Avaliação da função sexual em mulheres com incontinência urinária mista antes e após um protocolo de treinamento para musculatura do assoalho pélvico

Abstract

Introduction: Urinary incontinence (UI) is defined as "any complaint of involuntary loss of urine" and although it does not pose a threat to life, the negative repercussions caused by this pathology, including sexual life, are consensual. Objective: To evaluate the efficacy of a physiotherapeutic treatment for women with UI and sexual dysfunction (DS) through a training protocol for pelvic floor musculature. Methodology: This is a quasi-experimental study, carried out at the University Hospital Onofre Lopes. A total of 14 women with mixed urinary incontinence and active sexual life participated in the study. The data collection took place in three stages: Evaluation, with application of the evaluation form, of the questionnaires and physical examination; Intervention, with application of training protocol for pelvic floor musculature; and Reassessment, Application of evaluation form, questionnaires and physical examination at the end of treatment, after 2 months of intervention. Two visits were performed per week, with a duration of 30 minutes per service. The data were analyzed through the statistical software SPSS 20.0, assigning the level of significance of 5%. The Shapiro-Wilk test was used to test the normality of the data. The bivariate analysis was conducted through the paired T-test with the objective of verifying differences between the initial and final moments of the treatment. Results: Perineometry presented a statistically significant difference (P = 0.033), as well as urinary complaints (P = 0.002) when compared before and after treatment. Regarding sexual function, no significant difference (P = 0.636) was observed at both moments. Conclusion: No statistically significant differences were found in relation to the SFFI questionnaire scores before and after the application of the training protocol for pelvic floor musculature