Assessment of impaired urination in pregnant women


Cite item

Full Text

Abstract

Three hundred and twenty four patients aged less than 35 years in different pregnancy periods were examined to establish the incidence and pattern of impaired urination during pregnancy and to assess significant risk factors in pregnant women with symptoms of urinary incontinence. The questionnaire "The specific urination during pregnancy" and uroflowmetry on an ELLIPS-4 apparatus (ANDROMEDA, Germany) were used during the study. Impaired urination was found to occur in 146 (48.7%) pregnant women. Of them, there were imperative urinary disorders in 83 (56.8%) patients, stress urinary incontinence in 30 (20.5%), the mixed form in 33 (22.7%) women.
Pregnancy and labor are referred to as risk factors of urinary incontinence. The women with increased body mass index and a history of labor complications (maternal passage soft tissue tears, perineo- and episiotomy, and large fetus delivery) form a special risk group.

About the authors

Larisa Anatol'evna Kovaleva

V E Balan

Z L Goncharevskaya

L A Kovaleva

V. I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Russian Agency for Medical Technologies

V. I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Russian Agency for Medical Technologies

V Ye Balan

V. I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Russian Agency for Medical Technologies

V. I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Russian Agency for Medical Technologies

Z L Goncharevskaya

Antenatal Clinic One, Moscow

Antenatal Clinic One, Moscow

References

  1. Балан В. Е. Урогенитальные расстройства в климактерии (клиника, диагностика, заместительная гормонотерапия): Дис. ... д-ра мед. наук. - М., 1988.
  2. Вишневский Е. Л., Пушкарь Д. Ю., Лоран О. Б. Урофлоуметрия. - М., 2004.
  3. Гаджиева З. К. Функциональное состояние нижних мочевых путей и медикаментозная коррекция нарушений мочеиспускания у женщин в климактерии: Дис. ... канд. мед. наук. - М., 2001.
  4. Ермакова Е. И. Оптимизация малоинвазивных методов лечения стрессового недержания мочи у женщин в климактерии: Дис. ... канд. мед. наук. - М., 2006.
  5. Лоран О. Б. // Материалы пленума Правления Российского о-ва урологов. - Ярославль, 21-24 мая 2001. - М., 2001. - С. 21-24.
  6. Херт Г. Оперативная урогинекология: Пер. с англ. под ред. Н. А. Лопаткина, О. И. Аполихина. - М., 2003.
  7. Abrams P., Cardozo L., Fall M. et al. // Urology. - 2003. - Vol. 61. - P. 37-49.
  8. Bц K., Owe K. M., Nystad W. // Am. J. Obstetr. Gynecol. - 2007. - Vol. 197. - P. 49-51.
  9. Brummen H. J., Bruinse H. W., Bom J. G. et al. // Neurourol. and Urodyn. - 2006. - Vol. 25. - P. 135-139.
  10. Chaliha C., Stanton S. L. // Br. J. Urol. Int. - 2002. - Vol. 89. - P. 469-476.
  11. Jones D. C., Hayslett J. P. // N. Engl. J. Med. - 1996. - Vol. 335. - P. 226-232.
  12. Kristiansson P., Samuelsson E., Schoults B. V. et al. // Acta Obstetr. Gynecol. Scand. - 2004. - Vol. 80. - P. 1125-1130.
  13. MacLennan A. H., Taylor A. W., Wilson D. H. et al. // Br. J. Obstetr. Gynaecol. - 2000. - Vol. 107. - P. 1460-1470.
  14. Parazzini F., Chiaffarino F., Lavezzari M. et al. // Br. J. Obstetr. Gynaecol. - 2003. - Vol. 110. - P. 927-933.
  15. Persoon J., Wolner-Hanssen P., Rydhstroem H. // Obstetr. and Gynecol. - 2000. - Vol. 96, N 3. - P. 445-445.
  16. Pol G. J., Brummen H. J., Bruinse H. W. et al. // Int. Urogynecol. J. Pelvic Floor Dysfunct. - 2007. - Vol. 18. - P. 1409-1415.
  17. Sampsell C. M., Miller J. M., Mims B. L. // Obstetr. and Gynecol. - 1998. - Vol. 91. - P. 406-1412.
  18. Santos P. C., Mendonca D., Alves O. et al. // Acta Med. Port. - 2006. - Vol. 19. - P. 349-356.
  19. Sibui B., Newton E. // Urogynecology and Reconstructive Pelvic Surgery. - Philadelphia, 2007. - P. 599.
  20. Toozs-Hobson P., Cutner A. // Textbook of Female Urology and Urogynaecology. - London, 2002. - P. 1077.
  21. Viktrup L., Rortveit G., Lose G. // Obstetr. and Gynecol. - 2006. - Vol. 108. - P. 248-254.
  22. Wesnes S. L., Rortveit G., Bц K. et al. // Obstetr. and Gynecol. - 2007. - Vol. 109. - P. 922-928.

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies