se of Mobile App for vaginal area exercises for women who lose urine during the Coronavirus pandemic

Not Applicable

• Conditions: rinary incontinece; stress urinary incontinence; urinary incontinence, urge; covid-19; C23.888.942.343

• Registration Number: RBR-7k2hpj4
• Lead Sponsor: niversidade Estadual de Campinas

Brief Summary

Introduction: Pelvic floor disorders affect women of all ages, with negative consequences on their quality of life. During the pandemic caused by the Coronavirus 19 (Covid-19), many women will be left without treatment for urinary incontinence (UI) due to social isolation. Objective: To evaluate the impact of pelvic floor muscle training (PFMT) at home in women with UI during social isolation due to the Covid-19 pandemic, using a mobile application (App). Methods: Study composed of women with UI, who volunteered to answer the questionnaires through telephone contact and practice the PFMT guided by the App. The participants answered a structured interview and validated questionnaires about urinary symptoms, quality of life and female sexual function. We instructed women to follow the TMAP protocol twice daily for 30 days. The initial and final evaluation included the answers to the questionnaires. The volunteers were also asked about acceptance and adherence to treatment, as well as their Covid-19 status, whether or not they were affected by the disease and its impact on urinary symptoms. Results: 156 women were included. The mean age was 49.3 ± 14.2 years. UI symptoms significantly improved after PFMT using the App (P<0.001). There was improvement in sexual function score (P<0.001) and quality of life (<0.001). Regarding the clinical picture of Covid-19, 23.7% of women with UI tested positive for Covid-19 at some point during the pandemic and half of them reported worsening of UI symptoms after the disease. The women reported performing the exercises with adequate frequency in 74.3% of the times. Almost half of the participants (62%) reported complete or dramatic improvement in urinary symptoms after treatment, with a mean acceptance rate of 7.4 (0-10). Conclusions: Improvement in UI, urinary storage, sexual symptoms and quality of life were found after App-guided PFMT treatment during the Covid-19 pandemic. The App was well accepted and adhered to by women with UI

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Completion: 2022-02-01
• Study Start: 2023-04-11
• Last Update Posted: 29 May 2023

Recruitment & Eligibility

• Status: Data analysis completed
• Sex: Female
• Target Recruitment: Not specified

Inclusion Criteria

Women with urinary incontinence; age above 18 years; women who have a cell phone with an Android operating system; know how to read and write

Exclusion Criteria

Neurological problems that compromise understanding for the practice of exercises, or suggestive of neurogenic bladder; proven or suspected pregnancy; prior treatment for urinary incontinence; pelvic radiotherapy; up to one year after giving birth; three or more lower urinary tract infections in the last 12 months

Study & Design

• Study Type: Intervention
• Study Design: Not specified