HELLEN CRISTINA SOUZA DE CARVALHO FUSCO
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conferenceObject Transcutaneous tibial nerve electrical stimulation combined with transvaginal electrical stimulation in the treatment of overactive bladder syndrome: a blind randomized clinical trial(2018) GIARRETA, F.; HADDAD, J.; FUSCO, H.; BARACAT, E.; CASAROTTO, R.; FERREIRA, E.- EVALUATION OF SEXUAL FUNCTION IN WOMEN WITH FIBROMYALGIA(2017) PONTES FILHO, M. A. G.; FUSCO, H. C. S. D. C.; CONSOLO, R. T.; FERREIRA, E. A. G.
- Lower urinary tract symptoms and perineal function in women with and without fibromyalgia: a cross-sectional study(2019) FUSCO, Hellen Cristina Souza de Carvalho; PONTES FILHO, Marco Antonio Goncalves; HADDAD, Jorge Milhem; ZANETTI, Miriam Raquel Diniz; MARQUES, Amelia Pasqual; FERREIRA, Elizabeth Alves GoncalvesIntroduction and hypothesis Fibromyalgia (FM) studies have focused on pain, but a 2010 review of the diagnostic criteria pointed to other symptoms including urinary incontinence (UI). Women with FM present pain, fatigue, and reduced muscle strength; the research hypothesis was that pelvic floor (PF) muscles would be weaker; therefore, FM could be associated with lower urinary tract symptoms (LUTS) and compromise quality of life (QoL). The aim of this paper was to compare PF function, urinary symptoms, and their impact on QoL in women with and without FM and to verify if there is association between FM and LUTS. Methods We performed a cross-sectional study with 126 sexually active women aged between 19 and 65 years old, distributed in two groups, women with FM (FG n = 62) and without FM (NFG n = 64). Perineal function was the primary outcome and was assessed by perineometry and bidigital vaginal palpation (PERFECT Scheme). Presence of LUTS was assessed by interview based on international definition, and the impact of UI on QoL was evaluated by the King's Health Questionnaire (KHQ). Results FG presented worse PF function on clinical exam (p < 0.001) and perineometry (p = 0.04). LUTS was more frequent among FG (p < 0.001). In terms of QoL, FG obtained lower KHQ scores for general health perception (p < 0.001) and sleep/energy (p < 0.003) domains. The odds of presenting LUTS is 5.03 (95%CI 2.35-10.75) higher in women with FM. Conclusion Women with FM had worse perineal function, had more LUTS, and presented UI more frequently, which negatively impacts on QoL.
- EVALUATION OF PELVIC FLOOR STRENGTH AND URINARY INCONTINENCE IN WOMEN WITH FIBROMYALGIA(2017) PONTES FILHO, M. A. G.; FUSCO, H. C. S. C.; FERREIRA, E. A. G.; MARQUES, A. P.