A eficácia do biofeedback em mulheres com incontinência urinária de esforço: uma revisão sistemática da literatura

Abstract

Introduction: Stress Urinary Incontinence (SUI) is the involuntary loss of urine through physical exertion, coughing or sneezing, resulting from sphincter insufficiency. Pelvic physiotherapy is a treatment indicated for cases in which it is necessary to improve the muscles of the Pelvic Floor and, among the techniques used, is biofeedback. General objective: to investigate the effectiveness of biofeedback in the treatment of stress urinary incontinence in women. Methodology: A systematic literature review was carried out with a qualitative approach, being exploratory regarding its objectives, carried out from the search in the SciELO, BVS, CAPES and PubMed databases between the years 2012 and 2022. Results: 10 studies were found in the four databases, 3 of which did not present statistically relevant differences, to conclude that biofeedback was shown to be a more effective method in the treatment of women with SUI. Intravaginal P-BF and perineal EMG-BF were equally effective and be used as alternatives. And 6 studies showed positive impacts on quality of life, gain in muscle strength and decreased urinary frequency. Conclusion: Biofeedback in the treatment of stress urinary incontinence in women is shown to be effective, according to the specialized literature, and its use in combination with other procedures is recommended.