{"id":12894,"date":"2025-09-29T10:05:33","date_gmt":"2025-09-29T14:05:33","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/stress-test-2\/"},"modified":"2026-10-06T12:50:55","modified_gmt":"2026-10-06T16:50:55","slug":"teste-de-esforco","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/teste-de-esforco\/","title":{"rendered":"Teste de Esfor\u00e7o"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[109],"glossary-product":[108,107],"class_list":["post-12894","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-diagnostic-phenomena","glossary-product-conticlassic-aus","glossary-product-contireflex-enhanced-aus"],"acf":{"gt-definition":"<p>O teste de esfor\u00e7o \u00e9 um procedimento diagn\u00f3stico cl\u00ednico utilizado para demonstrar a incontin\u00eancia urin\u00e1ria por meio da simula\u00e7\u00e3o de condi\u00e7\u00f5es que aumentam a press\u00e3o intra-abdominal.<sup>1<\/sup> Durante esse teste, um profissional de sa\u00fade observa se h\u00e1 perda involunt\u00e1ria de urina quando o paciente realiza atividades que exercem press\u00e3o sobre a bexiga, como tossir, espirrar ou fazer for\u00e7a com a bexiga cheia.<sup>2<\/sup> O teste \u00e9 utilizado principalmente para diagnosticar a incontin\u00eancia urin\u00e1ria de esfor\u00e7o (IUE), uma condi\u00e7\u00e3o caracterizada pela perda s\u00fabita e involunt\u00e1ria de urina durante atividades que aumentam a press\u00e3o intra-abdominal.<sup>3<\/sup> O teste de esfor\u00e7o \u00e9 considerado um componente fundamental da avalia\u00e7\u00e3o b\u00e1sica de pacientes com sintomas de incontin\u00eancia urin\u00e1ria e ajuda a diferenciar os v\u00e1rios tipos de incontin\u00eancia, particularmente a incontin\u00eancia de esfor\u00e7o e a de urg\u00eancia.<sup>4<\/sup> Esse teste n\u00e3o invasivo fornece evid\u00eancia objetiva de incontin\u00eancia urin\u00e1ria de esfor\u00e7o e ajuda a orientar as decis\u00f5es terap\u00eauticas adequadas.<sup>5<\/sup><\/p>","gt-synonyms":"Teste de estresse de tosse, teste de estresse de bexiga, teste de estresse provocativo, teste de estresse urin\u00e1rio, teste de Bonney (vers\u00e3o modificada), teste de estresse supino vazio (SEST), teste de estresse em p\u00e9","gt-citation":"[1] Nygaard IE, Heit M. Stress urinary incontinence. Obstet Gynecol. 2004 Sep;104(3):607-20. DOI: 10.1097\/01.AOG.0000137874.84862.94\n\n[2] Lugo T, Tannenbaum C. Stress Urinary Incontinence. [Updated 2023 Jul 17]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK539769\/\n\n[3] Committee on Gynecologic Practice, American Urogynecologic Society. Committee Opinion No. 603: Evaluation of uncomplicated stress urinary incontinence in women before surgical treatment. Obstet Gynecol. 2014 Jun;123(6):1403-7. DOI: 10.1097\/01.AOG.0000450759.34453.31\n\n[4] Nager CW, Brubaker L, Litman HJ, et al. A randomized trial of urodynamic testing before stress-incontinence surgery. N Engl J Med. 2012 May 24;366(21):1987-97. DOI: 10.1056\/NEJMoa1113595\n\n[5] Varl\u0131 B, G\u00fcrb\u00fcz T, \u00c7elen S, et al. The Role of the Supine Empty Stress Test in the Evaluation of Women with Stress Urinary Incontinence. J Clin Med. 2023 Dec 8;12(24):7697. DOI: 10.3390\/jcm12247697","gt-clinical-context":"<p>O teste de esfor\u00e7o \u00e9 um componente essencial da avalia\u00e7\u00e3o cl\u00ednica de pacientes que apresentam sintomas de incontin\u00eancia urin\u00e1ria.<sup>1<\/sup> \u00c9 particularmente valioso no diagn\u00f3stico da incontin\u00eancia urin\u00e1ria de esfor\u00e7o, que afeta aproximadamente um ter\u00e7o das mulheres adultas.<sup>2<\/sup> O teste \u00e9 indicado quando os pacientes relatam perda involunt\u00e1ria de urina durante atividades como tossir, rir, espirrar ou realizar esfor\u00e7o f\u00edsico.<sup>3<\/sup><\/p>\n    \n    <p>De acordo com as diretrizes cl\u00ednicas, a avalia\u00e7\u00e3o m\u00ednima antes de se considerar o tratamento cir\u00fargico da incontin\u00eancia urin\u00e1ria de esfor\u00e7o deve incluir um teste de esfor\u00e7o, juntamente com a hist\u00f3ria cl\u00ednica, o exame de urina, o exame f\u00edsico, a avalia\u00e7\u00e3o da mobilidade uretral e a medi\u00e7\u00e3o do volume de urina residual p\u00f3s-miccional.<sup>4<\/sup> O teste \u00e9 normalmente realizado com o paciente com a bexiga confortavelmente cheia, nas posi\u00e7\u00f5es supina e em p\u00e9.<sup>5<\/sup><\/p>\n    \n    <p>O procedimento consiste em pedir ao paciente que tussa com for\u00e7a ou realize uma manobra de Valsalva enquanto o profissional de sa\u00fade observa se h\u00e1 perda de urina pela uretra.<sup>2<\/sup> Um teste positivo, indicado por perda vis\u00edvel de urina coincidente com o aumento da press\u00e3o abdominal, confirma o diagn\u00f3stico de incontin\u00eancia urin\u00e1ria de esfor\u00e7o.<sup>3<\/sup> O teste pode ser modificado (teste de Bonney) com a sustenta\u00e7\u00e3o do colo vesical, para avaliar se a corre\u00e7\u00e3o cir\u00fargica poderia ser ben\u00e9fica.<sup>5<\/sup><\/p>\n    \n    <p>Para pacientes com teste de esfor\u00e7o positivo, as op\u00e7\u00f5es de tratamento variam desde abordagens conservadoras (treinamento dos m\u00fasculos do assoalho p\u00e9lvico, mudan\u00e7as no estilo de vida) at\u00e9 interven\u00e7\u00f5es cir\u00fargicas, dependendo da gravidade e da prefer\u00eancia do paciente.<sup>1<\/sup> As evid\u00eancias sugerem que, em casos n\u00e3o complicados com teste de esfor\u00e7o positivo, a realiza\u00e7\u00e3o adicional de estudo urodin\u00e2mico pode n\u00e3o melhorar significativamente os resultados do tratamento.<sup>4<\/sup><\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":166},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.7 (Yoast SEO v28.7) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Teste de Esfor\u00e7o: Avalia\u00e7\u00e3o da Incontin\u00eancia Urin\u00e1ria | Rigicon<\/title>\n<meta name=\"description\" content=\"Saiba sobre o teste de esfor\u00e7o para diagn\u00f3stico de incontin\u00eancia urin\u00e1ria. 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