Prevalence and risk factors of urinary incontinence in young and middle-aged women

Peyrat, L.; Haillot, O.; Bruyère, F.; Boutin, Jean-Michel; Bertrand, P.; Lanson, Y

doi:10.1046/j.1464-4096.2001.01813.x

Cited by 107 publications

(95 citation statements)

References 30 publications

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“…Cesarean sections are believed to have a protective effect on the pelvic floor but probably only for the first delivery and less for multiple births (19,21,36). Vaginal delivery, therefore, represents a potent determinant of SUI, carrying from 1.5-to 3-fold the risk of cesarean section (15,17,32,37).…”

Section: Discussionmentioning

confidence: 99%

“…Rats underwent VD under intraperitoneal ketamine (100 mg/kg) and xylazine (10 mg/kg) anesthesia as previously described (7,14), with supplementation as needed. To avoid rupturing the vagina, it was first accommodated to larger capacities by subsequently inserting and removing increasing sizes (24)(25)(26)(27)(28)(29)(30)(31)(32) of Otis bougie à boule urethral dilators (Allegiance Health Care, McGaw Park, IL) lubricated with Surgilube (E. Fougera, Melville, NY). A modified 10-Fr Foley catheter (Lifetech, Stafford, TX) was then inserted into the vagina, and the balloon was slowly distended with water to 3 ml.…”

Section: Methodsmentioning

confidence: 99%

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Increased duration of simulated childbirth injuries results in increased time to recovery

Pan¹,

Kerns²,

Lin³

et al. 2007

American Journal of Physiology-Regulatory, Integrative and Comp

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Stress urinary incontinence (SUI) development is strongly correlated with vaginal childbirth, particularly increased duration of the second stage of labor. However, the mechanisms of pelvic floor injury leading to SUI are largely unknown. The aim of this study was to determine the effects of increased duration of vaginal distension (VD) on voiding cystometry, leak point pressure testing, and histology. Sixty-nine virgin female rats underwent VD with an inflated balloon for either 1 or 4 h, while 33 age-matched rats were sham-VD controls. Conscious cystometry, leak point pressure testing, and histopathology were determined 4 days, 10 days, and 6 wk after VD. The increase in abdominal pressure to leakage (LPP) during leak point pressure testing was significantly decreased in both distension groups 4 days after distension, indicative of short-term decreased urethral resistance. Ten days after VD, LPP was significantly decreased in the 4-h but not the 1-h distension group, indicating that a longer recovery time is needed after longer distension duration. Six weeks after VD, LPP was not significantly different from sham-VD values, indicating a return toward normal urethral resistance. In contrast, 6 wk after VD of either duration, the distended rats had not undergone the same increase in voided volume as the sham-VD group, suggesting that some effects of VD do not resolve within 6 wk. Both VD groups demonstrated histopathological evidence of acute injuries and tissue remodeling. In conclusion, this experiment suggests pressure-induced hypoxia as a possible mechanism of injury in vaginal delivery.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Increased duration of simulated childbirth injuries results in increased time to recovery

Pan¹,

Kerns²,

Lin³

et al. 2007

American Journal of Physiology-Regulatory, Integrative and Comp

View full text Add to dashboard Cite

show abstract

“…Moreover, this figure varies in gender depending on age. The study UrEpik showed that young men had less prevalence of UI symptoms while the proportion was reversed in the elderly [12]. But there are other factors that influence UI such as treatments, pathological antecedents, and lifestyle choices (smoking, alcohol intake, dietary habits).…”

Section: Discussionmentioning

confidence: 99%

“…Apart from traditional risk factors, especially related to stress UI (age, deliveries, abdominal surgery), other factors, such as medications and drinking habits, can influence urge micturition [12].…”

Section: Introductionmentioning

confidence: 99%

Epidemiological Study on Urinary Incontinence and Overactive Bladder in Primary Care, and the Prevalence of Risk Factors (URO-RISK Study)

Mendive¹,

Rebollo²,

Pérez³

2012

UIJ

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“…1–3 Although the peak age at onset is 45 to 49 years, this problem has also been reported to occur in 12.4% of women 40 years old or younger. 4 Parity and age at first vaginal delivery have been shown to contribute most to the development of SUI, with the association between SUI and the first delivery being the strongest in women 20 to 34 years old (RR 2.2, 95% CI 1.8–2.6). 1 Many women who request surgical intervention for SUI may later wish to deliver more children.…”

mentioning

confidence: 99%

Outcomes of Pregnancy Following Surgery for Stress Urinary Incontinence: A Systematic Review

2012

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Purpose Although few data have been published on the safety of childbearing after surgery for stress urinary incontinence, a large proportion of physicians recommend that women wait to complete childbearing before pursuing surgical treatment for stress urinary incontinence. We systematically reviewed the available literature to examine the safety of pregnancy after stress urinary incontinence surgery, and to measure the effect of such pregnancy on continence outcomes. Materials and Methods The review was conducted according to the recommendations of the MOOSE (Meta-Analysis of Observational Studies in Epidemiology) group. We performed a systematic review to identify articles published before January 2011 on pregnancy after incontinence surgery. Databases searched include PubMed®, EMBASE® and the Cochrane Review. Our literature search identified 592 titles, of which 20 articles were ultimately included in the review. Results Data were tabulated from case reports, case series and physician surveys. The final analysis in each category included 32, 19 and 67 patients, respectively. Urinary retention developed during pregnancy in 2 women, 1 of whom was treated with a sling takedown and the other with intermittent catheterization. Of these 2 women 1 also had an episode of pyelonephritis during pregnancy, possibly related to the intermittent catheterization. The incidence of postpartum stress urinary incontinence ranged from 5% to 18% after cesarean delivery and from 20% to 30% after vaginal delivery. Conclusions Although the data on outcomes in the literature are limited and further studies need to be performed on the subject, the current data suggests that any increase in risks for pregnancy after surgery for stress incontinence may be small. A low risk of urinary retention during pregnancy may exist. Although some data suggest that cesarean deliveries may result in a lower rate of recurrent stress urinary incontinence than vaginal deliveries, a formal analysis could not be performed with the available data.

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Prevalence and risk factors of urinary incontinence in young and middle-aged women

Abstract: Objective To assess the prevalence of and risk factors for urinary incontinence (UI) in young and middle-aged women. Subjects and methods During 1998 the prevalence of overall, stress, urge and mixed UI was assessed in women working in a French academic hospital.Women (2800)

Cited by 107 publications

References 30 publications

Increased duration of simulated childbirth injuries results in increased time to recovery

Increased duration of simulated childbirth injuries results in increased time to recovery

Epidemiological Study on Urinary Incontinence and Overactive Bladder in Primary Care, and the Prevalence of Risk Factors (URO-RISK Study)

Outcomes of Pregnancy Following Surgery for Stress Urinary Incontinence: A Systematic Review

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