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01-10-2013 | Original Article

Pelvic floor muscle strength and urinary incontinence in hyperandrogenic women with polycystic ovary syndrome

Authors: Flávia Ignácio Antônio, Kari Bo, Rui Alberto Ferriani, Marcos Felipe Silva de Sá, Ana Carolina Japur de Sá Rosa e Silva, Cristine Homsi Jorge Ferreira

Published in: International Urogynecology Journal | Issue 10/2013

Abstract

Introduction and hypothesis

Hyperandrogenism in women with polycystic ovary syndrome (PCOS) could increase muscle mass and thereby pelvic floor muscle (PFM) strength, reducing the risk of urinary incontinence (UI). The aim of the present study was to assess PFM strength and UI among hyperandrogenic women with PCOS and a control group for comparison.

Methods

This is an observational, cross-sectional, case–control study. Seventy-nine women, aged 18 to 40 years with a mean body mass index (BMI) of 23.4 kg/cm² were recruited at the University Hospital: PCOS (n = 36) and control group for comparison (n = 43). All PCOS women had clinical and/or laboratory hyperandrogenism (> 80 ng/dL) and control women had regular menstrual cycles. PFM strength was assessed by vaginal manometry. The International Consultation on Incontinence Questionnaire of Urinary Incontinence Short Form (ICIQ-UI SF) was used to assess UI. Descriptive analysis, analysis of variance (ANOVA) and Fisher’s exact test were used for statistical analyses.

Results

There was no statistically significant difference in mean PFM strength between the PCOS and the control group: 2.7 cm H₂O (95 % CI −6.2–11.6) p = 0.55. The prevalence of UI was 18.6 % in the control group compared with 0 % in the PCOS group p < 0.01.

Conclusions

Women with PCOS showed absence of UI, but PFM strength did not differ from the control group.

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Title: Pelvic floor muscle strength and urinary incontinence in hyperandrogenic women with polycystic ovary syndrome
Authors: Flávia Ignácio Antônio
Kari Bo
Rui Alberto Ferriani
Marcos Felipe Silva de Sá
Ana Carolina Japur de Sá Rosa e Silva
Cristine Homsi Jorge Ferreira
Publication date: 01-10-2013
Publisher: Springer London
Published in: International Urogynecology Journal / Issue 10/2013
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-013-2095-x

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Pelvic floor muscle strength and urinary incontinence in hyperandrogenic women with polycystic ovary syndrome

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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