Possible association of urinary incontinence with post-COVID-19: a report of three cases

Introduction: The disorder denominated urinary incontinence (UI) has been diagnosed amongst 25–45% of women worldwide. Muscle weakness is one of the more notable symptoms, which is exhibited in the acute form of coronavirus disease 2019 (COVID-19) that compromises the respiratory musculature. Accor...

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Main Authors: Francely de Castro Sousa, Liliane Fagundes Estevam, Emília Pio Silva, Nicholas Alfred Joseph Mayers, Marli Carmo Cupertino
Format: Article
Language:English
Published: The Journal of Infection in Developing Countries 2023-11-01
Series:Journal of Infection in Developing Countries
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Online Access:https://jidc.org/index.php/journal/article/view/17431
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author Francely de Castro Sousa
Liliane Fagundes Estevam
Emília Pio Silva
Nicholas Alfred Joseph Mayers
Marli Carmo Cupertino
author_facet Francely de Castro Sousa
Liliane Fagundes Estevam
Emília Pio Silva
Nicholas Alfred Joseph Mayers
Marli Carmo Cupertino
author_sort Francely de Castro Sousa
collection DOAJ
description Introduction: The disorder denominated urinary incontinence (UI) has been diagnosed amongst 25–45% of women worldwide. Muscle weakness is one of the more notable symptoms, which is exhibited in the acute form of coronavirus disease 2019 (COVID-19) that compromises the respiratory musculature. Accordingly, this report aims to delineate three cases in women with UI possibly associated with post-severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. Case reports: Three elderly Brazilian women expressed UI symptomology post-COVID-19 recovery. In the investigation reports, there was no documented acute impairment or hospitalization post-COVID-19. Nevertheless, some form of UI derived from muscle weakness was detected and treated by physiotherapy in these patients. The patient 1 (P1) was classified as mixed urinary incontinence (MUI) based on the presented symptomology during the filling phase and urinary leakage on exertion. Intravaginal probing suggested neural integrity. The P2 and P3 were classified as stress urinary incontinence (SUI), related to increased abdominal pressure. In all the three cases, there were benefits from physical therapy treatment. Conclusions: This case report is relevant in improving our understanding and lead to future research about the possibility of clinical variations as UI after infection by SARS COV 2 contributing to greater awareness in the diagnostic workup and allowing for earlier treatment and management. It is concluded that the surveillance of the distinct symptomologies associated with the SARS-CoV-2 infection is fundamental, because there is no adequate corroboratory evidence in the scientific literature, for the cases of pelvic floor muscles weakness that causes UI.
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spelling doaj-art-b19203c95052442dacafa85c34bf2fcf2025-08-20T03:52:39ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802023-11-01171110.3855/jidc.17431Possible association of urinary incontinence with post-COVID-19: a report of three casesFrancely de Castro Sousa0Liliane Fagundes Estevam1Emília Pio Silva2Nicholas Alfred Joseph Mayers3Marli Carmo Cupertino4Faculdade Dinâmica do Vale do Piranga (FADIP), Ponte Nova, (MG), Minas Gerais State. BrazilFaculdade Dinâmica do Vale do Piranga (FADIP), Ponte Nova, (MG), Minas Gerais State. BrazilFaculdade Dinâmica do Vale do Piranga (FADIP), Ponte Nova, (MG), Minas Gerais State. BrazilDepartment of Veterinary Medicinet, Federal University of Viçosa (UFV), Viçosa, Minas Gerais State, BrazilFaculdade Dinâmica do Vale do Piranga (FADIP), Ponte Nova, (MG), Minas Gerais State. Brazil Introduction: The disorder denominated urinary incontinence (UI) has been diagnosed amongst 25–45% of women worldwide. Muscle weakness is one of the more notable symptoms, which is exhibited in the acute form of coronavirus disease 2019 (COVID-19) that compromises the respiratory musculature. Accordingly, this report aims to delineate three cases in women with UI possibly associated with post-severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. Case reports: Three elderly Brazilian women expressed UI symptomology post-COVID-19 recovery. In the investigation reports, there was no documented acute impairment or hospitalization post-COVID-19. Nevertheless, some form of UI derived from muscle weakness was detected and treated by physiotherapy in these patients. The patient 1 (P1) was classified as mixed urinary incontinence (MUI) based on the presented symptomology during the filling phase and urinary leakage on exertion. Intravaginal probing suggested neural integrity. The P2 and P3 were classified as stress urinary incontinence (SUI), related to increased abdominal pressure. In all the three cases, there were benefits from physical therapy treatment. Conclusions: This case report is relevant in improving our understanding and lead to future research about the possibility of clinical variations as UI after infection by SARS COV 2 contributing to greater awareness in the diagnostic workup and allowing for earlier treatment and management. It is concluded that the surveillance of the distinct symptomologies associated with the SARS-CoV-2 infection is fundamental, because there is no adequate corroboratory evidence in the scientific literature, for the cases of pelvic floor muscles weakness that causes UI. https://jidc.org/index.php/journal/article/view/17431physiotherapyinfectiologyCOVID-19diagnosisprognosis
spellingShingle Francely de Castro Sousa
Liliane Fagundes Estevam
Emília Pio Silva
Nicholas Alfred Joseph Mayers
Marli Carmo Cupertino
Possible association of urinary incontinence with post-COVID-19: a report of three cases
Journal of Infection in Developing Countries
physiotherapy
infectiology
COVID-19
diagnosis
prognosis
title Possible association of urinary incontinence with post-COVID-19: a report of three cases
title_full Possible association of urinary incontinence with post-COVID-19: a report of three cases
title_fullStr Possible association of urinary incontinence with post-COVID-19: a report of three cases
title_full_unstemmed Possible association of urinary incontinence with post-COVID-19: a report of three cases
title_short Possible association of urinary incontinence with post-COVID-19: a report of three cases
title_sort possible association of urinary incontinence with post covid 19 a report of three cases
topic physiotherapy
infectiology
COVID-19
diagnosis
prognosis
url https://jidc.org/index.php/journal/article/view/17431
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