Early Diagnosis and Treatment of Genuine Stress Urinary Incontinence in Women After Pregnancy: Midwives as Detectives

Journal of Midwifery and Women's Health - Tập 48 - Trang 60-66 - 2003
Iréne Peeker, Ralph Peeker

Tóm tắt

Genuine stress incontinence is often a hidden problem in that many women suffering from genuine stress incontinence after delivery do not seek medical advice. This article reviews signs and symptoms of genuine stress incontinence that, when identified, may enable midwives to initiate or suggest treatment as needed. A comprehensive literature search was performed in relevant medical databases. The following adverse risk factors for the development of genuine stress incontinence are vaginal delivery, multiparity, and obesity, with an increased risk for women who did not actively exert pelvic floor training. Prolonged second stage of labor and heavier babies were two factors associated with an increase in the risk of damage to the pelvic floor innervation as well as genuine stress incontinence. Several conservative treatment options, such as special instructions for pelvic floor training, the use of weight cones, and electrical stimulation, are reported to alleviate genuine stress incontinence symptoms.

Tài liệu tham khảo

10.1016/0002-9378(65)90460-6 10.1111/j.1471-0528.1998.tb10123.x 10.1067/mob.2001.114501 10.1111/j.1471-0528.1996.tb09668.x 10.1111/j.1532-5415.1990.tb03505.x 10.1111/j.1532-5415.1989.tb05502.x 10.1525/maq.1999.13.3.267 10.1016/0091-2182(95)00004-4 10.1089/end.1996.10.201 10.1136/jnnp.56.3.245 10.1111/j.1464-410X.1979.tb02867.x Nilsson CG, 2001, The tension‐free vaginal tape procedure is successful in the majority of women with indications for surgical treatment of urinary stress incontinence, Br J Obstet Gynaecol, 108, 414, 10.1111/j.1471-0528.2001.00092.x Rodriguez LV, 2001, Polypropylene sling for treatment of stress urinary incontinence: an alternative to tension‐free vaginal tape, Tech Urol, 7, 87 10.7863/jum.2001.20.7.739 10.1007/BF00373608 Peeker R, 1997, The urological fate of young adults with myelomeningocele: a three decade follow up study, Eur Urol, 32, 213, 10.1159/000480861 10.1046/j.1464-410X.1997.00151.x 10.1111/j.1471-0528.1990.tb02570.x 10.1002/bjs.1800710817 Daube JR., 1981, Clinical neurophysiology, 33 10.1016/S0029-7844(97)00672-8 10.3109/00016349609033336 Peattie AB, 1991, Vaginal cones: a conservative method of treating genuine stress incontinence, Br J Urol, 68, 1049 10.1016/0002-9378(95)90172-8 10.1016/S0022-5347(17)35806-8 10.1016/S0022-5347(01)66619-9 10.1097/00006199-198905000-00002 10.1097/00006199-198907000-00002 10.1016/0002-9378(91)90085-6 10.1007/BF00376246 Fall M, 1991, Electrical stimulation. A physiologic approach to the treatment of urinary incontinence, Urol Clin North Am, 18, 393 10.1159/000281478 10.1002/nau.1930100604
Thông tin
Thông tin xuất bản

Journal of Midwifery and Women's Health

Tập 48

60-66

Thông tin tác giả