Banca de DEFESA: CAZUY ALVES UCHOA GUERRA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : CAZUY ALVES UCHOA GUERRA
DATE: 28/02/2025
TIME: 08:00
LOCAL: Sala de Aulas II GEP/MEJC
TITLE:

EVALUATION OF THE PELVIC FLOOR MUSCLES BEFORE AND AFTER SURGERY FOR ISOLATED URINARY INCONTINENCE AND ASSOCIATED PELVIC ORGAN PROLAPSE REPAIR

KEY WORDS:

Urinary Incontinence, Pelvic Organ Prolapse, Pelvic Floor Musculature, Quality of Life, Vaginal Manometry

PAGES: 75
BIG AREA: Ciências da Saúde
AREA: Medicina
SUMMARY:

The objective of this study is to evaluate the quality of life and pelvic floor muscle function in women undergoing surgery for isolated urinary incontinence and incontinence associated with bladder prolapse correction. A prospective cohort study was conducted with women who were indicated for pelvic organ prolapse correction surgery (POPg = 47) and those undergoing surgery for both prolapse and urinary incontinence (IU+POPg = 53). All participants were assessed before surgery (T1) and followed up at 3 months (T3), 6 months (T4), and 12 months (T5) postoperatively. The assessment included a sociodemographic data form, a functional examination of the pelvic floor muscles (vaginal manometry), and the application of the International Consultation on Incontinence Questionnaire - Short Form (ICIQ-SF) and the International Consultation on Incontinence Questionnaire Overactive Bladder (ICIQ-OAB). An unpaired Student’s t-test was used to compare sociodemographic and clinical data, while a one-way repeated measures ANOVA was performed to assess differences in questionnaire scores and manometry across the four time points. The Bonferroni post-hoc test was applied when a statistically significant difference was identified. A significance level of 5% was adopted for all analyses. The results showed a similar improvement in urinary symptoms in both groups. However, women who underwent surgery exclusively for urinary incontinence demonstrated better pelvic floor muscle function (PFMF) over one year post-surgery. In conclusion, pelvic floor muscle function decreased after surgery, with greater impairment observed in those who underwent correction for both prolapse and urinary incontinence. Based on these findings, immediate postoperative pelvic floor muscle training is suggested.

COMMITTEE MEMBERS:
Externo à Instituição - GUILHERME PERTINNI DE MORAIS GOUVEIA - UFDPar
Interno - 2328351 - GUSTAVO MAFALDO SOARES
Presidente - 2786809 - MARIA THEREZA ALBUQUERQUE BARBOSA CABRAL MICUSSI