Treatment of orgasmic urinary incontinence with physical therapy and weight loss
Importance of the problem: Orgasmic urinary incontinence (OUI) is an uncommon finding among other types of urinary leakage. Treatment of this condition is not established. Aims: To describe the case of a patient who presented OUI and had a multidisciplinary treatment. Methods: An obese, 50-year pati...
Main Authors: | , , , , |
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Format: | Article |
Language: | Portuguese |
Published: |
Universidade de São Paulo
2014-03-01
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Series: | Medicina |
Subjects: | |
Online Access: | http://www.revistas.usp.br/rmrp/article/view/80099 |
Summary: | Importance of the problem: Orgasmic urinary incontinence (OUI) is an uncommon finding among other types of urinary leakage. Treatment of this condition is not established. Aims: To describe the case of a patient who presented OUI and had a multidisciplinary treatment. Methods: An obese, 50-year patient complained of OUI with two sexual partners during her consultation. Pharmacological treatment with imipramine and anticholinergics were undertaken, without success. Results: Patient had an important subjective improvement after performing a treatment combination of biofeedback, electrostimulation, pelvic floor muscle training and behavioral measurements such as weight loss, improved after bariatric surgery. Comments: OUI is a complex disorder, without standard treatments and needs to be further investigated with larger, prospective samples. Combined physical therapy approaches should be considered when discussing treatment. |
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ISSN: | 0076-6046 2176-7262 |