Document Detail


Female urinary incontinence, from pregnancy to menopause, a review of epidemiologic and pathophysiologic findings.
MedLine Citation:
PMID:  22497363     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Hypotheses that might explain urinary incontinence during pregnancy and after childbirth have been examined. Urinary incontinence prevalence reaches a maximum during pregnancy and decreases after childbirth. Cesarean delivery is associated with lower rates of stress incontinence than vaginal delivery. Women delivered by cesarean section differ from women who had a vaginal delivery through pre-existing characteristics associated with the incontinence risk, producing a selection bias. The only randomized trial (intention of vaginal delivery versus elective caesarean section) was not conclusive. The suspected etiological factors consist of congenital elements, obesity, aging, pregnancy and vaginal delivery. They are likely to have an effect at different times and portions of the urethral sphincter complex. Unfortunately there exist no cohorts facilitating description of the natural history of female urinary incontinence. Given the small amount of usable data available, it is not possible to draw any conclusions concerning the possible long-term protective effects of cesarean section.
Authors:
Xavier Fritel; Virginie Ringa; Emeline Quiboeuf; Arnaud Fauconnier
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-4-12
Journal Detail:
Title:  Acta obstetricia et gynecologica Scandinavica     Volume:  -     ISSN:  1600-0412     ISO Abbreviation:  -     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-4-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370343     Medline TA:  Acta Obstet Gynecol Scand     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 The Authors Acta Obstetricia et Gynecologica Scandinavica© 2012 Nordic Federation of Societies of Obstetrics and Gynecology.
Affiliation:
1Epidemiological Research Unit on Perinatal Health and Women's and Children's Health, INSERM, UMR S953, UPMC University of Paris 6, Villejuif 2Service for Gynecology-Obstetrics and Reproductive Medicine, Poitiers University Hospital, University of Poitiers, Poitiers 3Multithematic Clinical Research Centre, Poitiers University Hospital, INSERM, CIC-P 802 Poitiers 4Gender, Sexual and Reproductive Health Team, INSERM, CESP Centre for Research in Epidemiology and Population Health, U1018, Villejuif, INED, Paris 5University Paris-Sud, UMRS 1018, Villejuif 6Service for Gynecology-Obstertrics, Intercommunal Hospital Center (CHI) Poissy-Saint-Germain, University of Versailles Saint-Quentin-en-Yvelines (UVSQ), Versailles, France.
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