Stress urinary incontinence as the presenting complaint of benign joint hypermobility syndrome

Smith, Matthew D; Hussain, Mahreen; Seth, Jai; Kazkaz, Hanadi; Panicker, Jalesh N.

doi:10.1258/shorts.2012.012005

Cited by 6 publications

(6 citation statements)

References 7 publications

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“…Table summarizes the design and publication date characteristics of the 105 included studies . Studies consisted of case reports/series (N = 62, 60%) and observational studies (N = 43, 40%), including cross sectional (N = 29), case‐controlled (N = 12), and cohort (N = 2) designs.…”

Section: Resultsmentioning

confidence: 99%

Urogenital and pelvic complications in the Ehlers‐Danlos syndromes and associated hypermobility spectrum disorders: A scoping review

2019

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The Ehlers-Danlos syndromes (EDS) and associated hypermobility spectrum disorders (HSD) are a heterogenous group of connective tissue disorders associated with significant morbidity. The urogenital aspects of these disorders are understudied and there is little guidance on the prevalence, types, or outcomes of urogenital complications in EDS/HSD. Our objective was to perform a scoping review to characterize and synthesize the literature reporting urogenital and pelvic complications in EDS/HSD patients. We performed a systematic search of three databases (Medline, CINAHL, Embase) to January 2019. English language, full-text articles reporting on urogenital or pelvic complications in EDS/HSD were included. A total of 105 studies were included (62 case reports/series, 43 observational) involving patients with hypermobile (23%), vascular (20%), classical (12%) EDS, and HSD (24%). Some studies looked at multiple subtypes (11%) or did not report subtype (33%). Reported complications included urinary (41%), gynecological (36%), obstetrical (25%), renal (9%), and men's health problems (7%), with some studies reporting on multiple areas. Urinary and gynecological complications were most prevalent in patients with HSD, while a broad range of complications were reported in EDS. While further research is required, results suggest a higher index of suspicion for urogenital problems is probably warranted in this population.

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Section: Resultsmentioning

confidence: 99%

Urogenital and pelvic complications in the Ehlers‐Danlos syndromes and associated hypermobility spectrum disorders: A scoping review

2019

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“…Stress incontinence is a symptom previously considered to primarily present in the later disease phase, in the third and fourth decade, in individuals with JHS . The lax connective tissue of individuals with JHS is likely to result in urethral hypermobility and inadequate compensatory support from the pelvic floor muscles to prevent leakage . While stress incontinence has previously been reported in nulliparous women with JHS, children affected by stress incontinence symptoms in our study included both genders and represented all ages.…”

Section: Discussionmentioning

confidence: 95%

“…The lax connective tissue of individuals with JHS is likely to result in urethral hypermobility and inadequate compensatory support from the pelvic floor muscles to prevent leakage . While stress incontinence has previously been reported in nulliparous women with JHS, children affected by stress incontinence symptoms in our study included both genders and represented all ages. Interestingly, most parents were unaware that their children were experiencing stress incontinence symptoms, thereby making it not surprising that this symptom did not enter into the prediction equation for parent‐reported HRQOL, but did enter the equation for child‐reported HRQOL.…”

Section: Discussionmentioning

confidence: 99%

Quality of life prediction in children with joint hypermobility syndrome

Pacey

Tofts

Adams

et al. 2015

J Paediatrics Child Health

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“…Ao final de toda análise, foram selecionados 10 artigos que apoiam a contextualização da problemática proposta. Dos artigos encontrados e analisados, um relata o caso de uma nulípara de 20 anos que apresentou incontinência urinária inexplicável e que após exame de vídeo-urodinâmica, constatou-se que a disfunção era decorrente da hipermobilidade uretral, visto que transtornos de colágeno podem afetar os tecidos de suporte da uretra, resultando na incontinência urinária de esforço (23) . Em outro estudo comparando crianças com (n=113) e sem disfunção miccional (n=113), encontrou-se maior prevalência de hipermobilidade articular generalizada (HAG), no grupo de paciente com disfunção miccional (45%, n= 51), maior prevalência nas meninas em ambos os grupos (caso e controle) e maior prevalência de HAG entre crianças de 5-10 anos, no grupo caso (n= 40).…”

Section: Resultsunclassified

Síndrome De Hipermobilidade Articular Nos Pacientes Com Disfunções Do Diafragma Da Pelve: Revisão De Literatura

Leal

Cavenaghi

Carvalho

2016

ACS

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Con lito de interesses:Não Contribuição dos autores: TTL delineamento do estudo, elaboração e redação do manuscrito. SC orientação e delineamento do estudo. LHC orientação do projeto. Abstract Introduction: Joint hypermobility is the ability to perform joint movements with greater amplitude than normal. We use the term "hypermobility syndrome joint" when there is a combination of extra-skeletal and musculoskeletal signs and symptoms that include a larger number of detaching disorders, including pelvic dysfunction. Pelvic floor dysfunction is a broad term that encompasses urinary incontinence and prolapse of pelvic organs considered greatly prevalent. Objective: Update knowledge of the association between joint hypermobility and dysfunction of the pelvic floor in the common population. Patients and Methods: English and Portuguese articles were selected published between 2010 and 2015 in the electronic databases PubMed, LILACS, and SciELO. Results: The structure of this study was based on references that present significant aspects related to the demand of our research. It comprises 11 studies showing significance in the results towards the existence of the relationship between joint hypermobility and changes in the pelvic floor. Conclusion: It is believed that existing alterations in the collagen composition can be the main cause of the relationship between Articular hypermobility and dysfunction of the pelvic floor. In general, the articles examined in this update tend to support this relationship. However, future implications of this new knowledge for better practice should be considered. Contato para correspondência: Talita Teixeira LealDescriptors: Joint Instability; Pelvic Floor; Collagen.

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Stress urinary incontinence as the presenting complaint of benign joint hypermobility syndrome

Cited by 6 publications

References 7 publications

Urogenital and pelvic complications in the Ehlers‐Danlos syndromes and associated hypermobility spectrum disorders: A scoping review

Urogenital and pelvic complications in the Ehlers‐Danlos syndromes and associated hypermobility spectrum disorders: A scoping review

Quality of life prediction in children with joint hypermobility syndrome

Síndrome De Hipermobilidade Articular Nos Pacientes Com Disfunções Do Diafragma Da Pelve: Revisão De Literatura

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