Investigation of the Relationship between Urinary Incontinence and Coccyx Syndrome and Pelvic Floor, and with Pain Occurrence in Lumbar Region of Spine

Česká verzia

Authors: M. Hagovská
Authors place of work: V spolupráci s Kúpeľným zariadení Liptovské liečebné kúpele Lúčky, a. s. ; Klinika fyziatrie balneológie a liečebnej rehabilitácie LF UPJŠ a FN L. Pasteura, Košice prednosta doc. MUDr. P. Takáč, Ph. D.
Published in the journal: Rehabil. fyz. Lék., 18, 2011, No. 4, pp. 183-187.
Category: Original Papers

Summary

Objective of the paper:
Evaluation of the association of coccyx syndrome occurrence and pelvic floor with stress urinary incontinence and assessment of the low back pain occurrence related to urinary incontinence.

Methods used:
For the assessment of the pain in lumbar region of spine the Aberdeen low back pain scale has been used. For the assessment of quantification of leaked urine 1-hour pad test has been used. The patient file consisted of 66 women patients after abdominal and vaginal hysterectomy; 46 patients were incontinent and 20 without urine incontinence.

Results:
More frequent occurrence of coccyx syndrome and pelvic floor syndrome in incontinent women patients as opposed to patients without incontinence has been confirmed. A statistically significant correlation of urinary incontinence with the coccyx syndrome has not been confirmed. The urinary incontinence has been correlated with the low back pain symptoms. No statistically significant relation between the low back pain and urinary incontinence has been found. A higher occurrence of low back pain in incontinent women in contrast to continent women has been confirmed. In these two groups no statistically significant difference in lumbar region pain occurrence has been observed.

Conclusion:
It would be desirable to conduct the research of these phenomena also after further surgical interventions in the minor pelvis region, eventually to conduct the comparison with patients without any surgical intervention in the minor pelvis and with larger patient file.

Key words:
coccyx syndrome, pelvic floor syndrome, lumbar region pain (low back pain), stress urinary incontinence

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