e-ISSN 1973-4913
Volume : 41 Issue : 3 Year : 2022
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pelviperineology. 2022; 41(3): 159-166 | DOI: 10.34057/PPj.2022.41.03.2022-8-2

Correlation between urinary incontinence and subclinical diseases of the pelvis: What is neglected in the physical examination?

Daniela BUSATO, Dunia VERONA, Claudia Veloso MUELLER, Cíntia Elisabete Fischer BLOSFELD, Maura Regina SELEME2, Rogerio de FRAGA2
Universidade Federal do Parana, Parana, BrazilFederal University of Parana, 2Inspirar Faculty Physiotherapy/Specialization for Pelvic Faculdade Inspirar, Parana, Brazil

Objectives: To evaluate and compare the presence of underlying and subclinical diseases of the pelvis through a functional preoperative physical examination in patients undergoing urinary incontinence correction and presentation of a video with the hypertonic pelvic floor and chronic pelvic pain examination. Materials and Methods: Fifty-eight women presenting urinary incontinence were evaluated for superficial and deep pain using the visual analog scale and divided in 2 groups: With and without hypertonic pelvic floor, through electromyography. Results: The prevalence of hypertonic pelvic floor in incontinent women in our study was 17.2%. Women with hypertonic pelvic floor had an odds ratio 5.37x higher of referring pain (p=0.02) and 5.6x higher of referring deep pain (p=0.01) during physical examination. Patients with hypertonic pelvic floor were also significantly younger (p=0.02), with a median age of 8,5 years less (40.5 years) than patients without hypertonic pelvic floor (49 years). Women who underwent cesarean sections had a risk 5x lower of displaying hypertonic pelvic floor (p=0.03). Conclusion: Hypertonic pelvic floor and chronic pelvic pain can be identified in patients with urinary incontinence through standardized physical examination and treated preoperatively, minimizing the probability of being attributed to a complication of pelvic surgery.


Cite This Article

BUSATO D, VERONA D, MUELLER C, BLOSFELD C, SELEME M, FRAGA R. Correlation between urinary incontinence and subclinical diseases of the pelvis: What is neglected in the physical examination?. 2022; 41(3): 159-166

Corresponding Author: BUSATO D.

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