Impacts of Childbirth on the Subsequent Risk of Stress Urinary Incontinence

Yıl 2018, Cilt: 10 Sayı: 2, 149 - 152, 15.08.2018

İbrahim Ozdurak Abdullah Goymen , Yavuz Simsek , Ekrem Ozakin Yaşam Kemal Akpak , Aytek Şık , Oktay Sarı

https://doi.org/10.18521/ktd.399972

Cited By: 1

Öz

Objectives:
The aim of the current study was to investigate the role of childbirth
parameters on the development of stress urinary incontinence (SUI).

Methods:
One hundred-one healthy women (control group) and 98 patients with SUI (study
group) were included in this study between March 2008 and April 2009. Obstetric
history of participants was taken and labor parameters were compared between
the groups.

Results:
The prevalence of SUI reported in the study period was 17.2%. Gravidity and
parity was significantly higher in study group (P<0.001). Vaginal delivery,
Kristeller manauver, operative delivery by vacuum or forceps extraction and
delivery of macrosomic fetus was found to be significant risk factors for SUI
(P<0.05).

Conclusions:
Mode of delivery and obstetric history have significant impact on subsequent
SUI. Timely cesarean section in women with obstructed labor may prevent the
later occurrence of SUI.

Anahtar Kelimeler

Stress Urinary Incontinence, Pelvic Floor, Labor, Obstetric

Doğum Sonrası Gelişen Stress Üriner İnkontinans Riski Üzerine Doğum Eyleminin Etkileri

Öz

Amaç:
Bu çalışmanın amacı, stres üriner inkontinans (SÜİ) gelişiminde doğum
parametrelerinin rolünü araştırmaktır.

Metod:
Çalışmamıza polikliniğimize Mart 2008 ile Nisan 2009 tarihleri arsında
başvurmuş 101 sağlıklı kadın (kontrol grubu), 98 stres üriner inkontinası olan
kadın (çalışma grubu) dahil edilmiştir. Katılımcıların obstetrik hikayeleri
alındı ve grupların doğum parametreleri karşılaştırıldı.

Bulgular:
Çalışma süresince stres üriner inkontinans prevalansı %17.2 olarak
saptanmıştır. Gebelik ve doğum sayıları çalışma grubunda anlamlı olarak daha
yüksekti (p<0,001). Vaginal doğum, Kristeller manevrası, forseps ve vakum
kullanılan operatif doğumlar ve makrozomik fetus öyküsü stres üriner
inkontinans için anlamlı birer risk faktörü olarak saptanmıştır (p<0,05).

Sonuç:
Doğum şekli ve obstetrik hikaye stres üriner inkontinans üzerinde anlamlı etkiye
sahiptir. Planlı sezaryen doğum ise stres üriner inkontinans gelişimini
önleyebilir.

Anahtar Kelimeler

Stres Üriner İnkontinans, Pelvik Taban, Doğum, Obstetrik

Kaynakça

• 1. Wang A, Carr LK. Female stress urinary incontinence. Can J Urol 2008; 15: 37-43.
• 2. Minassian VA, Stewart WF, Hirsch AG. Why do stress and urge incontinence co-occur much more often than expected? Int Urogynecol J Pelvic Floor Dysfunct 2008;19 (10): 1429-40.
• 3. Goode PS, Burgio KL, Richter HE, Markland AD. Incontinence in older women. JAMA 2010; 303 (21): 2172-81.
• 4. Mukherjee M. Stress urinary incontinence and quality of life in women. J Indian Med Assoc 2011; 109(10): 717-20.
• 5. Labrie J, Fischer K, van der Vaart CH. Health-related quality of life. The effect of pelvic floor muscle training and midurethral sling surgery: a systematic review. Int Urogynecol J 2012; 23(9): 1155-62.
• 6. Kılınç E, Akpak YK. A rare case of unrecognized and uncommon bladder perforation after transobturator tape procedure. Case Rep Med 2015; 2015: 731593.
• 7. Akbas H, Karaca N, Cengiz H, Akpak YK, Yasar L, Ekin M. Evaluation of urodynamic parameters in patients with anterior vaginal wall prolapse. Kuwait Medical Journal 2016; 48(4): 298-306.
• 8. Kwon BE, Kim GY, Son YJ, Roh YS, You MA. Quality of life of women with urinary incontinence: a systematic literature review. Int Neurourol J 2010; 14 (3): 133-8.
• 9. Stothers L, Friedman B. Risk factors for the development of stress urinary incontinence in women. Curr Urol Rep 2011; 12 (5): 363-9.
• 10. Jóźwik M, Jóźwik M. Partial denervation of the pelvic floor during term vaginal delivery. Int Urogynecol J Pelvic Floor Dysfunct 2001; 12 (2): 81-2.
• 11. Luber KM. The definition, prevalence, and risk factors for stress urinary incontinence. Rev Urol 2004; 6: 3-9.
• 12. Memon HU, Handa VL. Vaginal childbirth and pelvic floor disorders. Womens Health (Lond Engl) 2013; 9(3): 265-77.
• 13. Snooks SJ, Swash M, Mathers SE, Henry MM. Effect of vaginal delivery on the pelvic floor: a 5-year follow-up. Br J Surg 1990; 77(12): 1358-60.
• 14. Mant J, Painter R, Vessey M. Epidemiology of genital prolapse: observations from the Oxford Family Planning Association study. Br J Obstet Gynaecol 1997; 104(5): 579-85.
• 15. Rortveit G, Daltveit AK, Hannestad YS, Hunskaar S. Urinary incontinence after vaginal delivery or cesarean section. N Engl J Med 2003; 348(10): 900-7.
• 16. Kuh D, Cardozo L, Hardy R. Urinary incontinence in middle-aged women: childhood enuresis and other lifetime risk factors in a British prospective cohort. J Epidemiol Community Health 1999; 53(8): 453-8.
• 17. Groutz A, Rimon E, Peled S et al. Cesarean section: Does it really prevent the development of postpartum stress urinary incontinence? a prospective study of 363 women one year after their first delivery. Neurourol Urodyn 2004; 23(1): 2-6.
• 18. Koc O, Duran B. Role of elective cesarean section in prevention of pelvic floor disorders. Curr Opin Obstet Gynecol 2012; 24(5): 318-23.