2006, Number 04
<< Back Next >>
Ginecol Obstet Mex 2006; 74 (04)
Functional changes in urethra secondary to partum vs cesarean section. Evidence with dynamic perfilometry
Solano SSR, Velásquez SMP, Kunhardt RJ
Language: Spanish
References: 16
Page: 193-199
PDF size: 357.52 Kb.
ABSTRACT
Background: The vaginal delivery produces anatomic and functional disease in the pelvic floor. The urethral profilometry, part of urodynamic study, represents graphically the urethral functionality.
Objective: To determine the functional changes in the dynamic profilometry in women with antecedent of vaginal delivery or cesarean section.
Patients and method: This is a correlation transversal study of 310 urodynamic studies in the Uroginecology Coordination, National Institute of Perinatology at 2003.
Results: We found a statistically significant correlation between vaginal delivery and urethral close area and the continence area, determining that a higher number of vaginal deliveries is associated with lower urethral close area and lower continence area.
REFERENCES
Bent A, Ostergard R, Cundiff G, Swift S. Ostergard´s urogynecology and pelvic floor dysfunction. 5th ed. Baltimore: Lippincott Williams & Wilkins, 2003;pp:3-18.
Persson J, Wolner-Hanssen P, Rydhstroem H. Obstetric risk for stress urinary incontinence: A population based study. Obstet Gynecol 2000;96(3):440-5.
Gainey HL. Post-partum observation of pelvic tissue damage. Am J Obstet Gynecol 1943;45:457-66.
Gainey HL. Post-partum observation of pelvic tissue damage: Further studies. Am J Obstet Gynecol 1955;70:800-7.
Meyer S, Schreyer A, de Grandi P, et al. The effects of birth on urinary continence mechanisms and other pelvis floor characteristics. Obstet Gynecol 1998;92:613-8.
Rortveit G, Daltveit AK, Hannestad YS, Hunskaar S. Norwegian EPINCONT Study. Urinary incontinence after vaginal delivery or cesarean section. N Engl J Med 2003;348(10):900-7.
Demirci F, Ozden S, Alpay Z, Demirci ET, Ayas S. The effects of vaginal delivery and cesarean section on bladder neck mobility and stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 2001;12(2):129-33.
Lal M. Prevention of urinary and anal incontinence: Role of elective cesarean delivery. Curr Opin Obstet Gynecol 2003;15(5):439-48.
Groutz A, Rimon E, Peled S, et al. Cesarean section: Does it really prevent the development of postpartum stress urinary incontinence? A prospective study of 363 women one year after their first delivery. Neurourol Urodyn 2004;23(1):2-6.
Weber AM. Is urethral pressure profilometry a useful diagnostic test for stress urinary incontinence? Obstet Gynecol Surv 2001;56(11):720-35.
Dahms SE, Lampel DS, Kloeppel S, et al. Low urethral pressure profile-clinical implications. Scand J Urol Nephrol Suppl 2001;207:100-5.
Dietz HP, Clarke B, Herbison P. Bladder neck mobility and urethral closure pressure as predictors of genuine stress incontinence. Int Urogynecol J Pelvis Floor Dysfunction 2002;13(5):289-93.
Hernández S, Fernández C, Baptista L. Metodología de la investigación. 3 ed. México: McGraw-Hill, 2003;pp:267-78.
Walters M, Karram M. Urogynecology and reconstructive pelvic surgery. 2nd ed. Philadelphia: Mosby, 1999;pp:135-43.
Iosif S, Ingermarsson I, Ulmsten U. Urodynamic studies in normal pregnancy and in puerperium. Obstet Gynecol 1980;137:696-700.
Bent A, Ostergard R, Cundiff G, Swift S. Ostergard´s urogynecology and pelvic floor dysfunction. 5 ed. Baltimore, Lippincott Williams & Wilkins, 2003;p:225.