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Published on: August 14, 2019
[Lower urinary tract symptoms three years after delivery: a prospective study]
Kátia Pary Scarpa1, Viviane Herrmann, Paulo César Rodrigues Palma
1Departamento de Tocoginecologia, Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, SP, Brazil. kscarpa@uol.com.br
Pregnancy, not delivery, is linked to stress urinary incontinence (SUI) and nocturia. However, urge urinary incontinence is more common after childbirth. SUI significantly impacts women's social lives.
Area of Science:
- Urogynecology
- Women's Health Research
- Obstetrics and Gynecology
Context:
- Lower urinary tract symptoms (LUTS) are common in women.
- Understanding the long-term effects of pregnancy and delivery on LUTS is crucial for women's health.
- Previous research has focused on immediate postpartum symptoms, with less data on three-year outcomes.
Purpose:
- To determine the frequency of LUTS three years postpartum.
- To compare the impact of gestation versus delivery on LUTS development.
- To analyze the social and hygienic discomfort associated with micturition complaints.
Summary:
- A prospective study followed 120 women three years after delivery, assessing LUTS and their social impact.
- Gestation was associated with higher rates of stress urinary incontinence (SUI) and nocturia compared to postpartum.
- Urge urinary incontinence was more prevalent postpartum (30.5%) than during gestation (20.8%).
- Social discomfort was significantly higher when irritative urinary symptoms (IUS) were combined with SUI (91.4%).
Impact:
- Gestation is a significant factor in the development of SUI and nocturia.
- Postpartum urge urinary incontinence requires attention and management.
- The social impact of SUI, particularly when co-occurring with IUS, highlights the need for comprehensive patient support and treatment strategies.
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