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Stress urinary incontinence 3 years after pregnancy: correlation to mode of delivery and parity

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Abstract

The aim was to estimate the incidence of stress urinary incontinence 3 years after delivery and its correlation to mode of delivery and parity. A longitudinal cohort study was conducted with 120 women at the Antenatal Clinic at the State University of Campinas. There was a significant difference in the incidence of postpartum stress urinary incontinence (SUI) among patients with SUI during pregnancy (p > 0.0001). Women that were asymptomatic during pregnancy and had vaginal delivery developed SUI 2.4 times more frequently than after c-section (19.2% and 8.0%, respectively). The incidence of SUI after delivery dropped significantly in the primiparous (p = 0.0073) and multiparous 2–3 (p < 0.0001), but not in the multiparous with four or more deliveries (66.7% to 60.0%) (p = 0.5637). A significant correlation has been observed between parity and SUI (p = 0.0299). Pregnancy possibly predisposes to SUI 3 years after delivery as well as parity. No significant correlation has been demonstrated between mode of delivery and SUI.

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Abbreviations

SUI:

Stress urinary incontinence

LUTS:

Low urinary tract symptoms

US:

United States

ICS:

International Continence Society

RR:

Risk ratio

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, State University of Campinas, Rua: Alexander Flemming 101, P.O. Box 6081, CEP:13083-970, Campinas, São Paulo, Brazil

    Viviane Herrmann & Katia Scarpa

  2. Department of Urology, State University of Campinas, São Paulo, Brazil

    Paulo Cesar Rodrigues Palma & Cassio Zanettini Riccetto

Authors
  1. Viviane Herrmann
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  2. Katia Scarpa
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  3. Paulo Cesar Rodrigues Palma
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  4. Cassio Zanettini Riccetto
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Corresponding author

Correspondence to Viviane Herrmann.

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Herrmann, V., Scarpa, K., Palma, P.C.R. et al. Stress urinary incontinence 3 years after pregnancy: correlation to mode of delivery and parity. Int Urogynecol J 20, 281–288 (2009). https://doi.org/10.1007/s00192-008-0767-8

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  • DOI: https://doi.org/10.1007/s00192-008-0767-8

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