RICARDO MUNIZ RIBEIRO
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Unidades Organizacionais
Departamento de Obstetrícia e Ginecologia, Faculdade de Medicina - Docente
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bookPart Prolapso uterino(2013) COLETTI, Silvia Helena; HADDAD, Jorge Milhem; RIBEIRO, Ricardo Muniz- Vaginal cone use in passive and active phases in patients with stress urinary incontinence(2011) HADDAD, Jorge Milhem; RIBEIRO, Ricardo Muniz; BERNARDO, Wanderley Marques; ABRAO, Mauricio Simoes; BARACAT, Edmund ChadaOBJECTIVE: To evaluate vaginal cone therapy in two phases, passive and active, in women with stress urinary incontinence. METHODS: A prospective study was conducted at the Department of Obstetrics and Gynecology, Sao Paulo University, Brazil. Twenty-four women with a clinical and urodynamic diagnosis of stress urinary incontinence were treated with vaginal cones in a passive phase (without voluntary contractions of the pelvic floor) and an active phase (with voluntary contractions), each of which lasted three months. Clinical complaints, a functional evaluation of the pelvic floor, a pad test, and bladder neck mobility were analyzed before and after each phase. RESULTS: Twenty-one patients completed the treatment. The reduction in absolute risk with the pad test was 0.38 (p < 0.034) at the end of the passive phase and 0.67 (p < 0.0001) at the end of the active phase. The reduction in absolute risk with the pelvic floor evaluation was 0.62 (p < 0.0001) at the end of the passive phase and 0.77 (p < 0.0001) at the end of the active phase. The reduction in absolute risk of bladder neck mobility was 0.38 (p < 0.0089) at the end of the passive phase and 0.52 (p < 0.0005) at the end of the active phase. Complete reversal of symptomatology was observed in 12 (57.1%) patients, and satisfaction was expressed by 19 (90.4%). CONCLUSION: Using vaginal cones in the passive phase, as other researchers did, was effective. Inclusion of the active phase led to additional improvement in all of the study parameters evaluated in women with stress urinary incontinence. Randomized studies are needed, however, to confirm these results.
bookPart Rotoenterocele(2013) YAMAKAMI, Laís Junko Yassuda; COLETTI, Silvia Helena; RIBEIRO, Ricardo Muniz; HADDAD, Jorge MilhembookPart Fístula urogenitais(2013) YAMAKAMI, Laís Junko Yassuda; RIBEIRO, Ricardo Muniz; HADDAD, Jorge Milhem; GUIDI, Homero Gustavo de CamposbookPart Prolapso de cúpula vaginal(2013) VILELA, Lilian Corrêa; RIBEIRO, Ricardo Muniz; HADDAD, Jorge MilhembookPart Distúrbios urinários no climatério(2013) RIBEIRO, Ricardo Muniz; FREITAS, Luciana Pistelli Gomes; CEZARINO, Persio Yvon Adri