Banca de QUALIFICAÇÃO: MARIA LETICIA ARAUJO SILVA DE CARVALHO

Uma banca de QUALIFICAÇÃO de MESTRADO foi cadastrada pelo programa.
STUDENT : MARIA LETICIA ARAUJO SILVA DE CARVALHO
DATE: 17/07/2025
TIME: 08:30
LOCAL: Sala de Aulas II GEP/MEJC
TITLE:

ASSESSMENT OF QUALITY OF LIFE AND PELVIC FLOOR MUSCLE FUNCTIONALITY IN WOMEN DIAGNOSED WITH STRESS URINARY INCONTINENCE ASSOCIATED WITH ANTERIOR VAGINAL WALL PROLAPSE BEFORE AND AFTER A TRAINING PROTOCOL

KEY WORDS:

Pelvic floor; Pelvic Floor Disorders; Pelvic Organ Prolapse; Physiotherapy.

PAGES: 57
BIG AREA: Ciências da Saúde
AREA: Fisioterapia e Terapia Ocupacional
SUMMARY:

Introduction: Among the types of urinary incontinence (UI), stress urinary incontinence (SUI) is the most prevalent and may, in some cases, be associated with pelvic organ prolapse (POP), particularly anterior vaginal wall prolapse. Pelvic floor muscle training (PFMT) has been recommended to strengthen and increase the endurance of pelvic floor muscles (PFM) in women with SUI and POP in general. However, the clinical outcomes and cost-effectiveness of PFMT in the management of anterior vaginal wall prolapse associated with SUI remain unclear. Objective: To evaluate the effectiveness of PFMT on quality of life (QoL) and pelvic floor functionality in women with SUI and anterior vaginal wall POP. Methods: Randomized controlled clinical trial. A partial sample included 30 women diagnosed with SUI and anterior vaginal wall POP. Participants were assessed at three time points: baseline, post-intervention, and one month after the final session, following the same protocol: assessment form, functional examination of the PFM, and administration of the following questionnaires: International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF); International Consultation on Incontinence Questionnaire Overactive Bladder (ICIQ-OAB); Pelvic Floor Distress Inventory (PFDI-20); World Health Organization Quality of Life Questionnaire (WHOQOL); Female Sexual Function Index (FSFI); and Patient Global Impression of Improvement (PGI-I). Participants were allocated into two groups: the PFMT group (G-PFMT), which received supervised in-person training (16 sessions, twice a week), and the control group (CG), which received informational material and instructions for home-based exercises. Results: Preliminary results showed improvements in PFM function in both groups, with a more pronounced improvement in the G-PFMT (34.7%) compared to the CG (9.4%). Regarding quality of life, participants in the G-PFMT group showed an 82.8% reduction in the impact of urinary incontinence on the ICIQ-SF, shifting from a “very severe” to a “mild” level. In the CG, the reduction was 68.8%, with a final impact considered “moderate.” Positive effects were also observed in physical, emotional, and social domains. Conclusion: The partial findings of this study suggest that supervised PFMT leads to more significant improvements in muscle functionality, reduction of urinary symptoms, and pelvic discomfort compared to unsupervised home exercises. These results highlight the importance of physiotherapy as an effective conservative approach for women with stress urinary incontinence and anterior vaginal wall prolapse.

COMMITTEE MEMBERS:
Externo à Instituição - GUILHERME PERTINNI DE MORAIS GOUVEIA - UFDPar
Externa ao Programa - 2446479 - LILIAN LIRA LISBOA - nullPresidente - 2786809 - MARIA THEREZA ALBUQUERQUE BARBOSA CABRAL MICUSSI