant differences were found between the BMI groups - <18,5; 18,8 - 24,9; 25 - 29,9 and ? 30 - (p=0,0066). We also found differences regarding symptom bother. Women aged 35-45 were more bothered than all other groups regarding frequency (p<0.0001), nocturia (p=0.0011), urgency (p=0.0015) and urgency incontinence (p<0.0001). Symptom bother did not differ between nuliparous, primiparous and multiparous women (p=0,9363). Women with BMI 25 - 29,9 were more bothered by urgency incontinence than those with BMI 18,5 - 24,9 (p=0,002). Conclusions: In the premenopausal women population of this study, OAB symptoms were found more frequently and cause more bother in older women, with higher BMI and with history of at least one pregnancy / Doutorado / Fisiopatologia Cirúrgica / Doutora em Ciências

No description available.

京都大学 / 新制・課程博士 / 博士(医学) / 甲第24191号 / 医博第4885号 / 新制||医||1060(附属図書館) / 京都大学大学院医学研究科医学専攻 / (主査)教授 中山 健夫, 教授 松村 由美, 教授 万代 昌紀 / 学位規則第4条第1項該当 / Doctor of Medical Science / Kyoto University / DFAM

No description available.

Background: Urinary incontinence (UI) and urgency are common conditions and can have a profound influence on many aspects of life. Approximately one in four women has UI and one in ten has daily symptoms. Knowledge is lacking, however, on the impact of UI and urgency on the lives of affected women and their partners and on the situation of women with urinary leakage one year postoperatively. Aims: To study the consequences of female UI and urgency for patients and their partners on quality of life (QoL), the partner relationship, and their sexual lives. Also to evaluate the success rates of three operation methods: tension-free vaginal tape (TVT), tension-free vaginal tape-obturator (TVT-O), and transobturator tape (TOT) for stress urinary incontinence (SUI), with a particular focus on women who still have urinary leakage one year after surgery. Methods: Women seeking healthcare for UI and/or urgency and their partners were invited to answer questionnaires. The women completed disease-specific questionnaires and both the women (n = 206) and their partners (n = 109) answered questions about their psychosocial situation, partner relationship, and sexual life. Patient-reported outcomes one year after surgery with TVT, TVT-O, or TOT (n = 3334) were derived from the Swedish National Quality Register for Gynaecological Surgery. Results: Most of the women reported that their urinary problems negatively affected their physical activities, and almost half reported negative consequences for their social life. Women aged 25–49 years were less satisfied with their psychological health, sexual life, and leisure than women aged 50–74 years. One third of both the women and their partners (all the partners were men) experienced a negative impact on their relationship, and sexual life was negatively affected in almost half of the women and one in five of their men. Coital incontinence was reported in one third of the women. Most of their men did not consider this a problem, but the majority of the affected women did. Satisfaction with outcome of the operation did not differ between TVT, TVT-O, and TOT, but TVT showed a higher success rate for SUI than TOT did. Higher age, higher body mass index, a diagnosis of mixed urinary incontinence, and a history of urinary leakage in combination with urgency each constitute a risk for a lower operation success rate. After one year, 29% of the women still had some form of UI, but half of these were satisfied with the outcome and most reported fewer negative impacts on family, social, working, and sexual life than before the operation. Conclusions: Female UI and/or urgency impaired QoL, particularly in young women, and had negative effects on partner relationships and on some partners’ lives. Sexual life was also affected, more often in women with UI and/or urgency than in their partners. At one-year follow-up after surgery, about one third of the women still had some form of UI, but the negative impact on their lives was reduced. A challenge for health care professionals is to initiate a dialogue with women with urinary symptoms about sexual function and what surgery can realistically be expected to accomplish.

