nach oben

International Urogynecology Journal

Erschienen in:

01.09.2010 | Original Article

Parity is not associated with urgency with or without urinary incontinence

verfasst von: Annemarie G. Hirsch, Vatche A. Minassian, Anne Dilley, Jennifer Sartorius, Walter F. Stewart

Erschienen in: International Urogynecology Journal | Ausgabe 9/2010

Einloggen, um Zugang zu erhalten

Abstract

Introduction and hypothesis

Evidence varies on the relation between parity and urgency or urge incontinence (UUI). We used data from the General Longitudinal Overactive Bladder Evaluation to determine whether differences in case definitions could account for variation in findings.

Methods

We simulated case criteria to correspond to studies of urgency, UUI, and parity using data from 1,880 patients. Logistic models were run for each case-control scenario corresponding to previously used case definitions.

Results

Parity was significantly associated with urgency (odds ratios (OR) 1.70; CI: 1.30-2.22) and UUI (odds ratios (OR) 1.87; CI: 1.34-2.60) only when the case criteria included individuals with stress incontinence (SUI). Parity was not associated with UUI when individuals with SUI were excluded or with urgency when individuals with incontinence were excluded.

Conclusions

Neither urgency nor UUI symptoms appear to be associated with parity among women 40 years of age and older. Previous associations appear to be explained by inclusion of individuals with SUI.

Altman D, Ekstrom A, Gustafsson C, Lopez A, Falconer C, Zetterstrom J (2006) Risk of urinary incontinence after childbirth: a 10-year prospective cohort study. Obstet Gynecol 108:873–878CrossRefPubMed

Chaliha C, Digesu A, Hutchings A, Soligo M, Khullar V (2004) Caesarean section is protective against stress urinary incontinence: an analysis of women with multiple deliveries. BJOG: An Int J Obstet Gynaecol 111:754–755CrossRef

Handa VL, Harvey L, Fox HE, Kjerulff KH (2004) Parity and route of delivery: does cesarean delivery reduce bladder symptoms later in life? Am J Obstet Gynecol 191:463–469CrossRefPubMed

Lukacz ES, Lawrence JM, Contreras R, Nager CW, Luber KM (2006) Parity, mode of delivery, and pelvic floor disorders. Obstet Gynecol 107:1253–1260PubMed

Rortveit G, Daltveit AK, Hannestad YS, Hunskaar S, Study NEPINCONT (2003) Urinary incontinence after vaginal delivery or Cesarean section. N Engl J Med 348:900–907CrossRefPubMed

Bahl R, Strachan B, Murphy DJ (2005) Pelvic floor morbidity at 3 years after instrumental delivery and cesarean delivery in the second stage of labor and the impact of a subsequent delivery. Am J Obstet Gynecol 192:789–794CrossRefPubMed

Goldberg RP, Kwon C, Gandhi S, Atkuru LV, Sorensen M, Sand PK (2003) Urinary incontinence among mothers of multiples: the protective effect of cesarean delivery. Am J Obstet Gynecol 188:1447–1450CrossRefPubMed

Viktrup L (2002) The risk of lower urinary tract symptoms five years after the first delivery. Neurourol Urodyn 21:2–29CrossRefPubMed

Parazzini F, Chiaffarino F, Lavezzari M, Giambanco V, VIVA Study G (2003) Risk factors for stress, urge or mixed urinary incontinence in Italy. BJOG: An Int J Obstet Gynaecol 110:927–933CrossRef

10.

Foldspang A, Mommsen S, Lam GW, Elving L (1992) Parity as a correlate of adult female urinary incontinence prevalence. J Epidemiol Community Health 46:595–600CrossRefPubMed

11.

Thom DH, van den Eeden SK, Brown JS (1997) Evaluation of parturition and other reproductive variables as risk factors for urinary incontinence in later life. Obstet Gynecol 90:983–989CrossRefPubMed

12.

Snooks SJ, Setchell M, Swash M, Henry MM (1984) Injury to innervation of pelvic floor sphincter musculature in childbirth. Lancet 2:546–550CrossRefPubMed

13.

Tetzschner T, Sorensen M, Lose G, Christiansen J (1996) Pudendal nerve recovery after a non-instrumented vaginal delivery. Int Urogynecol J 7:102–104CrossRef

14.

McKinnie V, Swift SE, Wang W, Woodman P, O'Boyle A, Kahn M et al (2005) The effect of pregnancy and mode of delivery on the prevalence of urinary and fecal incontinence. Am J Obstet Gynecol 193:512–517CrossRefPubMed

15.

Allen RE, Hosker GL, Smith AR, Warrell DW (1990) Pelvic floor damage and childbirth: a neurophysiological study. Br J Obstet Gynaecol 97:770–779PubMed

16.

