Pediatric urology

Abstract

trial of labor, was found to be associated with a significantly lower prevalence of postpartum SUI. Whether the prevention of pelvic floor injury should be an indication for elective cesarean section is yet to be established. Editorial CommentThe authors attempt to illuminate the timing and role of cesarean section with regard to postpartum stress urinary incontinence by examining a study population divided into three subgroups. The first group being 145 primiparae women who underwent spontaneous vaginal delivery, the second group being 118 primiparae women who underwent selective cesarean section and a the third group of 100 primiparae women who underwent cesarean section for obstructed labor. The authors, in their paper, come to a clearly defined conclusion that childbirth induced stress urinary incontinence is best prevented through elective cesarean section prior to the onset of labor. In addition, it is noted in the report that cesarean section performed for obstructed labor was not associated with a diminished incidence of postoperative stress urinary incontinence. They also found that patients who have new onset stress urinary incontinence during pregnancy will have an increased risk of stress urinary incontinence at one year postpartum measurements.