Treatment of Refractory Urinary Urgency, Frequency, and Incontinence in Pregnancy

Pennycuff, Jon F.; White, Joseph; Park, Amy J.

doi:10.1007/s11884-019-00533-8

Cited by 2 publications

(6 citation statements)

References 31 publications

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“…Percutaneous tibial nerve stimulation: 14 ○There are no case reports or case studies regarding its use or insertion during pregnancy. …”

Section: Overactive Bladdermentioning

confidence: 99%

“…A sign of fetal head engagement can be increased frequency 13 . Increasing progesterone levels may also increase the glomerular filtration rate, increasing frequency 14 …”

Section: Overactive Bladdermentioning

confidence: 99%

“…Percutaneous sacral nerve stimulation (SNM): 12 ○SNM is not offered during pregnancy. ○If already in situ, medical advice recommends turning off the device when planning or during pregnancy, but symptoms usually worsen when the device is off. For those who keep the device on, the symptoms remain stable. ○The effect of SNM on the pregnant uterus is not known. ○Studies have showed no fetal anomalies or fetal pregnancy losses associated with SNM. ○Lead displacement may occur during assisted vaginal delivery or caesarean section, reducing the efficacy of SNM postpartum. Percutaneous tibial nerve stimulation: 14 ○There are no case reports or case studies regarding its use or insertion during pregnancy. …”

Section: Overactive Bladdermentioning

confidence: 99%

“…Intravaginal estrogens: ○Low‐dose local vaginal estrogens can be used postnatally to treat OAB symptoms in breastfeeding owing to the reduction in endogenous oestrogen levels 4 Intravesical botulinum toxin type A (botox) injection: ○Although botox may be used in pregnancy, it is not commonly offered. ○If used, the risk of urinary retention and subsequent requirement for clean, intermittent self‐catheterisation remains 14 ○A 24‐year retrospective review of the Allergan safety database of botox injection during pregnancy showed the prevalence of abnormal pregnancy outcomes was no different to rates in the general population.…”

Section: Overactive Bladdermentioning

confidence: 99%

“…13 Increasing progesterone levels may also increase the glomerular filtration rate, increasing frequency. 14 Urinary urgency has been estimated by Liang et al (2011) 15 as affecting between 16 and 31% of women during pregnancy, with the prevalence increasing with increasing gestation. There is no strong association between parity and urinary urgency or OAB.…”

Section: Overactive Bladdermentioning

confidence: 99%

See 4 more Smart Citations

The management of urogynaecological problems in pregnancy and the postpartum period

Karim

Araklitis

Robinson

et al. 2022

The Obstetric & Gynaecologis

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Stress urinary incontinence is common in pregnancy and its severity can be reduced with pelvic floor muscle training. Overactive bladder syndrome prevalence increases with gestation and treatment can be conservative or medical. Pelvic organ prolapse is multifactorial. Pelvic floor exercises and pessaries are important treatments and previous surgical management can affect the mode of delivery. Recurrent urinary tract infections can be treated with antibiotic prophylaxis or with non-antibiotic prophylaxis such as methanamine hippurate, D-Mannose and hygiene behaviour. Urinary retention can occur at any point during pregnancy, causing bladder distension, voiding dysfunction and subsequent lifelong catheterisation. Learning objectivesTo be aware of the pathophysiology and management of different types of urinary tract dysfunction in pregnancy and the postpartum period. To understand the potential causes and management of pelvic organ prolapse in pregnancy and the postpartum period. To understand the different potential management options in recurrent lower urinary tract infections.

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“…Percutaneous tibial nerve stimulation: 14 ○There are no case reports or case studies regarding its use or insertion during pregnancy. …”

Section: Overactive Bladdermentioning

confidence: 99%

“…A sign of fetal head engagement can be increased frequency 13 . Increasing progesterone levels may also increase the glomerular filtration rate, increasing frequency 14 …”

Section: Overactive Bladdermentioning

confidence: 99%

Section: Overactive Bladdermentioning

confidence: 99%

Section: Overactive Bladdermentioning

confidence: 99%

Section: Overactive Bladdermentioning

confidence: 99%

See 3 more Smart Citations

The management of urogynaecological problems in pregnancy and the postpartum period

Karim

Araklitis

Robinson

et al. 2022

The Obstetric & Gynaecologis

View full text Add to dashboard Cite

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Management of Urogynaecological Problems in Pregnancy and Postpartum Period during Covid

Basharat¹,

Hussain²,

Najam³

et al. 2022

PJMHS

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Background: Urogynaecological problems are the gynae related disorders of urinary system which affect women during pregnancy and postpartum period.Covid-19 also had an impact on these disorders. Objective: The main objective of this study is to find out how urogynaecological problems occur in pregnancy and postpartum period and how these problems were managed during covid 19. Study Design: Cross-sectional study Place and Duration: Gynaecology and Obstetrics department of Al-Nafees Medical College and Hospital, Islamabad, from 5th February 2020 to 6th August 2021. Method: We included 220 pregnant women in our study.Their age, body mass index, gestational age, mode of delivery, fetal age at the time of delivery were measured. Prevalence of urogynaecological problems in pregnant women was also noted. Among these 220 females, 50 females got infected with covid.We compared their complications with complications of pregnant women who weren’t infected with covid. Result: Body mass index of pregnant women with urogynaecological problems was 22 to 36 kg/m2. 12 to 14 kg weight increased during pregnancy.Gestational age at delivery was 38 to 42 weeks. Fetal weight was 2 to 4 kg at the time of birth. 62% women had vaginal mode of delivery while 38% had cesarian.Prevalence of urinary tract infections was 7% , stress urinary incontinence was 18 to 70%, uterine prolapse was 5 to 8% in pregnant women. 45% pregnant women had increased micturition frequency.Their were also some chances of formation of renal stones during pregnancy. Pregnant women who got infected with covid -19 had to face several other complications as well.These complications were managed with hygiene behaviour, balanced diet, exercise and medications. Conclusion: Urogynaecological problems are commonly found in pregnant women due to enlargement of kidneys and increased GFR during pregnancy. During pregnancy, uterus size increases which leads to compression of ureters and increased bacterial growth. Increased growth of bacteria causes urinary tract infections.Vaginal mode of delivery increases the risk of uterine prolapse.Covid-19 also had an impact on urogynaecological problems.These problems were managed during pandemic by avoiding direct contact. Keywords: Urogynecological problems, Pregnancy, Postpartum period, Covid-19

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Treatment of Refractory Urinary Urgency, Frequency, and Incontinence in Pregnancy

Cited by 2 publications

References 31 publications

The management of urogynaecological problems in pregnancy and the postpartum period

The management of urogynaecological problems in pregnancy and the postpartum period

Management of Urogynaecological Problems in Pregnancy and Postpartum Period during Covid

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