Treatment of orgasmic urinary incontinence with physical therapy and weight loss

Authors

  • Thaiana B. Duarte University of São Paulo
  • Marilia Bonacin University of São Paulo
  • Cristine J. H. Ferreira University of São Paulo
  • Lúcia A. Silva Lara University of São Paulo
  • Luiz Gustavo O. Brito University of São Paulo

DOI:

https://doi.org/10.11606/issn.2176-7262.v47i1p59-61

Keywords:

Orgasmic Disorder, Urinary Incontinence, Physical Therapy Specialty

Abstract

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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Author Biographies

  • Thaiana B. Duarte, University of São Paulo

    Physical Therapist. Post-Graduation Program of Biomechanics, Medicine and Rehabilitation of Locomotor Disorders, Ribeirão Preto Medical School, University of São Paulo

  • Marilia Bonacin, University of São Paulo

    Physical Therapist. Colaborator of Pelvic Floor Functional
    Assessment Laboratory, Ribeirão Preto Medical School,
    University of São Paulo

  • Cristine J. H. Ferreira, University of São Paulo

    PhD, Professor of Biomechanics, Medicine and Rehabilitation of Locomotor Disorders Department, Ribeirão Preto Medical School, University of São Paulo

  • Lúcia A. Silva Lara, University of São Paulo

    Attending Physician, PhD, Department of Gynecology and
    Obstetrics, Ribeirão Preto Medical School, University of São Paulo

  • Luiz Gustavo O. Brito, University of São Paulo

    Attending Physician, PhD, Department of Gynecology and
    Obstetrics, Ribeirão Preto Medical School, University of São Paulo

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Published

2014-03-30

Issue

Vol. 47 No. 1 (2014)

Section

Relato de Caso

License

 

 

How to Cite

1.
Duarte TB, Bonacin M, Ferreira CJH, Lara LAS, Brito LGO. Treatment of orgasmic urinary incontinence with physical therapy and weight loss. Medicina (Ribeirão Preto) [Internet]. 2014 Mar. 30 [cited 2024 May 18];47(1):59-61. Available from: https://www.periodicos.usp.br/rmrp/article/view/80099