Abstract:
INTRODUCTION AND HYPOTHESIS:To compare the impact of vaginal delivery (VD) versus cesarean section (CS) on the pelvic floor in twin primiparae at 3 and 12 months postpartum. METHODS:This comparative multicenter prospective cohort from a large French national cohort study consisted of primiparas who gave birth to live twins after 34 weeks of gestation. The primary end point was the postnatal urinary incontinence rate 3 months postpartum. The secondary end points were the pelvic floor dysfunction (PFD) at 3 and 12 months based on PFDI-20, PFIQ-7, PISQ-12, and SF-12 responses. RESULTS:A total of 2812 patients in 172 French maternity units were recruited between February 2014 and March 2015: 1076 (38%) responded at 3 and 12 months (61% at 3 months); 1155 were analyzed at 3 months (556 VD and 599 CS) and 800 at 12 months (394 VD and 406 CS). VD was associated with more symptoms at 3 months [median PFDI-20 score 25/300 (8-50) vs. 17/300 (4-36) after CS; p < 0.0001]. Vaginal bulge was more frequently reported after VD (9 vs. 4%; p = 0.0015). Abdnormal PFD-related quality-of-life scores (scores > 0) were more frequent after VD at 3 months (58 vs. 42%; p < 0.0001) and 12 months (57 vs. 43%; p = 0.0020), indicating greater discomfort. However, SF-12 scores were higher after VD [56 (53-59) vs. 55 (51-58)] at 12 months, indicating better general quality of life. CONCLUSIONS:Mode of delivery is significantly associated with pelvic organ prolapse symptoms 3 months postpartum, which regress by 12 months, probably because of the known spontaneous postnatal improvement of PFDs.
journal_name
Int Urogynecol Jjournal_title
International urogynecology journalauthors
Béchard F,Castelli C,Alonso S,Vintejoux E,Goffinet F,Letouzey V,Schmitz T,de Tayrac Rdoi
10.1007/s00192-018-3785-1subject
Has Abstractpub_date
2019-06-01 00:00:00pages
893-899issue
6eissn
0937-3462issn
1433-3023pii
10.1007/s00192-018-3785-1journal_volume
30pub_type
杂志文章,多中心研究abstract:INTRODUCTION AND HYPOTHESIS:Intravesical instillations of hyaluronic acid (HA) and chondroitin sulfate (CS) may lead to regeneration of the damaged glycosaminoglycan layer in interstitial cystitis/bladder pain syndrome (IC/BPS). METHODS:Twenty-two patients with IC/BPS received intravesical instillations (40 ml) of sod...
journal_title:International urogynecology journal
pub_type: 临床试验,杂志文章
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更新日期:2012-09-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The aim of this study was to determine the predictive value of urodynamics to reproduce clinical findings of urinary frequency (UF), urge urinary incontinence (UUI), and/or stress urinary incontinence (SUI). METHODS:We retrospectively reviewed the data of patients diagnosed with UF, UUI, an...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-010-1180-7
更新日期:2010-10-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:We report 2-year data on the effectiveness and safety of the MiniArc single-incision sling in women with stress urinary incontinence. METHODS:This multi-center, prospective, single-arm, industry-sponsored study measured the effectiveness of the MiniArc sling via quantitative (cough stress t...
journal_title:International urogynecology journal
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1007/s00192-012-1734-y
更新日期:2012-09-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Many advisory documents have recommended uploading of all mid-urethral sling (MUS) cases onto the British Society of Urogynaecology (BSUG) or British Association of Urological Surgeons (BAUS) database. The aim of this study was to determine whether these documents have resulted in an increas...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-020-04388-0
更新日期:2021-01-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The aim of our study was to assess the interobserver and intraobserver reliability as well as the content and construct validity of the FIGO prolapse assessment scoring system (FASS). METHODS:Women with and without (controls) symptoms of pelvic organ prolapse (POP) attending gynaecology out...
journal_title:International urogynecology journal
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1007/s00192-014-2604-6
更新日期:2015-06-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Double Incontinence (DI) is incontinence of urine and stool and is an extreme manifestation of pelvic floor dysfunction. The objective of this study was to estimate the prevalence and incidence of DI and the risk factors in elderly women in São Paulo, Brazil. METHODS:This was a prospective ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-017-3365-9
更新日期:2018-02-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Presence of microbial communities (microbiota) in an organ system depends on environmental factors, such as oxygen availability. We describe a novel technique to measure bladder urine oxygen tension (BUOT) in ambulatory women and use that technique to compare BUOT values to female urinary mi...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-019-03931-y
更新日期:2019-08-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:We sought to examine the change in utilization of the midurethral sling (MUS) for the treatment of stress urinary incontinence (SUI) after the 2011 US FDA communication regarding transvaginal mesh. METHODS:This is a retrospective cohort study evaluating surgical utilization of MUS at a mana...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-020-04597-7
更新日期:2020-11-18 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-012-1958-x
更新日期:2013-07-01 00:00:00
abstract::An estimated 20-30% of adult women who experience an initial urinary tract infection (UTI) will have recurrent infection. In these patients, prophylaxis may be considered to improve their quality of life and control overuse of antibiotics. Despite this need, there is currently no Latin American consensus on the treatm...
