scholarly journals Quality of Life of Physically Active and Inactive Women Who Are Older after Surgery for Stress Urinary Incontinence Using a Transobturator Tape (TOT)

2021 ◽  
Vol 10 (20) ◽  
pp. 4761
Author(s):  
Gabriela Kołodyńska ◽  
Maciej Zalewski ◽  
Felicja Fink-Lwow ◽  
Anna Mucha ◽  
Waldemar Andrzejewski

Urinary incontinence is a major health problem. According to various authors, it concerns 30–40% of the population and grows with age, affecting approximately 50% of women aged over 70. According to the recommendations of the International Continence Society, the treatment of urinary incontinence should commence with conservative treatment and, above all, with physiotherapy. If the conservative treatment fails or the level of urinary incontinence is too high, surgery is recommended. With regard to female patients examined at work, the TOT method was applied. The aim of this study was to assess the relationship between regular physical activity and the quality of life of women aged 65–87 who underwent surgical treatment for stress urinary incontinence (SUI) using the TOT method. The study group involved 60 postmenopausal women, patients of the Department of Gynaecology of the Hospital of Ministry of the Interior and Administration in Wroclaw, with SUI diagnosed during ultrasonography. The female patients were surveyed before and 12 months after the surgery using standardised IPAQ and WHOQOL-BREF.FL questionnaires. Significant positive relationships between quality of life and physical activity before and 12 months after the surgery were demonstrated in the somatic and social domains. Physically active postmenopausal women presented higher values in all domains and total quality of life according to the WHOQOL-BREF compared with physically inactive women, both before and 12 months after the procedure using the TOT method.

2019 ◽  
pp. 197-209 ◽  

Introduction: Urinary incontinence is characterized by the involuntary loss of urine, which can occur in several situations. The most common type is stress urinary incontinence, which associated with physical activity practice, affects intra-abdominal pressure and weakness of the pelvic floor. The main objective of this research was to evaluate the effectiveness of physical therapy as a form of treatment for stress urinary incontinence. Methodology: The research was conducted at the Physiotherapy clinic of Unicesumar University. Two volunteers with a diagnosis of stress urinary incontinence, physical activity practitioners, with a mean age of 40 years, were included in this study. The patients were submitted to the treatment using the hypopressive gymnastic technique, in a total of 10 sessions performed twice a week in the period of 45 minutes. The results show that the physiotherapeutic treatment using the hipopressive gymnastics, can promote the strengthening of the pelvic floor, thus improving the quality of life of the individuals researched and reducing the urinary incontinence in physical activity practitioners.


2020 ◽  
Vol 19 (3) ◽  
pp. 192
Author(s):  
Patrícia Uchôa Leitão Cabral ◽  
Betrine Emanuelle De Carvalho ◽  
Maria Siqueira Silva ◽  
Priscilla Soares Spíndola ◽  
Maria da Conceição Barbosa Da Silva ◽  
...  

The aim of this study was to assess the relationship between the level of physical activity, climacteric symptoms and health-related quality of life in postmenopausal women. The cross-sectional study included 100 postmenopausal women using a public leisure park. A questionnaire regarding the sociodemographic and clinical characteristics was applied. The Menopause Rating Scale (MRS) was used to assess climacteric symptoms and health-related quality of life, and the International Physical Activity Questionnaire (IPAQ) (short version) to estimate the level of physical activity. The average age of women was 56.8 years. Insufficiently active women had higher overall score and MRS domains than physically active ones, indicating higher intensity of climacteric symptoms (<0.001). Most (83.3%) of physically active women had a higher level of health-related quality of life, while in the insufficiently active group, only 10% had this condition (<0.001). Active women were 10.6 times more likely to have better health-related quality of life than insufficiently active women. Regular physical activity seems to contribute positively to the reduction of climacteric symptoms and better health-related quality of life in postmenopausal women.Keywords: menopause, physical activity, quality of life.


BMJ Open ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. e040009
Author(s):  
Karina Holm Nissen ◽  
Benjamin C Shayo ◽  
Vibeke Rasch ◽  
Gileard G Masenga ◽  
Ditte Søndergaard Linde

IntroductionPrevious research has shown that vaginal pessaries are a cost-effective treatment for women worldwide suffering from stress urinary incontinence. However, little is known about African women’s experiences with vaginal pessary use. The aim of this study was to understand the experiences of vaginal pessary use among Tanzanian women who had received long-term pessary treatment for stress urinary incontinence.Methods15 semi-structured, individual interviews were conducted over a 2-month period in 2019 with Tanzanian women living in the Kilimanjaro Region who suffered from stress urinary incontinence and who had been using a pessary for at least 18 months. The interview transcripts were analysed using qualitative content analysis.ResultsThe primary motivation for seeking treatment were discomfort from symptoms, social consequences and low quality of life. Perceived benefits from pessary use included improved quality of life with reacquired abilities to perform daily activities, participate in social gatherings, feeling symptom relief and improved sexual relations. Further, some women saw pessary treatment as superior to other locally available treatment options. Perceived barriers for pessary use included shame, husband’s disapproval, limited access to treatment and lack of knowledge among the women as well as healthcare personnel.ConclusionVaginal pessaries are well-perceived as a long-term treatment method among Tanzanian women suffering from stress urinary incontinence. This method may have potential to be implemented large scale in Tanzania if combined with basic health education.


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