Risk factors associated with stress urinary incontinence 12 years after first delivery

Gabilondo, Miren Arrue; Ginto, None Leire; Zubikarai, Maitane; Galan, Claudia; Saro, Javier; Diez-Itza, Irene

doi:10.1007/s00192-020-04661-2

Cited by 9 publications

(11 citation statements)

References 25 publications

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“…This situation requires us to further explore the anatomic pathogenesis of stress urinary incontinence. Currently, it is believed that the pathogenesis of stress urinary incontinence is mainly due to changes related to age, childbirth, obesity, constipation and other risk factors [ 8 , 9 ] that induce changes in the urinary control anatomical factors, including the anatomical factors of the urethra itself, the anatomical factors of periurethra and the anatomical factors of the pelvic nerve [ 10 ]. Finally, stress incontinence occurs under the combined effects of a variety of change factors.…”

Section: Introductionmentioning

confidence: 99%

The Anatomical Pathogenesis of Stress Urinary Incontinence in Women

et al. 2022

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Stress urinary incontinence is a common disease in middle-aged and elderly women, which seriously affects the physical and mental health of the patients. For this reason, researchers have carried out a large number of studies on stress urinary incontinence. At present, it is believed that the pathogenesis of the disease is mainly due to changes related to age, childbirth, obesity, constipation and other risk factors that induce changes in the urinary control anatomy, including the anatomical factors of the urethra itself, the anatomical factors around the urethra and the anatomical factors of the pelvic nerve. The combined actions of a variety of factors lead to the occurrence of stress urinary incontinence. This review aims to summarize the anatomical pathogenesis of stress urinary incontinence from the above three perspectives.

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Section: Introductionmentioning

confidence: 99%

The Anatomical Pathogenesis of Stress Urinary Incontinence in Women

et al. 2022

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“…Therefore, it indicates that both the increased number of impairments and the prolonged duration of stress on the pelvic floor structure are associated with the onset of postpartum SUI. Birthweight of infant has been found to be associated with a risk of incontinence [ 36 , 37 ]. After correction for confounding factors, there was no association between infant weight and postnatal SUI in our study, which may result from the combined effects of study population differences, hospital condition, and postpartum screening methods.…”

Section: Discussionmentioning

confidence: 99%

Establishment and validation of a simple nomogram for predicting early postpartum stress urinary incontinence among women with vaginal delivery: a retrospective study

Guo

Chi

et al. 2023

BMC Women's Health

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Background Stress urinary incontinence (SUI) is a common public health issue that negatively impacts the quality of life for women worldwide, of which early detection and rehabilitation are consequently pivotal. The aim of this study is to establish a simple nomogram for identifying women at risk of postpartum SUI. Methods A retrospective study was conducted in a tertiary specialized hospital in Shanghai, China. The study included only women with singleton, full-term, and vaginal deliveries. 2,441 women who delivered from July 2019 to November 2019 were included in the training cohort, and 610 women who delivered from January 2022 to February 2022 were included in the validation cohort. SUI was determined by the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI-SF). Univariate and multifactorial logistical regression were used to identify independent risk factors for postpartum SUI and further construct the nomogram accordingly. Based on concordance statistics (C-statistics), calibration curves, and decision curve analyses, we evaluated the performance of the nomogram in the training cohort and the validation cohort. In addition, the model was validated internally in the training cohort through cross-validation. Results There were no significant statistically differences in important baseline data such as age, pre-pregnancy BMI, and parity between the training and validation cohorts. SUI was observed in 431 (17.6%) and 125 (20.5%) women in the training and validation cohorts, respectively. According to the regression analysis, age, parity, second stage of labor, infant weight, and forceps delivery were included in the nomogram. The nomogram had a C-statistic of 0.80 (95% confidence interval [CI] 0.74–0.85) for predicting SUI. C-statistics were stable in both internally cross-validated training cohort (mean 0.81) and validation cohort (0.83 [95% CI 0.79–0.87]). The nomogram’s calibration curve was near the ideal diagonal line. Additionally, the model exhibited a positive net benefit from the decision curve analysis. Conclusion We have created a nomogram that can be utilized to quantify the risk of postpartum SUI for women with vaginal delivery. The model might contribute to predicting early postpartum SUI, thereby facilitating the management of SUI.

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“…Possibly due to differences in study populations and follow-up time, more studies have found the opposite: the effects of postpartum SUI on women's health are sustained, and over time, the cumulative incidence of SUI increases signi cantly [39,[42][43][44][45][46]. Other studies have found that the persistence of postpartum SUI is caused by higher BMI and excessive GWG in pregnant women [14,39,47,48].…”

Section: Discussionmentioning

confidence: 99%

Effect of gestational weight gain on postpartum pelvic floor function in twin primiparas: a single-center retrospective study in China

Zhou

Luo²,

Zhou

et al. 2022

Preprint

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Background The effect of GWG as a controllable factor during pregnancy on pelvic floor function has rarely been investigated, and studies on twin primiparas are even less frequent. The objective of the present study was to explore the correlation between GWG and postpartum pelvic floor function in twin primiparas. Methods We retrospectively analyzed the clinical data of 184 twin primiparas in the pelvic floor rehabilitation system of the First Affiliated Hospital of Chongqing Medical University from January 2020 to October 2021. Based on the GWG criteria recommended by the Institute of Medicine, the study subjects were divided into two groups: adequate GWG and excessive GWG. Univariate and multivariate logistic regression models were applied to explore the relationship between GWG and pelvic floor. Results Among the 184 twin primiparas, 20 (10.87%) had excessive GWG. The rates of abnormal vaginal dynamic pressure (95% vs 74.39%), severely impaired type I muscle fibers (80% vs 45.73%), anterior vaginal wall prolapse (90% vs 68.90%), and stress urinary incontinence (50% vs 20.12%) of twin primiparas with excessive GWG were significantly higher than those with adequate GWG. There was no significant difference between the total score of the PFDI-20 or the scores of the POPDI-6, CRADI-8, and UDI-6 in the two groups (P > 0.05). After adjusting for potential confounding factors, the results showed that excessive GWG was positively associated with abnormal vaginal dynamic pressure (OR = 8.038, 95% CI: 1.001–64.514), severely impaired type I muscle fibers (OR = 8.654, 95% CI: 2.462–30.416), anterior vaginal wall prolapse (OR = 4.705, 95% CI: 1.004–22.054), and stress urinary incontinence (OR = 4.424, 95% CI: 1.578–12.403). Conclusion Excessive GWG in twin primiparas was positively correlated with the prevalence of pelvic floor dysfunction, which did not exacerbate pelvic floor symptoms in twin primiparas. Reasonable control of GWG is beneficial in reducing the risk of abnormal pelvic floor function. Therefore, individualized management for twin pregnancies, providing healthy lifestyle guidance, and promoting weight management should be an important part of perinatal care.

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Risk factors associated with stress urinary incontinence 12 years after first delivery

Cited by 9 publications

References 25 publications

The Anatomical Pathogenesis of Stress Urinary Incontinence in Women

The Anatomical Pathogenesis of Stress Urinary Incontinence in Women

Establishment and validation of a simple nomogram for predicting early postpartum stress urinary incontinence among women with vaginal delivery: a retrospective study

Effect of gestational weight gain on postpartum pelvic floor function in twin primiparas: a single-center retrospective study in China

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