Assessment of urinary symptoms in early pregnancy

Cutner, A.; Cardozo, Linda; Benness, Christopher

doi:10.1111/j.1471-0528.1991.tb15403.x

Cited by 45 publications

(42 citation statements)

References 7 publications

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“…Urge incontinence during pregnancy has been reported in 12% of the primiparae and 19% of the multiparae [Stanton et al, 1980], similar to ¢ndings by Cutner et al [1991]. In a small sample of 28 women in late pregnancy, Cutner et al [1992] reported 43% with history of urge incontinence, but the urodynamic testing showed poor correlation with detrusor instability [Cutner et al, 1992].…”

Section: Luts During Pregnancy Prevalencesupporting

confidence: 63%

The risk of lower urinary tract symptoms five years after the first delivery*

Viktrup

2001

Neurourology and Urodynamics

111

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The first pregnancy and delivery may result in stress and urge incontinence 5 years later. Women with stress and urge incontinence 3 months after the first delivery have a very high risk of long-lasting symptoms. An episiotomy or a vacuum extraction at the first delivery seems to increase the risk. Subsequent childbearing or surgery seems without significant contribution. Long-lasting urgency, diurnal frequency, or nocturia cannot be predicted from onset during the first pregnancy or puerperium.

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Section: Luts During Pregnancy Prevalencesupporting

confidence: 63%

The risk of lower urinary tract symptoms five years after the first delivery*

Viktrup

2001

Neurourology and Urodynamics

111

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“…Stanton et al [12] reported similar results. In a study conducted at first trimester, rates of frequency, nocturia, incomplete emptying and weak stream were detected as 40, 23, 32 and 30%, respectively [13]. Our results are in agreement with the reports of Cutner et al [11] and Stanton et al [12], especially in frequency.…”

Section: Discussionsupporting

confidence: 83%

Voiding Symptoms in Pregnancy: An Assessment with International Prostate Symptom Score

Aslan¹,

Aslan

Yamazhan³

et al. 2003

Gynecol Obstet Invest

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Objective: The aim of the study was to evaluate the voiding symptoms of pregnant women and to compare the symptoms amongst trimesters and controls by means of the International Prostate Symptom Score (IPSS). Materials and Methods: Voiding symptoms of 256 pregnant and 230 non-pregnant healthy women hospitalized for other reasons were evaluated. Subjects who had a history of urological and neurological problems or previous pelvic surgery associated with urinary symptoms and those who had urinary tract infection were excluded from the study. The pregnant group was then subdivided into subgroups as to the trimesters of pregnancy. The IPSS assesses seven symptoms on a scale of 0 (no symptoms) to 5 (symptom always present) and was administered as a self-administered questionnaire with the assistance of a trained nurse. Symptom scores of each group and subgroup and the distribution of scores were assessed. Results: The mean scores for all questions in the pregnant group were significantly higher than controls. The comparison of mean scores according to trimesters showed a significant difference for the questions of frequency, intermittency, urgency, weak stream, nocturia, quality of life and for the total scores. The distribution of the scores for each question showed that frequency and nocturia were the most prominent symptoms in pregnancy. The percentage of the respondents with an IPSS score of >7 was 47.6% and the percentage of a quality of life score of ≧4 (mostly dissatisfied) was 48.4%. Conclusions: Voiding symptoms during pregnancy are highly prevalent. These symptoms worsen as the pregnancy progresses.

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“…The reported range of incidence rates for antepartum and postpartum urinary incontinence are approximately 24 -61 and 6-38%, respectively [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21]. These broad ranges are likely due to differences in the definition and detection method of urinary incontinence and the subject's parity [22].…”

Section: Introductionmentioning

confidence: 99%

Peripartum urinary incontinence in a racially diverse obstetrical population

et al. 2006

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To determine the rates of urinary incontinence in a racially diverse, tertiary care obstetrical population during the third trimester and postpartum using a validated symptom-screening questionnaire. Third trimester prenatal patients receiving obstetric care at Loyola University Medical Center between March and November 2003 participated in this prospective study approved by the Institutional Review Board. Third-trimester participants completed the 15-item, validated Medical, Epidemiological, and Social Aspects of Aging (MESA) questionnaire and the Hunskaar Severity Index. The MESA was readministered to participants during a 6- to 8-week postpartum visit. One hundred and thirteen women completed antenatal and postpartum MESAs. Seventy-four percent (83 of 113) of the patients in the third trimester were categorized as incontinent. The postpartum incontinence rates decreased to 44% (50 of 113). Twenty-one percent (24 of 113) of the participants after delivery reported pure stress incontinence, 3% (3 of 113) urge incontinence, and 20% (23 of 113) mixed incontinence. Only 4% (5 of 113) of the women developed de novo incontinence postpartum: three reported symptoms of pure stress incontinence and two reported symptoms consistent with urge incontinence. The MESA questionnaire identifies more women with antenatal and postpartum urinary incontinence than currently described in the literature.

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Assessment of urinary symptoms in early pregnancy

Cited by 45 publications

References 7 publications

The risk of lower urinary tract symptoms five years after the first delivery*

The risk of lower urinary tract symptoms five years after the first delivery*

Voiding Symptoms in Pregnancy: An Assessment with International Prostate Symptom Score

Peripartum urinary incontinence in a racially diverse obstetrical population

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