
1st STUDENT SCIENTIFIC CONFERENCE OF THE BRAZILIAN ASSOCIATION FOR RESEARCH AND POSTGRADUATE IN PHYSIOTHERAPY (ABRAPG-FT)
Mais dadosUrogynecological dysfunctions represent deficits in the functionality of the pelvic floor muscles (PFMs). Among these comorbidities, urinary incontinence is the involuntary loss of urine and affects about 50% of women at some point in life, with increasing incidence in advanced age in women under 65 years old, stress urinary incontinence is a little more common, while women over 65 are more likely to have mixed incontinence. Deficient or inadequate function of PFMs is one of the etiological factors for urinary incontinence, directly impacting the quality of life and sexual quality in women. Pelvic organ prolapse (POP) is defined as a protrusion or herniation of the pelvic organs through the vaginal walls and pelvic floor. It affects women between 20-29 years old about 6%, while women aged 50-59 years old represent 31% with POP and 50% of women with POP are 80 years old or older.
ObjectivesTo describe the profile of patients assisted by physiotherapy in women's health in the proposed unit and to identify the main pathologies that most affect this population.
MethodsThis is a cross-sectional study. All participants signed the Informed Consent Form (TCLE). The sample consisted of women with urogynecological disorders referred by doctors from hospitals and units of the Unified Health System (SUS) or sought the physiotherapy service at CASMUC, in the period 2022-2023.
ResultsA total of 32 patients were admitted and treated at the outpatient clinic during the period. As for the sociodemographic profile, there was a higher prevalence of elderly women (60 years old or more) (31.3%), single (37.5%) with housewife occupation (28.1%). It appears that in the sample most of the patients went through 2 or 4 pregnancies (25% each). Therefore, this multiparity leads them to a greater risk of urogynecological dysfunctions due to the weakening of the MAP. Regarding urogynecological disorders, based on medical diagnosis, 21.9% had stress urinary incontinence, 18.8% mixed urinary incontinence, 12.5% pelvic organ prolapse, and 15.6% mixed urinary incontinence associated with pelvic organ prolapse.
Conclusion and ImplicationsThis study allowed us to trace the sociodemographic and urogynecological profile of patients undergoing physiotherapeutic care at CASMUC, like others reported in the literature, being elderly women, housewives, multiparous with a predominance of stress urinary incontinence and with a medium level of education.
Conflict of interest: The authors declare no conflict of interest.
Acknowledgment: Not applicable.
Ethics committee approval: Federal University of Pará (UFPA) under Opinion Number: 4,393,793