Turkiye Klinikleri Journal of Health Sciences

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Urge Üriner İnkontinansı Olan Kadınlarda Pelvik Taban Kas Kuvveti ile Semptom Ciddiyeti, Yaşam Kalitesi ve Cinsel Fonksiyon Arasındaki İlişki: Korelasyon Çalışması
The Relationship Between Pelvic Floor Muscle Strength and Symptom Severity, Quality of Life and Sexual Function in Women with Urge Urinary Incontinence: Correlation Study
Tuğba BİRBEN KURTa, Bülent YILMAZb, Şeyda TOPRAK ÇELENAYc
aRecep Tayyip Erdoğan Üniversitesi Güneysu Fizik Tedavi ve Rehabilitasyon Yüksekokulu, Nörolojik Fizyoterapi-Rehabilitasyon ABD, Rize, Türkiye
bRecep Tayyip Erdoğan Üniversitesi Tıp Fakültesi, Kadın Hastalıkları ve Doğum ABD, Rize, Türkiye
cAnkara Yıldırım Beyazıt Üniversitesi Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon ABD, Ankara, Türkiye
Turkiye Klinikleri J Health Sci. 2022;7(4):1060-7
doi: 10.5336/healthsci.2022-89230
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışmanın amacı, urge üriner inkontinansı (UÜİ) olan kadınlarda pelvik taban kas kuvveti (PTKK) ile inkontinans semptom ciddiyeti, yaşam kalitesi ve cinsel fonksiyon arasındaki ilişkiyi incelemektir. Gereç ve Yöntemler: Çalışmaya 18-65 yaş arası UÜİ'si olan 40 kadın hasta dâhil edildi. Hastaların fiziksel ve klinik özellikleri kaydedildi. PTKK Modifiye Oxford Skalası ile inkontinans semptomları Uluslararası İnkontinans Konsültasyon Anketi-Kısa Formu [International Incontinence Consultation Questionnaire-Short Form (ICIQSF)] ile yaşam kalitesi King Sağlık Anketi (KSA) ile cinsel disfonksiyonu Pelvik Organ Prolapsusu/Üriner İnkontinansı Cinsel Fonksiyon Anketi [Pelvic Organ Prolapse/Urinary Incontinence by Sexual Function Questionnaire (PISQ-12)] ile değerlendi. İstatistiksel analiz için Spearman korelasyon katsayısı kullanıldı. Bulgular: UÜİ'si olan kadınlarda PTKK ile ICIQ-SF skoru (rho=-0,338; p=0,033) ile negatif yönde, PISQ-12 ile ilgili fiziksel etkilenim (rho=0,452; p=0,003) ve toplam skor (rho=0,427; p=0,006) arasında ise pozitif yönde ilişki olduğu tespit edildi. PTKK ile KSA alt boyutları ve PISQ-12'nin diğer alt boyutları arasında ise anlamlı ilişki olmadığı görüldü (p>0,05). Sonuç: Bu çalışmada, UÜİ'si olan kadınlarda PTKK azaldıkça inkontinans semptom şiddetinin ve cinsel disfonksiyonların arttığı bulundu. Ancak bu hasta grubunda PTKK ile yaşam kalitesi arasında anlamlı bir ilişki olmadığı saptandı. Kliniklerde bu hasta grubunda UÜİ semptomlarının azaltılması ve cinsel fonksiyonun iyileştirilmesi için çeşitli fizyoterapi ve rehabilitasyon yaklaşımlarının kullanılarak PTKK'yi artırmayı içeren tedavi programlarının oluşturulması önemli olabilir.

Anahtar Kelimeler: Pelvik taban; cinsel disfonksiyon; urge üriner inkontinans; yaşam kalitesi
ABSTRACT
 Objective: The aim of this study was to examine the relationship between pelvic floor muscle strength (PFMS) and severity of incontinence symptoms, quality of life and sexual function in women with urge urinary incontinence (UUI). Material and Methods: Forty female patients aged 18-65 years with UUI were included in the study. Physical and clincal characteristics of the patients were recorded. PFMS were evaluated by Modified Oxford Scale, incontinence symptoms by International Incontinence Consultation Questionnaire-Short Form (ICIQ-SF), quality of life by King Health Questionnaire (KHQ), sexual dysfunction by Pelvic Organ Prolapse/Urinary Incontinence by Sexual Function Questionnaire (PISQ-12). Spearman correlation coefficient was used for statistical analysis. Results: In female with UUI, there was a negative correlation between PFMS and ICIQ-SF scores (rho=-0.338; p=0.033), a positive correlation was found between PFMS and PISQ-12-related physical effection (rho=0.452; p=0.003) and total score (rho=0.427; p=0.006). There was no significant relationship between PFMS and KHQ sub-dimensions and other sub-dimensions of PISQ-12 (p>0.05). Conclusion: In this study, it was found that the severity of incontinence symptom and sexual dysfunctions increased as PFMS decreased in women with UUI. However, there was no significant relationship between PFMS and quality of life in this patient group. In clinics, it may be important to establish treatment programs that include increasing PFMS by using various physiotherapy and rehabilitation approaches to reduce UUI symptoms and improve sexual function in this patient group.

Keywords: Pelvic floor; sexual dysfunction; urge urinary incontinence; quality of life
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