Η υπερδραστηριότητα του εξωστήρα μυ της κύστης, που αποτελεί το αντικείμενο της παρούσας μελέτης, είναι μια ουροδυναμική παρατήρηση. Κατά κανόνα, η εργαστηριακή αυτή παρατήρηση συνοδεύει ένα κλινικό σύνδρομο, που χαρακτηρίζεται από συνδυασμό συμπτωμάτων από το κατώτερο ουροποιητικό σύστημα, και ονομάζεται σύνδρομο της υπερδραστήριας κύστης ή σύνδρομο έπειξης ή σύνδρομο συχνουρίας-έπειξης. Αν και το κλινικό σύνδρομο είναι εξαιρετικά συχνό και αποτελεί αναπόσπαστο τμήμα του καθημερινού όγκου δουλειάς κάθε ουρολόγου ή και γενικού ιατρού, η χρήση της σχετικής ονοματολογίας για τα συμπτώματα, τα σημεία και εργαστηριακά ευρήματα είναι πολλές φορές καταχρηστική και, ως εκ τούτου, η προκαλούμενη σύγχυση αναπόφευκτη. Η αιτιολογία της υπερδραστηριότητας του εξωστήρα, με εξαίρεση τις περιπτώσεις όπου ανιχνεύσιμη νευρολογική βλάβη μπορεί να ενοχοποιηθεί αιτιολογικά (νευροπαθής υπερδραστηριότητα εξωστήρα) είναι άγνωστη (ιδιοπαθής) παρά τις σχετικές θεωρίες που έχουν διατυπωθεί για την ερμηνεία της. Όσον αφορά την αντιμετώπιση της σχετικής συμπτωματολογίας υπάρχει πληθώρα μεθόδων τόσο συντηρητικών όσο και επεμβατικών. Η ποικιλία των διαθέσιμων φαρμακευτικών σκευασμάτων και διαφόρων επεμβατικών τεχνικών, αν όχι ανεξάντλητη είναι σίγουρα μεγάλη και αποδεικνύει την έλλειψη ιδανικής θεραπευτικής προσέγγισης. Η εκτίμηση του αποτελέσματος της όποιας θεραπευτικής παρέμβασης γίνεται άλλοτε με αντικειμενικά και άλλοτε με υποκειμενικά κριτήρια. Αδιαμφισβήτητα η υποκειμενική εκτίμηση του αποτελέσματος είναι ιδιαίτερα μεγάλης σημασίας, καθώς, δικαιωματικά, ο ίδιος ο ασθενής αποτελεί τον τελικό αποδέκτη των ενεργειών και παρενεργειών της θεραπείας. Όμως, η επιστημονική μέθοδος, απαραίτητη για την βελτίωση της κατανόησης της αιτιολογίας , της παθοφυσιολογίας της φυσικής ιστορίας και της θεραπευτικής προσέγγισης οποιασδήποτε παθολογίας, απαιτεί αυστηρά αντικειμενικά κριτήρια . Γίνεται κιόλας φανερό ότι υπάρχουν αρκετά κενά όσον αφορά την ονοματολογία, την αιτιολογία και τη διάγνωση της υπερδραστηριότητας του εξωστήρα. Όμως και στον τομέα της θεραπείας ή έλλειψη τόσο προγνωστικών κριτηρίων για την ανταπόκριση στη θεραπεία όσο και γενικά αποδεκτών, κλινικά σημαντικών, παραμέτρων εκτίμησης του αποτελέσματος επιβάλλουν την περαιτέρω μελέτη για την ανεύρεσή τους. Σ’ αυτή την κατεύθυνση επικεντρώνεται και προσπάθεια της συγκεκριμένης μελέτης. / -

