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

Viktrup, Lars

doi:10.1002/nau.2198

Cited by 111 publications

(92 citation statements)

References 176 publications

(381 reference statements)

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“…12 Têm sido implicadas alterações mecânicas e hormonais. As alterações mecânicas estão relacionadas com o aumento da pressão intra-abdominal e as respetivas repercussões no pavimento pélvico.…”

Section: Discussionunclassified

Avaliação da Incontinência Urinária na Gravidez e no Pós-Parto: Estudo Observacional

et al. 2017

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RESUMOIntrodução: A incontinência urinária pode afetar até 50% das mulheres em alguma fase das suas vidas, nomeadamente durante a gravidez. Este estudo foi desenhado com a finalidade de identificar e avaliar a prevalência e fatores de risco para incontinência urinária durante o terceiro trimestre da gravidez e três meses após o parto. No total (n = 237), 51,89% das mulheres incluídas no estudo, relataram a ocorrência de incontinência urinária durante a gravidez. A prevalência da incontinência urinária na gravidez, segundo a paridade (primíparas versus multíparas), foi estatisticamente significativa (p = 0,006). No pós-parto (n = 237), 28,69% das mulheres com incontinência urinária tiveram parto vaginal e 5,91% das mulheres foram submetidas a cesariana (p = 0,001). Neste grupo de mulheres com incontinência urinária pós-parto (n = 82), 31,69% apresentaram incontinência urinária de novo e 68,31% das mulheres já apresentavam sintomatologia durante a gravidez (p < 0,001). Discussão: Este estudo demonstra a elevada prevalência da incontinência urinária na gravidez e a respetiva redução no pós-parto. Conclusão:A multiparidade e a ocorrência de incontinência urinária na gravidez surgem como possíveis fatores de risco no aparecimento da incontinência urinária. Palavras-chave: Complicações na Gravidez; Gravidez; Incontinência Urinária; Período Pós-Parto ABSTRACT Introduction:The urinary incontinence can affect up to 50% of women at some stage of their lives, particularly during pregnancy and postpartum. This study was designed in order to identify and assess the prevalence and risk factors for urinary incontinence during the third trimester of pregnancy and three months postpartum. Material and Methods:Observational and cross-sectional study. The population of the study was composed of 268 women who delivered and were admitted to the Centro Hospitalar Tâmega e Sousa in the years 2013 and 2014, and who agreed to participate in this study. Postpartum women were asked to fill out a questionnaire adapted from the International Consultation on Incontinence Questionnaire -Short Form, for urinary incontinence research in the third trimester of pregnancy. Three months after delivery, they were contacted by telephone and asked to answer the same questions about the urinary incontinence postpartum. Results: Of the 268 women interviewed, 31 were excluded from the study, taking into account the defined inclusion and exclusion criteria. In total (n = 237), 51.89% of women included in the study, reported the occurrence of urinary incontinence during pregnancy. The prevalence of urinary incontinence in pregnancy by parity (primiparous versus multiparous) was statistically significant (p = 0.006). At postpartum (n = 237), 28.69% of women with urinary incontinence had vaginal delivery and 5.91% of women underwent cesarean delivery (p = 0.001). In these group of women with postpartum urinary incontinence (n = 82), 31.69% have had urinary incontinence only in the postpartum and 68.31% of women have had symptoms during pregnancy (p < 0.001)....

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Section: Discussionunclassified

Avaliação da Incontinência Urinária na Gravidez e no Pós-Parto: Estudo Observacional

et al. 2017

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“…One 5-year prospective study with 278 primiparae reported that the prevalence of nocturia, twice or more during the night, did not increase (2% at a 5-year follow up). 81 …”

Section: Agingmentioning

confidence: 99%

Correlates for nocturia: A review of epidemiological studies

Yoshimura

2012

Int J of Urology

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Abbreviations & AcronymsAbstract: Traditionally, nocturia was considered to be one of the symptoms of prostatism. However, this symptom has unusual characteristics compared with other lower urinary tract symptoms; for example, there is only a mild benefit for nocturia from treatment for benign prostatic hyperplasia. In the past decade, nocturia has been investigated as a separate symptom in epidemiological studies. These types of studies have shown various correlates for nocturia other than benign prostatic hyperplasia, as well as the prevalence of this symptom. These correlates include age, race/ethnicity, medical problems (such as hypertension, diabetes and stroke) psychological aspects, tasting habits, quality of life and even mortality. The cause-and-effect associations are not always obvious between nocturia and its correlates. In the present article, the author attempts to comprehensively review the correlates for nocturia shown by epidemiological studies.

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“…Urogenital symptoms are common during pregnancy and the prevalences of the di¡erent symptoms increase with gestational age [Sampselle et al, 1996;Cardozo and Cutner, 1997;Hojberg et al, 1999;Viktrup, 2002]. Urogenital symptoms represent disorders in the normal micturition cycle and can be divided into storage, voiding, and post-micturition symptoms [Abrams et al, 2002].…”

Section: Introductionmentioning

confidence: 99%

“…Urogenital symptoms represent disorders in the normal micturition cycle and can be divided into storage, voiding, and post-micturition symptoms [Abrams et al, 2002]. The prevalences of urogenital symptoms during pregnancy are high but vary depending on the de¢nitions used, the study design and the target population [Cutner et al, 1992;Sampselle et al, 1996;Hojberg et al, 1999;Thorp et al, 1999;Sze et al, 2002;Viktrup, 2002].…”

Section: Introductionmentioning

confidence: 99%