journal_title:International urogynecology journal
pub_type: 共识发展会议,杂志文章,评审
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更新日期:2020-01-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The aim of this study was to compare pelvic floor muscle strength (PFMS) and the prevalence of urinary incontinence (UI) and pelvic organ prolapse(POP) in women with and without diastasis recti abdominis (DRA) at 6-8 weeks postpartum. METHODS:Three hundred and ten women underwent routine ex...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-019-04005-9
更新日期:2020-02-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Ongoing debate exists about whether the rectovaginal septum (Denonvilliers' fascia) is myth or reality. This study evaluates magnetic resonance images (MRI) of women with Müllerian agenesis for the presence of fascial layers between the rectum and the bladder to test the hypothesis that this...
journal_title:International urogynecology journal
pub_type: 杂志文章
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更新日期:2014-03-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The arcus tendineus fascia pelvis (ATFP) and arcus tendineus levator ani (ATLA) are elements of anterior vaginal support. This study describes their geometry in women with unilateral levator ani muscle defects and associated "architectural distortion." METHODS:Fourteen subjects with unilate...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-011-1528-7
更新日期:2012-01-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-020-04329-x
更新日期:2020-05-14 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Lower tract urinary symptoms are underestimated by women as well as health professionals. The objective of this study was to evaluate the behavior of adult women with urinary incontinence and overactive bladder symptoms in seeking medical treatment. METHODS:Two hundred ninety-two women betw...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-010-1352-5
更新日期:2011-07-01 00:00:00
abstract::Laparoscopic ventral mesh rectopexy (VMR) has become a popular surgical technique for treating women with full-thickness rectal prolapse with a low recurrence rate, as demonstrated by several studies. In addition, it is increasingly applied to female patients with obstructive defecation syndrome (ODS) caused by intuss...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-017-3378-4
更新日期:2017-07-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-017-3349-9
更新日期:2017-12-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:To investigate sexual and anatomical outcome after Shears neovagina in patients with Mayer-von Rokitansky-Kuster-Hauser syndrome (MRKH). METHODS:Forty-three consecutive patients with MRKH syndrome underwent surgery creating a neovagina according to Shears. Follow-up was 8 years. Sexual func...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-012-1980-z
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journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-010-1311-1
更新日期:2011-03-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章
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更新日期:2014-08-01 00:00:00
abstract::The number of women suffering from pelvic floor disorders (PFD) is likely to grow significantly in the coming years with a growing older population. There is an urgent need to investigate factors contributing to the development of PFD and develop preventative strategies. We have reviewed the literature and analyzed re...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-011-1530-0
更新日期:2012-02-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESES:There is no consensus regarding pregnancy after mid-urethral sling (MUS) operation, and some clinicians recommend postponing the MUS operation if a woman considers further pregnancies or routinely suggest cesarean section as the delivery method after MUS operations. Our primary aim was to as...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-020-04497-w
更新日期:2021-01-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章,meta分析,评审
doi:10.1007/s00192-014-2499-2
更新日期:2015-03-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Stress urinary incontinence (SUI) may appear after the correction of pelvic organ prolapse (POP). The aim of this study was to externally validate a described predictive model for de novo SUI and to assess its clinical performance when used as a diagnostic test. METHODS:This was a retrospec...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-018-3805-1
更新日期:2019-10-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-020-04340-2
更新日期:2020-08-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:To estimate the incidence rates of stress urinary incontinence (SUI) surgery among Finnish women from 1987 to 2009 by age, and to evaluate the trends in SUI surgery. METHODS:We conducted a retrospective register-based study. All SUI procedures on adult women over age 18 years in Finland wer...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-015-2926-z
更新日期:2016-07-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-015-2930-3
更新日期:2016-07-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章,多中心研究,随机对照试验
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更新日期:2012-06-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Circumferential vesicourethrovaginal fistula is a severe form of obstetric injury that is challenging to repair and carries a poor prognosis related to eventual continence. Here, we report the successful repair of a circumferential vesicovaginal fistula associated with near total loss of the...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-020-04398-y
更新日期:2020-06-23 00:00:00
abstract::A pubic cartilaginous cyst is a rare condition and is considered a result of degenerative changes in the symphysis pubis, mainly described in elderly multiparous women. There are only a few reported cases in the literature, and patients presented most frequently with a painful vaginal/vulvar mass. This case report is ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-014-2523-6
更新日期:2015-03-01 00:00:00