Urge Urinary Incontinence and Pregnancy: A Systematic Review.

IF 2.5 2区医学 Q2 UROLOGY & NEPHROLOGY

Current Urology Reports Pub Date : 2025-03-06 DOI:10.1007/s11934-025-01260-w

Joshua Winograd, Ananth Punyala, Christina Sze, Alia Codelia-Anjum, Dean Elterman, Kevin C Zorn, Naeem Bhojani, Bilal Chughtai

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引用次数: 0

Abstract

Purpose of review: To identify risk factors for urge urinary incontinence (UUI) in the prenatal period and following pregnancy. Characterization of prevalence of and interventions for UUI during this period were also examined.

Recent findings: A total of 1850 studies were initially identified through a database search. After removing duplicates (308 studies), 102 studies underwent full-text review following title and abstract assessment. After applying further selection criteria, 37 articles were included in the review. The studies span from 1993 to 2020 and involved sample sizes ranging from 58 to 6369 women, with participant ages averaging from under 19 to 39 years old. Body mass index, gestational diabetes mellitus, maternal age, parity, a history of urinary incontinence, and instrumental vaginal deliveries, that contribute to the onset or exacerbation of UUI. There was a large focus on patient questionnaires on symptoms. Analyzing data from over 25,000 patients, our study identifies several risk factors, both non-interventional and interventional that contribute to the onset or exacerbation of UUI. The strong focus on patient questionnaires on symptoms, and only secondary focus on quality of life, sexual function, or mental health point to a large gap in the literature where more work can be done.

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急迫性尿失禁与妊娠：一项系统综述。

回顾的目的：确定产前和妊娠期急迫性尿失禁（UUI）的危险因素。还研究了这一时期UUI患病率的特征和干预措施。最近的发现：通过数据库搜索，总共确定了1850项研究。在删除重复（308项研究）后，102项研究在标题和摘要评估后进行了全文审查。在应用进一步的选择标准后，37篇文章被纳入综述。这些研究从1993年持续到2020年，涉及的样本量从58到6369名女性不等，参与者的平均年龄从19岁以下到39岁不等。体重指数、妊娠期糖尿病、产妇年龄、胎次、尿失禁史和辅助阴道分娩是导致UUI发生或加重的因素。对患者症状的问卷调查有很大的关注。我们的研究分析了超过25,000名患者的数据，确定了几种导致UUI发病或恶化的风险因素，包括非介入性和介入性因素。强烈关注患者对症状的问卷调查，而对生活质量、性功能或心理健康的关注只是次要的，这表明文献中有很大的空白，需要做更多的工作。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Urology Reports UROLOGY & NEPHROLOGY-

CiteScore

4.60

自引率

3.80%

发文量

期刊介绍： This journal intends to review the most important, recently published findings in the field of urology. By providing clear, insightful, balanced contributions by international experts, the journal elucidates current and emerging approaches to the care and prevention of urologic diseases and conditions. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as benign prostatic hyperplasia, erectile dysfunction, female urology, and kidney disease. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.