Perfil epidemiológico de mulheres com incontinência urinária e qualidade de vida no pós cirúrgico de pacientes submetidas à cirurgia de correção (estudo prospectivo)
Tipo
TCC
Data de publicação
2024-06-13
Periódico
Citações (Scopus)
Autores
Marafigo, Thatiana Helena Tiemann de
Bruniera, Victória
Bruniera, Victória
Orientador
Jaworski, Paulo Eduardo Dietrich
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Introdução: A incontinência urinária (IU) está associada a diversos fatores de risco na população em geral, além de ser um problema prevalente que pode estar associado a alteração da qualidade de vida das pessoas, especialmente as mulheres. Assim, dentre muitas modalidades de tratamento há o procedimento cirúrgico que, de forma significativa, pode elevar essa qualidade de vida antes afetada pela IU. Objetivo: Identificar os fatores de risco e epidemiológicos associados à IU e avaliar a qualidade de vida após o tratamento cirúrgico. Metodologia: O estudo foi conduzido como uma análise observacional transversal e prospectiva, envolvendo 255 pacientes devidamente em concordância com os critérios de inclusão estabelecidos, no período de 20 de junho de 2023 a 29 de fevereiro de 2024, no ambulatório de uroginecologia do Hospital Universitário Evangélico Mackenzie (HUEM), realizado através de consulta com as pacientes sob agendamento, e aplicação de anamnese e exame físico pertinente, além da utilização do questionário ICIQ para as pacientes submetidas a cirurgia corretiva de IU. Resultados: Os resultados obtidos demonstram alguns fatores epidemiológicos com alta frequência como idade avançada, cor branca, IUM como tipo de queixa mais comum, multiparidade e presença de partos normais, cirurgia ginecológica prévia, como a histerectomia além, ainda, da presença de prolapsos genitais da parede anterior e realização prévia de alguma forma de tratamento. Ademais, em relação ao procedimento cirúrgico de correção, a grande maioria das pacientes apresentou melhora significativa da qualidade de vida depois desta etapa, especialmente nos primeiros 30 dias de pós-operatório. Conclusão: Este estudo evidenciou grande concordância entre os achados da literatura acerca da epidemiologia da IU com os dados obtidos no decorrer deste, ainda evidenciou a melhora clínica e de qualidade de vida em curto período, de até 60 dias de pós operatório, das mulheres submetidas a cirurgia de correção, principalmente com a técnica sling, porém, como algumas pacientes voltaram a ter uma piora do quadro de IU e qualidade de vida a isto relacionado, fica evidente a necessidade de um acompanhamento maior, em relação ao tempo de estudo, para identificar se este fato ocorreu de forma isolada ou se mais pacientes voltariam a apresentar sintomas de IU o que afetaria, então, sua qualidade de vida.
Introduction: Urinary incontinence (UI) is associated with various risk factors in the general population, as well as being a prevalent problem that can be associated with changes in people's quality of life, especially women. Thus, among the many treatment modalities is surgery, which can significantly improve the quality of life previously affected by UI. Objective: To identify the risk and epidemiological factors associated with UI and to assess quality of life after surgical treatment. Methodology: The study was conducted as a cross-sectional and prospective observational analysis, involving 255 patients duly in agreement with the established inclusion criteria, in the period from June 20, 2023 to February 29, 2024, at the urogynecology outpatient clinic of the Mackenzie Evangelical University Hospital (HUEM), carried out through consultation with patients by appointment, and application of anamnesis and pertinent physical examination, in addition to the use of the ICIQ questionnaire for patients undergoing corrective surgery for UI. Results: The results obtained show some epidemiological factors with a high frequency such as advanced age, white color, IUM as the most common type of complaint, multiparity and the presence of normal births, previous gynecological surgery such as hysterectomy as well as the presence of genital prolapse of the anterior wall and previous performance of some form of treatment. In addition, in relation to the surgical correction procedure, the vast majority of patients showed a significant improvement in their quality of life after this stage, especially in the first 30 days post-surgery. Conclusion: This study showed a great deal of agreement between the findings in the literature on the epidemiology of UI and the data obtained during the course of the study. It also showed clinical improvement and improvement in quality of life in a short period, up to 60 days after surgery, in women who underwent correction surgery, mainly using the sling technique, however, However, as some patients experienced a worsening of their UI and related quality of life, it is clear that there is a need for longer follow-up, in relation to the time of the study, in order to identify whether this occurred in isolation or whether more patients presented UI symptoms again, which would then affect their quality of life.
Introduction: Urinary incontinence (UI) is associated with various risk factors in the general population, as well as being a prevalent problem that can be associated with changes in people's quality of life, especially women. Thus, among the many treatment modalities is surgery, which can significantly improve the quality of life previously affected by UI. Objective: To identify the risk and epidemiological factors associated with UI and to assess quality of life after surgical treatment. Methodology: The study was conducted as a cross-sectional and prospective observational analysis, involving 255 patients duly in agreement with the established inclusion criteria, in the period from June 20, 2023 to February 29, 2024, at the urogynecology outpatient clinic of the Mackenzie Evangelical University Hospital (HUEM), carried out through consultation with patients by appointment, and application of anamnesis and pertinent physical examination, in addition to the use of the ICIQ questionnaire for patients undergoing corrective surgery for UI. Results: The results obtained show some epidemiological factors with a high frequency such as advanced age, white color, IUM as the most common type of complaint, multiparity and the presence of normal births, previous gynecological surgery such as hysterectomy as well as the presence of genital prolapse of the anterior wall and previous performance of some form of treatment. In addition, in relation to the surgical correction procedure, the vast majority of patients showed a significant improvement in their quality of life after this stage, especially in the first 30 days post-surgery. Conclusion: This study showed a great deal of agreement between the findings in the literature on the epidemiology of UI and the data obtained during the course of the study. It also showed clinical improvement and improvement in quality of life in a short period, up to 60 days after surgery, in women who underwent correction surgery, mainly using the sling technique, however, However, as some patients experienced a worsening of their UI and related quality of life, it is clear that there is a need for longer follow-up, in relation to the time of the study, in order to identify whether this occurred in isolation or whether more patients presented UI symptoms again, which would then affect their quality of life.
Descrição
Palavras-chave
incontinência urinária , fatores de risco , qualidade de vida , tratamento cirúrgico , urinary incontinence , risk factors , quality of life , surgical treatment