Lower Urinary Tract Symptoms and Urinary Incontinence During Pregnancy

Balık, Gülşah; Es, Güven; Yb, Tekin; Şentürk, Senem; Kağıtçı, Mehmet; Üstüner, İşık; Ü, Mete Ural; Fk, Şahin

doi:10.1111/luts.12082

Cited by 35 publications

(39 citation statements)

References 36 publications

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“…The prevalence of LUTS was significantly higher during than after pregnancy, and storage LUTS were more frequent than voiding LUTS . Consistent with previous studies, the most commonly reported LUTS in this study during pregnancy were nocturia and frequency.…”

Section: Discussionsupporting

confidence: 91%

“…LUTS during and after pregnancy have attracted substantial attention in recent years because of their high prevalence and detrimental effects on health‐related quality of life . Several studies around the world have estimated the prevalence of LUTS during and after pregnancy, but there have been no reports on the prevalence of LUTS during and after pregnancy in mainland China.…”

Section: Introductionmentioning

confidence: 99%

“…around the world have estimated the prevalence of LUTS during and after pregnancy, [10][11][12][13][14] but there have been no reports on the prevalence of LUTS during and after pregnancy in mainland China.…”

mentioning

confidence: 99%

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Prevalence, potential risk factors, and symptomatic bother of lower urinary tract symptoms during and after pregnancy

Zhang

et al. 2019

LUTS

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Objectives Nationwide prospective studies of lower urinary tract symptoms (LUTS) during and after pregnancy have never been conducted in mainland China. A prospective longitudinal study was performed to evaluate the association of pregnancy and delivery on LUTS in a representative sample of primiparous Chinese women. Methods A national survey on urinary incontinence (UI) was conducted in 10,098 pregnant females during late pregnancy (37 to 42 weeks of gestation) and at 6 weeks postpartum.in seven administrative regions of China from September 2007 to May 2009. No intervention was implemented. International Consultation on Incontinence Questionnaire Female Lower Urinary tract Symptoms Module (ICIQ‐FLUTS) was administered. The participants were asked about the presence of individual LUTS and rated their symptom bother. Data were analyzed by descriptive statistics, Chi‐square tests, and multivariate logistic regression. Results Among all participants (mean ± SD maternal age 26.44 ± 3.97 years), the most commonly reported storage LUTS during pregnancy were nocturia (72.3%) and frequency (43.9%). LUTS were much less prevalent after childbirth than during pregnancy. Moderate to severe bother was more common during than after pregnancy. Compared with vaginal delivery (VD), cesarean section (CS) was a protective factor against voiding LUTS (AOR (adjusted odd ration), 0.66; 95% CI, 0.52‐0.82) and storage LUTS (AOR, 0.74; 95% CI, 0.66‐0.83). Conclusions LUTS were much more prevalent during than after pregnancy, with nocturia and frequency being the most prevalent. Moderate or severe bother was more common during pregnancy than after pregnancy. CS was associated with a decreased prevalence both of storage and voiding LUTS after delivery.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

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Prevalence, potential risk factors, and symptomatic bother of lower urinary tract symptoms during and after pregnancy

Zhang

et al. 2019

LUTS

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“…Pregnancy and childbirth are commonly thought to be associated with the development of lower urinary tract symptoms (LUTS). Frequency and nocturia are the most commonly reported urinary symptoms during pregnancy . After childbirth, the reported prevalence of LUTS declines rapidly within 6 months.…”

Section: Introductionmentioning

confidence: 99%

Lower urinary tract symptoms 7 years after the first delivery: Correlation to the mode of delivery

Li³

et al. 2019

Neurourology and Urodynamics

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Objective To investigate the extent of lower urinary tract symptoms (LUTS) during pregnancy and 7 years after birth in primipara and their association with delivery mode history and other factors. Methods A longitudinal cohort study was conducted in 12 hospitals representative of the diversity of the seven administrative regions of China. Of 10 098 women recruited at the third trimester, 3862 (38.25%) responded at 1 year, and 1115 (11.04%) responded at 7 years. A modified Chinese Bristol Female Lower Urinary Tract Symptoms questionnaire was administered. No intervention was implemented. Results Among the participants, 75.4% reported nocturia during gestation, followed by frequency (58.4%), which gradually decreased after delivery. The prevalence of urge urinary incontinence (UUI) increased from 5.7% during pregnancy to 22.8% at 1 year after delivery and 10.2% at 7 years postpartum. The prevalence of stress urinary incontinence (SUI) increased from 29.9% during pregnancy to 46.4% at 1 year postpartum and 23.7% at 7 years after delivery. The odds of storage LUTS and voiding LUTS 7 years after delivery were lower for the cesarean section (CS) group than for the vaginal delivery (VD) group (OR = 0.49, 95%CI, 0.36‐0.68; OR = 0.25, 95%CI, 0.09‐0.70). The most frequent moderately to severely bothersome LUTS after VD was SUI (19.18%), while that for CS was UUI (19.18%). Conclusion The incidence of storage LUTS was higher than that of voiding LUTS both during pregnancy and postpartum. The most frequently reported LUTS during pregnancy were nocturia and frequency, while the most frequent LUTS after delivery were urgency and SUI. CS was associated with a decreased prevalence of both storage and voiding LUTS after delivery.

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“…The structures of the pelvic floor (PF), such as muscles, connective tissue, and peripheral nerves, are influenced by hormonal, anatomical, and morphological changes during pregnancy [ 1 , 2 ], contributing to functional and structural modifications to the PF. This may result in long-term dysfunction, such as urinary incontinence (UI) [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

The effect of parity on the function of pelvic floor musculature in the long term: cross-sectional study

2020

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Objective Parity is associated with an increased risk of pelvic floor muscle dysfunction. The aim of this study was to evaluate the long-term effects of parity on this musculature. Methods This cross-sectional study was completed at the Department of Physical Therapy, Federal University of São Carlos, Brazil. In total, 143 women participated in the study and were classified into three groups according to parity: nulliparae, primiparae, and secundiparae women. All parous participants had last given birth between 1 and 6 years prior. Pelvic floor muscle function was assessed through unidigital vaginal palpation using the PERFECT scheme, with the contraction grade classified according to the Modified Oxford Scale and through manometry. Results There was no difference in scores on the Modified Oxford Scale (the means and standard deviations were 2.5±0.8 in nulliparae women, 2.3±0.9 in primiparae women, and 2.2±0.9 in secundiparae women; P =0.482) and manometry findings (the means and standard deviations were 42.3±22.7 in nulliparae women, 35.0±21.8 in primiparae women, and 33.2±20.0 in secundiparae women; P =0.144) among the assessed groups. Conclusion Parity had no effect, regardless of mode of birth, on the function of pelvic floor muscles and the presence of urinary symptoms, such as long-term urinary incontinence after birth.

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Lower Urinary Tract Symptoms and Urinary Incontinence During Pregnancy

Cited by 35 publications

References 36 publications

Prevalence, potential risk factors, and symptomatic bother of lower urinary tract symptoms during and after pregnancy

Prevalence, potential risk factors, and symptomatic bother of lower urinary tract symptoms during and after pregnancy

Lower urinary tract symptoms 7 years after the first delivery: Correlation to the mode of delivery

The effect of parity on the function of pelvic floor musculature in the long term: cross-sectional study

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