CARE PROTOCOL FOR THE MANAGEMENT OF NON-NEUROGENIC FEMALE URINARY INCONTINENCE IN PRIMARY HEALTH CARE

• DOI: https://doi.org/10.22533/at.ed.1594952423106

• Palavras-chave: Urinary incontinence. Primary Health Care. Management.

• Keywords: Urinary incontinence. Primary Health Care. Management.

• Abstract:

  Urinary incontinence is a complaint of involuntary loss of urine, which is highly prevalent worldwide, especially in women and with advancing age. It can be evaluated as a symptom, a sign or a condition that has negative repercussions in various areas of a woman's life. There are several pathophysiological mechanisms for the continence process to function properly and, when there is an alteration in one of these mechanisms, incontinence can develop. Based on its pathophysiology and symptoms, non-neurogenic UI is classified into four main types: stress, urge, mixed and overflow. In view of this, a detailed anamnesis, clinical physical examination and targeted complementary tests are essential in Primary Health Care, so that interventions can be carried out as quickly as possible, whether by conservative treatment, pharmacological treatment or surgery. The aim of this study is to provide medical professionals in Primary Health Care with guidance on the management and treatment of incontinent patients, as well as the indications, therapeutic interventions and when there is a need and priority for referral to specialized services. A care protocol will therefore be drawn up to guide general practitioners in the care of women with non-neurogenic urinary incontinence, improving quality of life and resolving problems in Primary Health Care.