Brubaker L (2004) Urgency: the cornerstone symptom of overactive bladder [see comment]. Urology 64:12–16CrossRefPubMed

17.

Wein AJ, Rackley RR (2006) Overactive bladder: a better understanding of pathophysiology, diagnosis and management [see comment]. J Urol 175:S5–S10CrossRefPubMed

18.

Moller LA, Lose G, Jorgensen T (2000) Risk factors for lower urinary tract symptoms in women 40 to 60 years of age. Obstet Gynecol 96:446–451CrossRef

19.

Zhang W, Song Y, He X, Huang H, Xu B, Song J (2006) Prevalence and risk factors of overactive bladder syndrome in Fuzhou Chinese women. Neurourol Urodyn 25:717–721CrossRefPubMed

20.

Stewart WF, Minassian VA, Hirsch AG, Kolodner K, Fitzgerald M, Burgio K, et al (2009) Predictors of variability in urinary incontinence and overactive bladder symptoms. Neurourol Urodyn. doi:10.1002/nau.20753

21.

Stewart WF, Van Rooyen JB, Cundiff GW, Abrams P, Herzog AR, Corey R et al (2003) Prevalence and burden of overactive bladder in the United States. World J Urol 20:327–336PubMed

22.

Herzog AR, Diokno AC, Brown MB, Normolle DP, Brock BM (1990) Two-year incidence, remission, and change patterns of urinary incontinence in noninstitutionalized older adults. J Gerontol 45:M67–M74PubMed

23.

Sandvik H, Seim A, Vanvik A, Hunskaar S (2000) A severity index for epidemiological surveys of female urinary incontinence: comparison with 48-hour pad-weighing tests. Neurourol Urodyn 19:137–145CrossRefPubMed

24.

Lukacz ES, Lawrence JM, Buckwalter JG, Burchette RJ, Nager CW, Luber KM (2005) Epidemiology of prolapse and incontinence questionnaire: validation of a new epidemiologic survey. Int Urogynecol J 16:272–284CrossRef

25.

Minassian VA, Drutz HP, Al-Badr A (2003) Urinary incontinence as a worldwide problem. Int J Gynaecol Obstet 82:327–38CrossRefPubMed

26.

McCormick MC, Brooks-Gunn J (1999) Concurrent child health status and maternal recall of events in infancy. Pediatrics 104:1176–1181PubMed

Titel: Parity is not associated with urgency with or without urinary incontinence
verfasst von: Annemarie G. Hirsch
Vatche A. Minassian
Anne Dilley
Jennifer Sartorius
Walter F. Stewart
Publikationsdatum: 01.09.2010
Verlag: Springer-Verlag
Erschienen in: International Urogynecology Journal / Ausgabe 9/2010
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-010-1164-7

Neu im Fachgebiet Gynäkologie und Geburtshilfe

Neue S3-Leitlinie zur unkomplizierten Zystitis: Auf Antibiotika verzichten?

15.05.2024 Harnwegsinfektionen Nachrichten

Welche Antibiotika darf man bei unkomplizierter Zystitis verwenden und wovon sollte man die Finger lassen? Welche pflanzlichen Präparate können helfen? Was taugt der zugelassene Impfstoff? Antworten vom Koordinator der frisch überarbeiteten S3-Leitlinie, Prof. Florian Wagenlehner.

Update Gynäkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.

Newsletter bestellen

Springer Medizin

Parity is not associated with urgency with or without urinary incontinence

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Neu im Fachgebiet Gynäkologie und Geburtshilfe

Neue S3-Leitlinie zur unkomplizierten Zystitis: Auf Antibiotika verzichten?

Gestationsdiabetes: In der zweiten Schwangerschaft folgenreicher als in der ersten

Embryotransfer erhöht womöglich Leukämierisiko der Kinder

Alter verschlechtert Prognose bei Endometriumkarzinom

Update Gynäkologie

Springer Medizin

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 9/2010

Predictive factors for overactive bladder symptoms after pelvic organ prolapse surgery

Magnetic resonance imaging-based three-dimensional model of anterior vaginal wall position at rest and maximal strain in women with and without prolapse

Randomized trials in robotic surgery: a practical impossibility?

Validation of a global pelvic floor symptom bother questionnaire

Urodynamics in the octogenarian female: is it worthwhile?

Anterior vaginal wall prolapse: a randomized controlled trial of SIS graft versus traditional colporrhaphy

Neu im Fachgebiet Gynäkologie und Geburtshilfe

Neue S3-Leitlinie zur unkomplizierten Zystitis: Auf Antibiotika verzichten?

Gestationsdiabetes: In der zweiten Schwangerschaft folgenreicher als in der ersten

Embryotransfer erhöht womöglich Leukämierisiko der Kinder

Alter verschlechtert Prognose bei Endometriumkarzinom

Update Gynäkologie