The lower urinary tract in pregnancy and the puerperium

Cutner, A.; Cardozo, Linda

doi:10.1007/bf00499651

Cited by 27 publications

(29 citation statements)

References 41 publications

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“…Symptoms of voiding dysfunction such as hesitancy, poor stream, straining to void and the sensation of incomplete emptying or the need to revoid were common in pregnancy and increased towards the end of pregnancy, despite the fact that MFR and AFR centiles increased during this period. There was a marked decrease in the prevalence of voiding symptoms after childbirth which agrees with published data [2]. Symptoms were not consistently associated with objective voiding parameters and are probably at least partly a function of reduced bladder capacity [2].…”

Section: Discussionsupporting

confidence: 81%

“…There was a marked decrease in the prevalence of voiding symptoms after childbirth which agrees with published data [2]. Symptoms were not consistently associated with objective voiding parameters and are probably at least partly a function of reduced bladder capacity [2].…”

Section: Discussionsupporting

confidence: 81%

“…In late gestation, the encroaching fetal head markedly alters bladder geometry. While there are a number of studies that have undertaken to define voiding function in the context of multichannel urodynamic testing [1,2,3,4], they may be of limited usefulness due to the fact that voiding is unlikely to be normal in the presence of indwelling catheters and an intimidating array of machinery. Free flowmetry is likely to be more informative as it can be performed in the setting of a normal public toilet.…”

Section: Introductionmentioning

confidence: 99%

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Voiding function in pregnancy and puerperium

Dietz

Benness

2004

Int Urogynecol J

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Bladder function changes significantly in pregnancy. This study prospectively examined voiding function in a nulliparous cohort. A total of 200 nulliparous women were seen twice during pregnancy and 2-5 months postpartum. Flowmetry, ultrasound estimation of residual urine and translabial ultrasound of bladder neck mobility were evaluated. The Liverpool nomograms were used to calculate maximum and average flow rate (MFR and AFR) centiles. Flowmetry was available on 186 women at 6-18 weeks, 165 women at 32-39 weeks and 162 women 2-5 months postpartum. Voided volumes decreased from 253 to 180 ml during pregnancy (p<0.001), increasing again to 198 ml postpartum. MFR centiles increased during pregnancy [from 49 (SD 28) to 58 (SD 29), p=0.003], and this trend continued postpartum [to 61.8 (SD 26.8), p<0.001]. Changes correlated weakly but significantly with changes in several parameters of bladder neck mobility (e.g. urethral rotation and MFR centiles, r=0.182, p=0.027). MFR and AFR centiles increase in pregnancy and with childbirth, and increases correlate weakly with changes in bladder neck mobility.

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Section: Discussionsupporting

confidence: 81%

Section: Discussionsupporting

confidence: 81%

Section: Introductionmentioning

confidence: 99%

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Voiding function in pregnancy and puerperium

Dietz

Benness

2004

Int Urogynecol J

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“…According to uroflowmetry studies performed in pregnancy, there is no difference in peak and average flow velocities between women with symptoms and without symptoms [11,14]. This finding suggests that voiding difficulties could be a result of excreting low volume urine because of frequency rather than an obstruction.…”

Section: Discussionmentioning

confidence: 80%

“…Except for the weak stream and intermittency, obstructive symptoms showed no significant difference among trimesters. Studies report that the prevalence of poor stream and incomplete emptying in pregnancy is up to 25 and 30% respectively [11,14]. Urodynamic studies during pregnancy have shown that maximum cystometric capacity, maximum flow rate and average flow rate were significantly decreased during pregnancy [15].…”

Section: Discussionmentioning

confidence: 99%

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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Factors affecting urethrocystographic parameters in urinary continent women

Yang

1996

J. Clin. Ultrasound

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The lower urinary tract in pregnancy and the puerperium

Cited by 27 publications

References 41 publications

Voiding function in pregnancy and puerperium

Voiding function in pregnancy and puerperium

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

Factors affecting urethrocystographic parameters in urinary continent women

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