Pelvic floor dysfunctions in women with systemic lupus erythematosus: A cross-sectional study.

Autor: Bifani BE; Department of Physical Therapy, Federal University of São Carlos, Rodovia Washington Luiz, km 235-SP-310, São Carlos, SP, 13565-905, Brazil., Sato TO; Department of Physical Therapy, Federal University of São Carlos, Rodovia Washington Luiz, km 235-SP-310, São Carlos, SP, 13565-905, Brazil.; Physical Therapy Post-Graduate Program, Federal University of São Carlos, São Carlos, SP, Brazil., Dos Santos GB; Department of Physical Therapy, Federal University of São Carlos, Rodovia Washington Luiz, km 235-SP-310, São Carlos, SP, 13565-905, Brazil.; Physical Therapy Post-Graduate Program, Federal University of São Carlos, São Carlos, SP, Brazil., Serrão PRMDS; Department of Physical Therapy, Federal University of São Carlos, Rodovia Washington Luiz, km 235-SP-310, São Carlos, SP, 13565-905, Brazil.; Physical Therapy Post-Graduate Program, Federal University of São Carlos, São Carlos, SP, Brazil., Rocha APR; Department of Physical Therapy, Federal University of São Carlos, Rodovia Washington Luiz, km 235-SP-310, São Carlos, SP, 13565-905, Brazil.; Physical Therapy Post-Graduate Program, Federal University of São Carlos, São Carlos, SP, Brazil., Carvalho C; Department of Physical Therapy, Federal University of São Carlos, Rodovia Washington Luiz, km 235-SP-310, São Carlos, SP, 13565-905, Brazil. cristiano_ew@hotmail.com.; Physical Therapy Post-Graduate Program, Federal University of São Carlos, São Carlos, SP, Brazil. cristiano_ew@hotmail.com.
Jazyk: angličtina
Zdroj: International urogynecology journal [Int Urogynecol J] 2023 May; Vol. 34 (5), pp. 1025-1033. Date of Electronic Publication: 2022 Aug 01.
DOI: 10.1007/s00192-022-05310-6
Abstrakt: Introduction and Hypothesis: As a result of the impairment of the musculoskeletal system, the pelvic floor muscles are likely compromised in women with systemic lupus erythematosus (SLE). We hypothesized that women with SLE would report more symptoms of pelvic floor dysfunction (PFD) and there will be an association between SLE and PFD.
Methods: An online cross-sectional survey was conducted. Data were collected on demographic and anthropometric characteristics, PFD (urinary incontinence, nocturia, anal incontinence, genital-pelvic pain/penetration disorder and pelvic organ prolapse) and obstetric history using a web-based questionnaire. The groups were compared using the Mann-Whitney test for quantitative variables and the chi-squared test for categorical variables. The association between SLE and PFD was tested using logistic regression analysis.
Results: A total of 196 women answered the questionnaire (102 with SLE and 94 healthy controls). Women with SLE reported significantly more urinary incontinence, nocturia, anal incontinence, pelvic organ prolapse and genital-pelvic pain/penetration disorder than the healthy controls (p ≤ 0.05). Women with SLE were 2.8- to 3.0-fold more likely to report genital-pelvic pain/penetration disorder than healthy women.
Conclusions: The prevalence of PFD was significantly higher in women with SLE compared to healthy women. Thus, PFD seems to be an important problem in women with this disease. An in-depth investigation of these disorders could contribute to the understanding of how SLE impacts pelvic floor function.
(© 2022. The International Urogynecological Association.)
Databáze: MEDLINE
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