Orientador: Eliana Martorano Amaral / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas / Made available in DSpace on 2018-08-16T16:08:18Z (GMT). No. of bitstreams: 1 Frederice_ClaudiaPignatti_M.pdf: 1640495 bytes, checksum: 0fb6fab5315024ff3608aa1c7eb6ac16 (MD5) Previous issue date: 2010 / Resumo: Objetivo: Avaliar a associação da função muscular do assoalho pélvico (AP) com a presença de sintomas urinários no terceiro trimestre gestacional de nulíparas e em primíparas 60 dias pós-parto. Sujeitos e método: Este é um estudo de coorte prospectivo, com análises tipo corte transversal para a gestação e para o puerpério, apresentadas nesta dissertação. Gestantes entre 30-34 semanas gestacionais de feto único, entre 18-35 anos, que faziam prénatal no CAISM-UNICAMP ou em Unidades Básicas de Saúde de Campinas, foram selecionadas. Gestantes que evoluíram para parto vaginal com episiotomia e cesariana após trabalho de parto foram avaliadas dois meses após o parto. Nos dois momentos estudados, foi registrada a medida da contração do AP por meio de eletromiografia de superfície - EMGs (tônus de base - TB, contração voluntária máxima - CVM e contração sustentada média - CSM), e por graduação de força muscular (graus 0-5). Avaliou-se a presença de sintomas urinários de noctúria, urgência e aumento de frequência urinária diurna (sintomas de Bexiga Hiperativa - BH), enurese, e incontinências de esforço e de urgência por meio de entrevista, na gestação e no pós-parto. Excluíram-se as mulheres com: dificuldade de compreensão, déficit motor/neurológico de membros inferiores, cirurgia pélvica prévia, diabetes, contraindicação para palpação vaginal e que praticavam exercícios para a musculatura do AP. Foram utilizados os testes qui-quadrado e Exato de Fisher para análise de proporções e o teste de Mann-Whitney para analisar diferenças de médias. Foram calculadas as razões de prevalência (RP) com intervalos de confiança (IC) de 95%. Resultados: Foram avaliadas 91 gestantes, em média com 32 semanas gestacionais e 24,3 anos. Os valores médios encontrados de TB, CVM e CSM foram 4,8µV, 19,2µV e 12,9µV, respectivamente e a maior parte das gestantes (48,4%) apresentou grau três de força muscular. O sintoma urinário mais prevalente foi a noctúria (80,2%), seguido do aumento de frequência urinária diurna (59,3%) e da incontinência urinária de esforço (50,5%). Observou-se associação entre a presença de sintomas de BH com menor TB. Não foi observada associação entre a presença de sintomas urinários com a graduação de força, com CVM e CSM. Gestantes da cor branca apresentaram prevalência 1,79 maior de incontinência urinária de esforço (RP bruta=1.79 [IC95% 1,12-2,87]). Entre as 46 puérperas avaliadas (43% submetidas ao parto vaginal e 57% à cesariana), em média 63,7 dias pós-parto, os valores médios encontrados de TB, CVM e CSM foram 3µV, 14,6µV e 10,3µV, respectivamente. A maior parte (56,5%) apresentou grau três de força muscular. Os sintomas mais prevalentes foram a noctúria (19,6%), urgência (13%) e o aumento de frequência urinária diurna (8,7%). Puérperas obesas e com sobrepeso tiveram 4,62 vezes mais sintomas de BH (RP bruta=4,62 [IC95% 1,15-18,5]). A perda urinária aos esforços foi a mais prevalente entre as incontinências, acometendo 6,5% das puérperas. Nenhuma outra característica, incluindo via de parto, associou-se aos sintomas de incontinência ou BH. Não foi observada associação entre a presença de sintomas urinários com os valores de EMGs ou graduação de força. Conclusão: Foi observado menor TB entre gestantes que apresentavam sintomas de BH. Não se observou associação entre as outras medidas de avaliação do AP com os sintomas urinários. Após o parto não se observou associação entre a graduação de força e EMGs do AP com os sintomas urinários / Abstract: Purpose: To evaluate the association between pelvic floor (PF) muscle function and urinary symptoms in the third trimester of pregnancy in nulliparous and primiparous 60 days postpartum. Subjects and method: A prospective cohort was conducted with cross-sectional analysis for pregnancy and the postpartum period presented in this dissertation. Pregnant women between 30-34 weeks of pregnancy of a single fetus, between 18-35 years, from antenatal clinics of UNICAMP-CAISM or from Primary Health Units of Campinas, were selected. Pregnant women who had a vaginal delivery with episiotomy and cesarean section after labor were assessed two months after birth. In both periods studied, PF muscle function was accessed by surface electromyography - sEMG (basic tonus-BT, maximum voluntary contraction-MVC average of sustained contraction- ASC), and by muscle strength grading (grades 0 -5). Were evaluated the presence of urinary symptoms of nocturia, urgency and increased daytime frequency (overactive bladder symptoms - OAB), enuresis, urge and stress urinary incontinence were identified through interview, during pregnancy and postpartum. Women excluded were those with: disability to understand, motor or neurological impairment of lower limb, pelvic surgery, diabetes, contraindication for vaginal palpation and practitioners of exercises for PF muscles. Chi-square and Fisher Exact test were used for analysis of proportions and the Mann-Whitney test to analyze differences in means. Prevalence ratios (PR) were calculated with 95% confidence intervals (CI). Results: Ninety-one pregnant women were evaluated with an average of 32 weeks' pregnancy and 24.3 years. The average values of BT, MVC and ASC were: 4.8µV, 19.2µV and 12.9µV respectively, and most of the women (48.4%) presented muscle strength grade three. The most prevalent urinary symptom was nocturia (80.2%), followed by increased daytime frequency (59.3%) and stress urinary incontinence (50.5%). There was an association between symptoms of OAB with lower BT. There was no association between urinary symptoms and the degree of strength, with MVC e ASC. White pregnant women had a prevalence 1.79 higher of stress urinary incontinence (PR crude = 1.79 [95% CI 1.12 to 2.87]). Among the 46 mothers tested (43% with vaginal deliveries and cesarean sections 57%) on average 63.7 days postpartum, the mean values for BT, MVC and ASC were 3?V, 14.6µV and 10.3µV, respectively. Most women (56.5%) had grade three of muscle strength. The most prevalent symptoms were nocturia (19.6%), urgency (13%) and increased daytime urinary frequency (8.7%). Puerperal obese and overweight had 4.62 times more OAB symptoms (PR crude = 4.62 [95% CI 1.15 to 18.5]). The stress urinary incontinence was the most prevalent incontinence, affecting 6.5% of postpartum women. No other feature, including mode of delivery, was associated with symptoms of incontinence or OAB. There was no association between urinary symptoms and the degree of strength or PF sEMG values. Conclusion: A lower TB was observed among pregnant women with OAB symptoms. No association was observed between other measurement of PF muscle function and urinary symptoms. After delivery there was no association between the grading of muscle strength and PF sEMG with urinary symptoms / Mestrado / Ciencias Biomedicas / Mestre em Tocoginecologia