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 FRAGA^{2
Universidade Federal do Parana, Parana, Brazil}Federal 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.

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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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