Physiotherapy intervention for pelvic floor dysfunction in a patient with grade III stress urinary incontinence.
Intervención fisioterapéutica en disfunción del suelo pélvico “paciente con incontinencia urinaria de esfuerzo grado III” Case report
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Main Article Content
Stress urinary incontinence (SUI) is a common
dysfunction in women that significantly affects
their quality of life (Milsom & Gyhagen, 2019). This
study aims to describe the rehabilitation process
of a patient with severe SUI and its functional
outcomes. Method: A case study was conducted on
a 58-year-old female teacher with a history of basal
cell carcinoma, moderate obesity, hysterectomy, and
grade I cystocele. She presented with severe urine
loss and daily use of disposable protectors. Physical
evaluation revealed hypertonic diaphragmatic
tone, 3 cm abdominal diastasis, positive perineal
descent test, and hypotonic abdominal muscles. A
therapeutic plan was established based on habit
modification, pelvic floor strengthening with Emsella
chair and biofeedback, as well as home-based
Kegel and hypopressive exercises (Dumoulin et al.,
2014). Results: After three months of therapy, the
patient showed significant improvement, reducing
the use of protectors, eliminating dyspareunia and
nocturnal leakage, and improving her quality of life.
Conclusion: This case highlights the effectiveness of
physiotherapy in SUI rehabilitation, achieving positive
functional outcomes and improving the patient’s
well-being.
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Article Details
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