title: A comparative analysis of pelvic floor muscle strength in women with stress and urge urinary incontinence.
abstract: OBJECTIVE
  To assess pelvic floor muscle (PFM) strength in women with stress urinary incontinence (SUI) and urge urinary incontinence (UUI).
  
  
  METHODS
  51 women were prospectively divided into two groups, according to the symptoms as SUI (G1 = 22) or UUI (G2 = 29). Demographic data, such as number of pads/ 24 hours, number of micturations/ 24 hours and nocturia, delay time of urgent void (i.e., the time period for which an urgent void could be voluntarily postponed), number of parity and vaginal deliveries were obtained using a clinical questionnaire. Objective urine loss was evaluated by 60-min. Pad Test, subjective urine stream interruption test (UST) and visual survey of perineal contraction. Objective evaluations of PFM were performed in all patients (vaginal manometry).
  
  
  RESULTS
  Median of age, mean number of pads / 24 hours, nocturia and warning time were significantly higher in UUI comparing to SUI group. During UST, 45.45% in G1 and 3.44%, in G2, were able to interrupt the urine stream (p < 0.001). The 60-min. Pad Test was significantly higher in G2 compared to G1 women (2.7 ± 2.4 vs 1.5 ± 1.9 respectively, p = 0.049). Objective evaluation of PFM strength was significantly higher in the SUI than in the UUI patients. No statistical difference was observed regarding other studied parameters.
  
  
  CONCLUSIONS
  Pelvic floor muscle weakness was significantly higher in women with UUI when compared to SUI.
authors.affiliation: Physiotherapy Service, School of Medicine, Sao Paulo State University, Botucatu, Sao Paulo, Brazil.
authors.forename: Monica Orsi
authors.initials: MO
authors.lastname: Gameiro
authors.forename: Eliane Cristina
authors.initials: EC
authors.lastname: Moreira
authors.forename: Renata Spagnoli
authors.initials: RS
authors.lastname: Ferrari
authors.forename: Paulo Roberto
authors.initials: PR
authors.lastname: Kawano
authors.forename: Carlos Roberto
authors.initials: CR
authors.lastname: Padovani
authors.forename: João Luiz
authors.initials: JL
authors.lastname: Amaro
mesh_terms: D003950:Diagnostic Techniques, Urological; D005260:Female; D006801:Humans; D008875:Middle Aged; D009119:Muscle Contraction / Q000502:physiology; D053580:Muscle Strength / Q000502:physiology*; D010147:Pain Measurement; D017773:Pelvic Floor / Q000503:physiopathology*; D010502:Perineum / Q000503:physiopathology; D011446:Prospective Studies; D013997:Time Factors; D014550:Urinary Incontinence, Stress / Q000503:physiopathology*; D053202:Urinary Incontinence, Urge / Q000503:physiopathology*; D014554:Urination / Q000502:physiology