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Avalia??o da incontin?ncia urin?ria de esfor?o em mulheres na p?s-menopausa com e sem queixa de perda urin?ria atrav?s da aplica??o do pad-test de 1 hora

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Previous issue date: 2010-10-29 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / Stress urinary incontinence (SUI) is defined as "involuntary loss of urine" due to
several processes that alter the ability of the bladder to hold urine properly,
regarded as a social and hygienic problem that adversely affects quality of life.
In postmenopausal women, IU is associated with atrophy and weakness of the
pelvic floor muscles. The objective this study was investigate, using the onehour
pad test, stress urinary leakage (SUI), evaluate and compare their results
in postmenopausal and premenopausal women. The survey was characterized
as a cross-sectional study. The study consisted of 60 postmenopausal women
were divided into GIU - consisting of 34 volunteers complaining of involuntary
loss of urine during stress - and GSIU - consisting of 26 volunteers without
complaints of loss of urine during stress, and 15 women, during the premenopausal
(GPM), and ovulatory with normal menstrual cycle. All volunteers
were evaluated clinically, subjected to one-hour pad test, after the biochemical
evaluation of blood and sex hormones. Statistical analysis was performed by
descriptive analysis, ANOVA, Turkey?s post-test and Pearson correlation. The
results showed that 100% of postmenopausal patients had involuntary loss of
urine during one hour pad test (GIU: 4.0 g; GSIU: 4.5 g). GPM remained
continent after an hour pad test (GPM: 0.4 g). In addition, Pearson showed a
strong correlation between urine loss with time since menopause (r = 0.8, p
<0.01) and body mass index - BMI (r = 0.7; p = 0.01). These data suggest that
the one-hour pad test is a useful test to assess and quantify urinary leakage,
including those volunteers who had no previous complaint of SUI / A incontin?ncia urin?ria (IU) ? definida como perda involunt?ria de urina
decorrente de diversos processos que alteram a capacidade da bexiga de reter
a urina adequadamente. A IU surge com o avan?ar da idade e m mulheres na
p?s-menopausa, seu aparecimento associa-se a atrofia e a fraqueza da
musculatura do assoalho p?lvico. O objetivo deste estudo foi investigar, com o
uso do pad test de uma hora, as perdas urin?rias aos esfor?os (IUE), avaliar e
comparar seus resultados em mulheres na p?s-menopausa e na pr?menopausa.
A pesquisa foi caracterizada como um estudo transversal. O
estudo foi composto por 60 mulheres na p?s-menopausa, divididas em GIU
constitu?do por 34 volunt?rias com queixa de perda involunt?ria de urina aos
esfor?os e GSIU constitu?do por 26 volunt?rias sem queixa de perda de
urina aos esfor?os, e 15 mulheres, no per?odo da pr?-menopausa (GPM),
ovulat?rias e com ciclo menstrual normal. Todas as volunt?rias foram avaliadas
clinicamente, submetidas ao pad test de uma hora, ap?s avalia??o bioqu?mica
do sangue e dos horm?nios sexuais. A estat?stica foi feita atrav?s da an?lise
descritiva, o teste param?trico ANOVA, o p?s-teste de Turkey e a correla??o de
Pearson. Os resultados mostraram que 100% das pacientes na p?smenopausa
apresentaram perda involunt?ria de urina durante o pad test de
uma hora (GIU:4,0g; GSIU:4,5g). O GPM manteve-se continente ap?s o pad
test de uma hora (GPM:0,4g). Al?m disso, a correla??o de Pearson mostrou um
forte rela??o entre as perdas de urina com o tempo de menopausa
(r=0,8;p<0,01) e com o ?ndice de massa corporal IMC (r=0,7;p=0,01). Os
dados obtidos sugerem que o pad test de uma hora ? um exame ?til para
avaliar e quantificar as perdas urin?rias, inclusive daquelas volunt?rias que n?o
apresentavam queixa pr?via de IUE

Identiferoai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/13317
Date29 October 2010
CreatorsMicussi, Maria Thereza Albuquerque Barbosa Cabral
ContributorsCPF:13049127449, http://lattes.cnpq.br/7869140767244263, Mac?do, Albanita Leite Soares de, CPF:29757002453, Costa, H?lio de Lima Ferreira Fernandes, CPF:50191233404, http://lattes.cnpq.br/2988351321177715, Maranh?o, T?cia Maria de Oliveira
PublisherUniversidade Federal do Rio Grande do Norte, Programa de P?s-Gradua??o em Ci?ncias da Sa?de, UFRN, BR, Ci?ncias da Sa?de
Source SetsIBICT Brazilian ETDs
LanguagePortuguese
Detected LanguageEnglish
Typeinfo:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis
Formatapplication/pdf
Sourcereponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN
Rightsinfo:eu-repo/semantics/openAccess

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