Avaliação da qualidade de vida e função sexual de mulheres com e sem incontinência urinária.

Abstract

Urinary incontinence is the condition in which there is involuntary urine elimination. The loss of urinary incontinence is an uncomfortable condition embarrassing and stressful and can affect up to 50% of women at some stage of life. It presents symptom with social implications, causing discomfort and loss of confidence and adversely affecting the quality of life and sexual function. The objectives of this study was to characterize women with and without urinary incontinence according to the socio - demographic profile and obstetric and medical history, measuring the quality of life and sexual function and compare these scores between these women. This is a cross sectional study. We interviewed 70 women, 35 were diagnosed with urinary incontinence and 35 without. Data were collected through the instruments: semistructured, WHOQOL-BREF, KHQ and FSFI. A descriptive analysis and paired Student t test (p <0,05). Research approved by the Ethics in Human Research of UFTM, Protocol No. 1533. The groups were homogeneous according number and age, with a mean age 50 years (DP ± 8,845) in GI and 50.63 (DP ± 9,665) in CG. The prevalence of women married or living with a partner in both groups; education the 1 for 4 years of study in GI (31,4%) and 11 or more years of study in control (48,6%), income the 1 for 3 minimum wages in the CG (45,7%) and only a minimum wage in GI (37,1%). Studying the obstetric history, there was a higher percentage from 2 to 4 births (40%) and vaginal delivery (65,7%) in GI, and 1 to 2 births (45,7%) and cesarean sections (42, 9%) in CG. The analysis of quality of life of incontinent women, measured by the KHQ showed higher scores in the domains: incontinence impact (57,14) and gravity measurements (45,71). Quality of life measured by WHOQOL-BREF showed that incontinent women had a mean score lower (S = 57,14) compared to the continents (S = 71,42). In relation to specific areas, both groups had higher scores in physical domain and lowest scores in the environment domain. Comparing the quality of life between groups showed that in all areas showed a statistically significant, except in the field of social relationships (t= -1.682, p=0,102). In the evaluation of sexual function GI group had an average total score lower (S = 17,17) compared with the control group (S = 24.20). The highest scores were achieved in pain in GI (3,06) and satisfaction in CG (4,48) and the lowest scores in the field excitation in both groups. A comparison of sexual function between groups showed that in all areas showed a statistically significant, except in the lubrication domain (t = 1,524; p = 0,137). It was concluded that both the analysis of quality of life and sexual function in the lowest scores were found in the incontinent group, thus highlighting the negative impact of urinary incontinence in these women's lives.