%0 Journal Article
%T Exerc¨ªcios de Kegel associados ao uso de cones vaginais no tratamento da incontin¨ºncia urin¨¢ria: estudo de caso = Kegel exercises with the use of vaginal cones in treatment of urinary incontinence: a case study
%A Silva
%A Andr¨¦a Marcella Nascimento
%A Oliva
%A Leandra Monteiro de Paiva
%J Scientia Medica
%D 2011
%I Editora da Pontif¨ªcia Universidade Cat¨®lica do Rio Grande do Sul (EDIPUCRS)
%X Objetivos: identificar os efeitos dos exerc¨ªcios de Kegel associados ao uso dos cones vaginais na incontin¨ºncia urin¨¢ria. Descri  o do Caso: participou da pesquisa uma mulher com dois partos ces¨¢reos pr¨¦vios, sendo que o primeiro filho nasceu com 3. 600 g e o segundo com 4. 100 g. A paciente tinha diagn¨®stico m¨¦dico de incontin¨ºncia urin¨¢ria de urg¨ºncia. Na avalia  o geniturin¨¢ria realizada na primeira sess o com fisioterapeuta, verificou-se hipotonia e flacidez acentuada da musculatura perineal, segundo a escala de Ortiz com grau 2 de for a muscular. O pad-test indicou perda urin¨¢ria de 35 g. Ap¨®s realizar 10 sess es de fisioterapia com os exerc¨ªcios de Kegel associados ao uso dos cones vaginais, foi realizada a avalia  o final, quando a paciente apresentou grau 3 de for a muscular na escala de Ortiz e perda urin¨¢ria de 25 g no pad-test. A paciente referiu estar sentindo os resultados positivos ap¨®s as 10 sess es. Conclus es: concluiu-se que os exerc¨ªcios de Kegel associados ao uso dos cones vaginais, nesta paciente, levaram ¨¤ melhora da incontin¨ºncia urin¨¢ria em um curto per¨ªodo de tratamento. Aims: To identify the effects of Kegel exercises associated with the use of vaginal cones in urinary incontinence. Case Description: A woman with two prior cesarean deliveries participated in the study. Her first child was born with 3,600 g and the second with 4,100 g. The patient was medically diagnosed with urge incontinence. The genitourinary evaluation held in the first session with a physiotherapist showed marked hypotonia and laxity of the perineal muscles, which according to the scale of Ortiz had grade 2 muscle strength. The Pad-test indicated urinary loss of 35 g. After performing 10 sessions of physiotherapy with Kegel exercises associated with the use of vaginal cones, the final evaluation was performed. The patient then had grade 3 muscle strength in the range of Ortiz, and urine loss was 25 g according the pad-test. The patient reported to be feeling the positive results after 10 sessions. Conclusions: we concluded that Kegel exercises associated with the use of vaginal cones in this patient, led to the improvement of urinary incontinence in a short period of treatment.
%K FISIOTERAPIA
%K INCONTIN¨ºNCIA URIN¨¢RIA
%K MULHERES
%U http://revistaseletronicas.pucrs.br/ojs/index.php/scientiamedica/article/view/8982/7238