The role of pelvic organs prolapse in the etiology of urinary incontinence in women

Zargham, Mahtab; Alizadeh, Farshid; Moayednia, Amir; Haghdani, Saeed; Nouri-Mahdavi, Kia

doi:10.4103/2277-9175.108010

Cited by 14 publications

(12 citation statements)

References 10 publications

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“…The number of vaginal deliveries had a significant relationship only with cystocele and rectocele grade, whereas the number of Caesarean sections did not have any effect on the intensity of incontinence. However, the relationship between other variables, such as intensity of different types of UI and enterocele grade with the number of deliveries, was not significant (Zargham et al, 2013) (level of evidence = 3-4).…”

Section: Pelvic Organ Prolapsementioning

confidence: 82%

“…In patients with UUI and MUI, POP grade significantly increased with age, but no such relationship was found in patients with SUI (Zargham, Alizadeh, Moayednia, Haghdani, & Nouri-Mahdavi, 2013) (level of evidence = 3-4). The number of vaginal deliveries had a significant relationship only with cystocele and rectocele grade, whereas the number of Caesarean sections did not have any effect on the intensity of incontinence.…”

Section: Pelvic Organ Prolapsementioning

confidence: 88%

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Advances in Female Urology: A Review of the 2013 Literature

Cerruto¹,

D’Elia²,

Porcaro³

et al. 2015

UNJ

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The field of female urology covers a broad spectrum of lower urinary tract dysfunction and pelvic disorders. The aim of this article is to provide a comprehensive review of the most significant literature published during 2013.Key Words: Female urology, voiding dysfunction, overactive bladder, pelvic organ prolapse, stress incontinence, recurrent urinary tract infection, bladder pain syndrome/interstitial cystitis.

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Section: Pelvic Organ Prolapsementioning

confidence: 82%

Section: Pelvic Organ Prolapsementioning

confidence: 88%

Advances in Female Urology: A Review of the 2013 Literature

Cerruto¹,

D’Elia²,

Porcaro³

et al. 2015

UNJ

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“…Fifty per cent of women who experience urogenital prolapse have symptoms of SUI 19 . States the severity of POP has no relationship with the incidence of SUI, this is indicated by the prevalence of SUI in POP grades 1-2 (43.8%) differing signifi cantly with POP degrees 3-4 (53.6%) 20 .…”

Section: Discussionmentioning

confidence: 99%

Pelvic Floor Muscle Strength Stress Urinary Incontinence

Anggraeni¹,

Hakim²,

Santoso

et al. 2020

Indones J Obstet Gynecol

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Objective: To examine the relationship between muscle strength and muscle thickness of levator ani with stress urinary incontinence (SUI) in women.Methods: This study uses a comparative cross-sectional study design. We collected 82 women who visiting the Obstetrics and Gynecology clinic of RSUPN Dr. Cipto Mangunkusumo with the study group were subjects with positive cough tests while the control group were subjects with negative cough tests. The data obtained in the form of history taking, Questionnaire for Urinary Incontinence Diagnosis (QUID), physical examination (POPQ), cough test. perineometer, and ultrasound.Results: We found no significant difference between the levator ani muscle thickness to the incidence of SUI with the median levator ani muscle thickness 0.63 cm (range 0.31-1.02 and p = 0.897). While levator ani muscle strength against SUI has a median of 19.5 (range 4.6-88.6 and p = 0.001). In multivariate analysis it was found that purely SUI, prolapse and age had no significant effect on the strength of levator ani muscles with a p-value of 0.243; 0.844; 0.903.Conclusions: There is no significant difference in levator ani muscle thickness between women who experience SUI compared to those who do not. Women with SUI have weaker levator ani muscle strength than those who do not experience but are not statistically significant. And there is no correlation between muscle strength and levator ani muscle thickness in women with SUI.Keywords: muscle strength, muscle thickness, perineometer, stress urinary incontinence, ultrasound. Abstrak Tujuan : Untuk mengkaji hubungan antara kekuatan otot dan ketebalan otot levator ani dengan keluhan IU-T pada perempuan.Metode : Penelitian ini menggunakan desain perbandingan potong lintang dengan melibatkan 82 wanita yang berkunjung di poliklinik Obstetri dan Ginekologi RSUPN Dr. Cipto Mangunkusumo dengan kelompok studi adalah subyek dengan tes batuk positif sedangkan kelompok kontrol adalah subyek dengan tes batuk negative. Data yang diperoleh berupa hasil anamnesis, Questionnaire for Urinary Incontinence Diagnosis (QUID), pemeriksaan fisik (POPQ), tes batuk. perineometer , dan USG.Hasil: Hasil penelitian ini didapatkan tidak ada perbedaan bermakna antara ketebalan otot levator ani terhadap kejadian IUT dengan median ketebalan otot levator ani 0,63 cm (jarak 0,31-1,02 dan p=0,897). Sedangkan kekuatan otot levator ani terhadap IUT memiliki median 19,5 (jarak 4,6-88,6 dan p=0,001). Pada analisis multivariat didapatkan bukti bahwa secara murni IUT, prolap dan usia tidak mempunyai pengaruh bermakna terhadap kekuatan otot levator ani dengan nilai p masing-masing 0,243; 0,844; 0,903.Kesimpulan : Tidak terdapat perbedaan yang bermakna pada ketebalan otot levator ani antara perempuan yang mengalami IU-T dibanding yang tidak mengalami. Perempuan IU-T mempunyai kekuatan otot levator ani yang lebih lemah dibanding yang tidak mengalami, namun tidak bermakna secara statistik. Tidak terdapat hubungan korelasi antara kekuatan otot dan ketebalan otot levator ani pada perempuan yang mengalami IU-T. Kata kunci : inkontinensia urin jenis tekanan, ketebalan otot, kekuatan otot, perineometer, USG

