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Longitudinal comparison study of pelvic floor function between women with and without stress urinary incontinence after vaginal delivery.

Authors :
Yoshida M
Murayama R
Haruna M
Matsuzaki M
Yoshimura K
Murashima S
Kozuma S
Source :
Journal of medical ultrasonics (2001) [J Med Ultrason (2001)] 2013 Apr; Vol. 40 (2), pp. 125-31. Date of Electronic Publication: 2012 Sep 19.
Publication Year :
2013

Abstract

Purpose: To compare the pelvic floor function between women with and without stress urinary incontinence after vaginal delivery.<br />Methods: Seventeen women (age 35.5 ± 3.5) were prospectively studied at about 6 weeks, 3 months, and 6 months after vaginal delivery. Urinary incontinence was assessed by the International Consultation on Incontinence Questionnaire - Short Form. Pelvic floor function was assessed by antero-posterior diameter of the levator hiatus using transperineal ultrasound.<br />Results: Five of 17 women experienced postpartum stress urinary incontinence. The antero-posterior diameter of the levator hiatus at rest was significantly longer in stress urinary incontinent women than in continent women until 3 months after delivery (p < 0.01), though shortening of the antero-posterior diameter of the levator hiatus was not significantly different between continent women and stress urinary incontinent women. Regardless of urinary incontinence, the antero-posterior diameter of the levator hiatus at rest shortened at 6 months postpartum, compared to 6 weeks postpartum (p < 0.001). The antero-posterior diameter of the levator hiatus during contraction had shortened only in continent women by 6 months postpartum (p = 0.02).<br />Conclusion: The extended pelvic floor may be a cause of stress urinary incontinence in the postpartum period. Therefore, treatment to improve the extended pelvic floor should be developed for the prevention of stress urinary incontinence.

Details

Language :
English
ISSN :
1346-4523
Volume :
40
Issue :
2
Database :
MEDLINE
Journal :
Journal of medical ultrasonics (2001)
Publication Type :
Academic Journal
Accession number :
27277100
Full Text :
https://doi.org/10.1007/s10396-012-0396-1