Impact of HTLV-I in quality of life and urogynecologic parameters of women with urinary incontinence.
OBJECTIVE
To assess the impact of urinary incontinence in quality of life, epidemiological data, symptoms, findings of gynecological/neurological examination and urodynamic of HTLV-I seropositive women compared with HTLV-I negative women.


METHODS
43 incontinent women were divided in two groups: 24 seropositives and 19 seronegatives for HTLV-I. We used King's Health Questionnaire (KHQ), standardized recorded data and urodynamics. Data were compared using Mann-Whitney test or Chi-squared test.


RESULTS
Quality of life was significantly worse in seropositive incontinent women in the following parameters: general perception of health, impact of incontinence, limitation of daily life activities, social relations, sleep and disposition. Also, the following gynecological/neurological symptoms were more prevalent in seropositives: pain on vesical filling, dyspareunia, parestesis in inferior members, increased perineal sensitivity, pain in vaginal palpation, increased vaginal tonus, gait alteration, increased patellar reflex, Babinski reflex positive and increased tonus in inferior members.


CONCLUSIONS
Poor quality of life and physical abnormalities were identified in incontinent HTLV-I seropositive women when compared with incontinent HTLV-I seronegative women.
Diniz
Monica Suzana Costa
MS
Department of Gynecology of Federal University of Pernambuco, Brazil. m_diniz@hotmail.com
Feldner
Paulo Cezar
PC
Castro
Rodrigo Aquino
RA
Sartori
Marair Gracio Ferreira
MG
Girão
Manoel João Batista Castello
MJ
D000328:Adult; D005260:Female; D015368:Human T-lymphotropic virus 1 / Q000302:isolation & purification*; D006801:Humans; D008875:Middle Aged; D015493:Paraparesis, Tropical Spastic / Q000150:complications* / Q000178:diet therapy*; D011788:Quality of Life; D014549:Urinary Incontinence / Q000503:physiopathology / Q000523:psychology* / Q000821:virology*; D014563:Urodynamics