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“…[ 4 ] Generally, the reasons of OAB are subdivided into three categories: neurogenic, peripheral, and myogenic. [ 5 6 7 ] Primary idiopathic disease (idiopathic detrusor overactivity [IDO]) or secondary neurogenic diseases could cause an increase in detrusor activity. The most important sign of OAB is urinary urgency.…”

Section: Introductionmentioning

confidence: 99%

“…In other words, involuntary contractions of detrusor in filling phase are recognized as overactivity. [ 5 6 8 ] Conservative treatment strategies of OAB are weight loss, smoking cessation, reducing caffeinated, pelvic floor muscle training, which all improve symptoms effectively. Anticholinergics drugs are the first-line of pharmacotherapy treatment for OAB.…”

Section: Introductionmentioning

confidence: 99%

Is there any Relationship Between Bladder Trabeculation and Efficacy and Safety of Intravesical Botulinum Toxin A Injection in Refractory Idiopathic Overactive Bladder Women?

et al. 2017

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Background:Intradetrusor injection of botulinum toxin A (BTX-A) might serve as a minimally invasive substitute in patients with refractory idiopathic overactive bladder (RIOAB). The aim of this study was to evaluate the clinical outcomes related to two different doses of abo-BTX-A (AboBTX-A) in patients with RIOAB.Materials and Methods:This prospective clinical trial was performed on 55 women with RIOAB. After determination of trabeculation grade, 300 (no or mild) or 500 (moderate or severe) unit of AboBTX-A (Dysport) was intravesicaly injected. Before 1, 3, and 6 months after intervention, lower urinary tract symptoms during 24 h were recorded.Results:Of the study population, 62% had severe bladder trabeculation. The mean duration of overactive bladder (OAB) was 1.76 versus 5.85 years, for no or mild versus severe trabeculation, respectively. After injections of 300- and 500-unit dosage, there were 19% and 26% early complications such as urinary retention. There was a statistically significant difference between the two groups in OAB score after 1 month (P < 0.001) and duration of OAB symptoms, over three follow-up times (P < 0.001). The mean preinjection OAB scores between patients with and without recurrence were statistically significant (29.36 vs. 25.07; P < 0.03). Urinary tract infection as a late complication was distinguished in four patients.Conclusion:In RIOAB, by adjusted dosage of AboBTX-A related to the grade of bladder trabeculation, in addition to maintain efficacy, consequent complications might not be affected by dosage and the drug dosage could be increased to nearly 60% with less concern associated to complication

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The role of pelvic organs prolapse in the etiology of urinary incontinence in women

Cited by 14 publications

References 10 publications

Advances in Female Urology: A Review of the 2013 Literature

Advances in Female Urology: A Review of the 2013 Literature

Pelvic Floor Muscle Strength Stress Urinary Incontinence

Is there any Relationship Between Bladder Trabeculation and Efficacy and Safety of Intravesical Botulinum Toxin A Injection in Refractory Idiopathic Overactive Bladder Women?

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