Pelvic floor muscle function and quality of life in postmenopausal women with and without pelvic floor dysfunction.

Autor:	Frota IPR; Department of Surgery, Maternidade Escola Assis Chateaubriand and Department of Maternal-Child Health, Federal University of Ceará, Fortaleza, CE, Brazil., Rocha ABO; Department of Gynecology, Faculty of Medicine, University of Sao Paulo, São Paulo, SP, Brazil., Neto JAV; Department of Surgery, Maternidade Escola Assis Chateaubriand and Department of Maternal-Child Health, Federal University of Ceará, Fortaleza, CE, Brazil., Vasconcelos CTM; Departament of Nursing, Faculty of Pharmacy, Odontology and Nursing, Federal University of Ceará, Fortaleza, CE, Brazil., De Magalhaes TF; Department of Surgery, Maternidade Escola Assis Chateaubriand and Department of Maternal-Child Health, Federal University of Ceará, Fortaleza, CE, Brazil., Karbage SAL; Department of Surgery, Maternidade Escola Assis Chateaubriand and Department of Maternal-Child Health, Federal University of Ceará, Fortaleza, CE, Brazil., Augusto KL; Department of Surgery, Maternidade Escola Assis Chateaubriand and Department of Maternal-Child Health, Federal University of Ceará, Fortaleza, CE, Brazil., Nascimento SLD; Department of Physical Therapy, Faculty of Medicine, Federal University of Ceará, Fortaleza, CE, Brazil., Haddad JM; Department of Gynecology, Faculty of Medicine, University of Sao Paulo, São Paulo, SP, Brazil., Bezerra LRPS; Department of Surgery, Maternidade Escola Assis Chateaubriand and Department of Maternal-Child Health, Federal University of Ceará, Fortaleza, CE, Brazil.
Jazyk:	angličtina
Zdroj:	Acta obstetricia et gynecologica Scandinavica [Acta Obstet Gynecol Scand] 2018 May; Vol. 97 (5), pp. 552-559. Date of Electronic Publication: 2018 Feb 17.
DOI:	10.1111/aogs.13305
Abstrakt:	Introduction: This study aims to compare pelvic floor muscle (PFM) function in postmenopausal women with and without pelvic floor dysfunction (PFD) and the relation between PFM function and quality of life. Material and Methods: A case-control study with 216 postmenopausal women with (n = 126) and without (n = 90) PFD. PFM function was assessed by digital vaginal palpation using the PERFECT scale. Specific quality of life was evaluated using the King's Health Questionnaire for women with urinary incontinence and the Prolapse Quality-of-Life Questionnaire for women with pelvic organ prolapse. We analyzed women with PFD into two categories: Oxford's grade ≤2 or ≥3 using a chi-squared test. Results: Out of 126 womem with PFD 44 (34.9%) presented stress urinary incontinence, 21 (16.6%) had pelvic organ prolapse and 61 (48.4%) had urinary incontinence + pelvic organ prolapse. Strength had a median value 2 (0-5) in all women studied and most of them had insufficient strength, reduced endurance and repetition without statistical difference between groups. Incontinent women with strength ≤2 had worse perception of general health domain of King's Health Questionnaire (p = 0.007). No association was found between PFM function and Prolapse Quality-of-Life Questionnaire. Conclusions: PFM function assessed by bidigital palpation in postmenopausal women was not sufficiently sensitive to differentiate between women with vs. women without PFM dysfunction and was not related with specific quality of life in women with urinary incontinence and pelvic organ prolapse, respectively. These data should be used to reinforce the widespread recommendation that PFM training is essencial in PFD treatment. (© 2018 Nordic Federation of Societies of Obstetrics and Gynecology.)
Databáze:	MEDLINE
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