Abstract
The effects of vaginal delivery on urethrovesical junction motility and stress incontinence: ultrasonographic evaluation
Highlights
Stress urinary incontinence (SUI) is a pathological condition defined as complaint of involuntary loss of urine on effort or physical exertion including sporting activities, sneezing, or coughing [1]
The aim of the present study is to investigate the relationship between vaginal delivery and stress incontinence and evaluate the use of pubovesical angle (PVA) as a predictive tool for the onset of SUI in patients with singleton pregnancy and age < 40
The present analysis showed that older age, smoking, weight gain, high BMI and the presence of SUI in pregnancy were not associated with anatomical changes both at 24 hours and at 3 months, in any measurement of PVA and retrovesical angle (RVA)
Summary
Stress urinary incontinence (SUI) is a pathological condition defined as complaint of involuntary loss of urine on effort or physical exertion including sporting activities, sneezing, or coughing [1]. It often follows a sudden increase of the intra-abdominal pressure as by coughing, sneezing, running or heavy lifting. A large community- based epidemiological study (EPINCONT: Epidemiology of Incontinence in the County of Nord-Trøndelag), performed in collaboration with the National Health Screening Service of Norway, showed that twenty-five percent of the adult women have involuntary loss of urine and the mean age of the affected women was 53.2 years versus 47.7 years for the continent women [2]. Parity is an important risk factor for female urinary incontinence (UI) in fertile and peri- and early post-menopausal ages. In age groups affected by parity, the first delivery had a higher impact than each of the even if parity was not related to severity [3]
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