Valoración de los trastornos de la contractilidad pélvica en mujeres con incontinencia urinaria del Centro de Salud #3. Cuenca 2022

Abstract

Background: urinary incontinence (UI) is the involuntary loss of urine, a problem that affects the quality of life of those who suffer from it. This condition shows functional clinical manifestations of the vesico-sphincter complex that would lead to pelvic floor muscle contraction disorders. General objective: determine pelvic floor contraction disorders in women with urinary incontinence who attend the Health Center #3. Methodology: a descriptive, prospective cross-sectional study was carried out at the Health Center #3 in women with SUI; data collection will be performed with the clinical history, ICIQ-SF questionnaire and Kegel device. The statistics of central tendency, dispersion, absolute frequency, percentage, Spearman's rho for correlation, were analyzed in the SPSS V25 program; for the preparation of tables and graphs Microsoft Excel 2016. Results:16 users were evaluated, whose average age was 47.81 years, an average of 3 deliveries, with 49 births, of which eutocic delivery was more frequent. The average contraction speed of the pelvic floor muscles was 0,631 mmHg, and the grip capacity was 1,498 mmHg. There was significance (<0.05) between the speed of muscle contraction, the degree of SUI and dystocia, respectively. There was no significance between contraction speed, age and number of deliveries, respectively. Conclusion: characteristics of pre and postpartum, the use of forceps, among other antecedents, compromises the proper functioning of the pelvic muscles, but there is little research regarding pressure transducer devices and there are no standardized values that categorize the condition based on a precise value.