Effects of lateral episiotomy on the emergence of urinary incontinence during the first postpartum year in primiparas: prospective cohort study.

IF 2.5 Q2 OBSTETRICS & GYNECOLOGY
Przeglad Menopauzalny Pub Date : 2021-12-01 Epub Date: 2021-11-23 DOI:10.5114/pm.2021.110956
Krešimir Živković, Slavko Orešković, Anis Cerovac, Milan Milošević, Ana Tikvica Luetić, Matija Prka, Dubravko Habek, David Lukanović, Giulia Spagnol, Nikica Živković
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引用次数: 0

Abstract

Aim of the study: Lateral episiotomy is a widely used procedure, although it is rarely mentioned in the literature and its effects on the pelvic floor are largely unexplored. The purpose of this study is to evaluate the impact of lateral episiotomy on the incidence of urinary incontinence (UI) after vaginal delivery in primiparas.

Material and methods: The study design is a prospective cohort study. The primiparas were divided into two groups. The first group consisted of women who gave birth with lateral episiotomy, while the second group included women who gave birth with an intact perineum or with perineal tears of first and second degree. Assessments of UI were performed at 5 and 8 months after childbirth using the International Consultation on Incontinence Questionnaire - Short Form (ICIQ-SF) questionnaire followed by the stress test.

Results: The results revealed no significant differences (p > 0.05) in emergence of stress urinary incontinence (SUI) between the groups at the two time points. There were no statistically significant differences in overall rate of UI, urge urinary incontinence (UUI), or mixed urinary incontinence according to the ICIQ-SF questionnaire. The overall incontinence rate on the first examination was 24% in the episiotomy group and 36% in the perineal laceration group, although the difference was not statistically significant (p = 0.064). On the second examination, rates were similar and without a statistically significant difference.

Conclusions: Lateral episiotomy has a neutral effect on the onset of UI in primiparous women in the first year after delivery.

侧切术对初产妇产后第一年出现尿失禁的影响:前瞻性队列研究。
研究目的外阴侧切术是一种广泛使用的手术,但在文献中很少被提及,其对盆底的影响也大多未被研究。本研究的目的是评估侧切术对初产妇阴道分娩后尿失禁(UI)发生率的影响:研究设计为前瞻性队列研究。初产妇分为两组。第一组包括侧切会阴分娩的产妇,第二组包括会阴完好或会阴一、二度撕裂的产妇。在产后 5 个月和 8 个月时,使用尿失禁国际咨询问卷-简表(ICIQ-SF)进行尿失禁评估,然后进行压力测试:结果显示,两组在两个时间点出现压力性尿失禁(SUI)的情况没有明显差异(P > 0.05)。根据 ICIQ-SF 问卷,尿失禁、急迫性尿失禁(UUI)或混合性尿失禁的总体比率在统计学上没有明显差异。第一次检查时,外阴切开术组的总尿失禁率为 24%,会阴裂伤组为 36%,但差异无统计学意义(P = 0.064)。在第二次检查中,两组的比例相似,差异无统计学意义:结论:外阴侧切术对初产妇在产后一年内发生尿失禁的影响不大。
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
Przeglad Menopauzalny
Przeglad Menopauzalny OBSTETRICS & GYNECOLOGY-
CiteScore
3.40
自引率
11.10%
发文量
32
审稿时长
6-12 weeks
期刊介绍: Menopausal Review is a scientific bimonthly aimed at gynecologists and endocrinologists.
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