Avaliação da função dos músculos do assoalho pélvico e da incontinência urinária em universitárias: um estudo transversal

Abstract

The aim of this study was to evaluate the function and pressure of contraction of the Pelvic Floor Muscles (PFM) and the prevalence of Urinary Incontinence (UI) in university students. A cross-sectional study was carried out, with nulliparous university students between 18 and 35 years old, who had already had sexual intercourse and who had never undergone physical therapy treatment for Pelvic Floor Muscle Disorders (PFMD). All volunteers underwent anamnesis, answered the International Consultation on Incontinence Questionnaire - Short Form (ICIQ-SF) and Incontinence Severity Index Questionnaire (ISI-Q), and performed an assessment of tone, coordination, strength, resistance (PERFECT Scheme) and MAP manometry. The Shapiro-Wilk test was used and sample values are expressed as medians, interquartile ranges, absolute and relative frequencies. Thirty-five women were evaluated, of which 65.72% had normal tone, 5.71% had coordination in PFM contraction, with medians of Power 3.00 (2.00-4.00) and Endurance 4.56 (3, 30-8.00) seconds in PERFECT and 12.00 (8.30-40.00) cmH2O in MAP manometry. The prevalence of UI was 57.14%, with moderate severity (55%), with Urgent Urinary Incontinence (UUI) being the most prevalent complaint (50%). This study allowed the identification of deficits in the function and pressure of PFM contraction, in addition to high rates of UI in university students, demonstrating the importance of making this public aware of this PFMD.