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Organo Oficial de la Sociedad Mexicana de Urología

2010, Number 1

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Rev Mex Urol 2010; 70 (1)

Perineometry usefulness in stress urinary incontinence (SUI) evaluation

Pérez-Martínez C, Vargas-Díaz IB

Language: Spanish
References: 19
Page: 2-5
PDF size: 312.42 Kb.


ABSTRACT

Introduction: It is a known fact that pregnancy can have an impact on pelvic floor musculature (PFM). The purpose of this study is to investigate pregnancy PFM impact evaluated by means of perineometry.
Materials and methods: From January 2006-2008 thecase records of women seeking medical attention in the urology service were reviewed. The variables of age, number of births, perineometry, degree of stress urinary incontinence (SUI) and quality of life index (QOLI) were collected. The cases were arbitrarily divided into 2 groups: normal perineum (NP): perineometry ≥50 cm H2O and abnormal perineum (AP): perineometry 0-49 cm H2O. Chi-square test, 95% Confidence Interval, Student t test and univariate and bivariate analysis were calculated and data were processed using the SPSS program.
Results: A total of 172 case records were evaluated. There were 38 cases in the NP group, mean age was 48.5 years (SD 16.33) and 1.68 pregnancies (SD 0.98). There were 134 cases in the AP group, mean age was 53.99 (SD 13.87) (P= 0.91) and 4.45 pregnancies (SD 2.31) (P= 0.002). QOLI in the NP group was 66.68 points (SD 20.82) and was 73.63 points (SD 21.68) (P=0.24) in the AP group. There were 13.15% cases (5/38) that presented with SUI in the NP group and 64.17% (86/134) (P≤ 0.000) in the AP group.
Conclusions: Not considering age as a factor, the number of pregnancies affected the perineometry measurement (P≤0.002). In the present series 64.17% of cases (P≤0.000) of the group with perineometry ‹50 cm H2O, presented with SUI. These findings suggest the routine use of perineometry in SUI evaluation.


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