Is prenatal urethral descent a risk factor for urinary incontinence during pregnancy and the postpartum period?

International Urogynecology Journal
Anne-Cécile PizzoferratoXavier Fritel

Abstract

Obstetric trauma during childbirth is considered a major risk factor for postpartum urinary incontinence (UI), particularly stress urinary incontinence. Our aim was to investigate the relation between postpartum UI, mode of delivery, and urethral descent, and to define a group of women who are particularly at risk of postnatal UI. A total of 186 women were included their first pregnancy. Validated questionnaires about urinary symptoms during pregnancy, 2 and 12 months after delivery, were administered. Urethral descent was assessed clinically and by ultrasound at inclusion. Multivariate logistic regression analysis was used to determine the risk factors for UI during pregnancy, at 2 months and 1 year after first delivery. The prevalence of UI was 38.6, 46.5, 35.6, and 34.4 % at inclusion, late pregnancy, 2 months postpartum, and 1 year postpartum respectively. No significant association was found between UI at late pregnancy and urethral descent assessed clinically or by ultrasound. The only risk factor for UI at 2 months postpartum was UI at inclusion (OR 6.27 [95 % CI 2.70-14.6]). The risk factors for UI at 1 year postpartum were UI at inclusion (6.14 [2.22-16.9]), body mass index (BMI), and urethral descent at inclusion, ass...Continue Reading

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Citations

Sep 23, 2016·BJOG : an International Journal of Obstetrics and Gynaecology·Xavier Fritel, Marie-Josèphe Saurel-Cubizolles
Mar 10, 2016·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·B GachonX Fritel
Apr 8, 2019·International Urogynecology Journal·Anne-Cécile PizzoferratoArnaud Fauconnier
Jul 28, 2020·International Urogynecology Journal·Shahla Faal SiahkalMaryam Zahedian
Feb 24, 2021·Female Pelvic Medicine & Reconstructive Surgery·Meagan S CramerW Thomas Gregory
Nov 16, 2019·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Bertrand GachonXavier Fritel
May 4, 2021·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Hakan Peker, Berna Haliloglu Peker

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