Incontinência dupla (urinária e anal) feminina: o que o ginecologista precisa saber

Abstract

Dual incontinence is the most extreme manifestation of pelvic floor dysfunction. 200 million have urinary incontinence around the world. Identification of its prevalence, physiopathology, risk factors and forms of diagnosis has been searched through the past years. The aim of this study is to look for evidence of dual incontinence prevalence and its risk factors, so that in medical visits physicians question patients about it. The prevalence of incontinences is not totally known, but it has been noticed an ascendant curve for diagnosis and the association between urinary and anal incontinence. There are common risk factors for incontinences, with obesity and aging being examples. Women are more likely to report symptoms of incontinence when completing self-administered questionnaire as compared to direct questioning by the physician, suggesting that both methods should be used to minimalize the sub diagnosis. Knowing the risk factors allow us implement forms to reduce the chance of incontinence evolution or permit initiating treatment to those with that disturbance.