Guarisi T, Pinto-Neto A M, Herrmann V, Faúndes A
State University of Campinas, Campinas, Sâo Paulo, Brazil.
Int Urogynecol J Pelvic Floor Dysfunct. 2002 Nov;13(6):366-71; discussion 371. doi: 10.1007/s001920200081.
The aim of this study was to compare the urodynamic findings among climacteric women complaining of urinary incontinence who had only vaginal deliveries with those who had only cesarean sections. The study group comprised 30 climacteric women with complaints of urinary incontinence consulting at the Menopause Outpatient Clinic, State University of Campinas, submitted to anamneses and complete urodynamic testing. Nineteen women had had only vaginal deliveries and 11 were delivered only by cesarean section. Vaginal delivery was significantly associated with a reduced normal and strong desire to void and maximum cystometric capacity compared to women who delivered only by Cesarean section. Detrusor instability was four to five times more frequent among women who had had only vaginal deliveries. There was no difference between the two groups concerning uroflowmetry parameters. Climacteric women with urinary incontinence who had had only vaginal deliveries are at a higher risk of urodynamic abnormalities.
本研究的目的是比较仅有阴道分娩史和仅有剖宫产史的、主诉尿失禁的更年期女性的尿动力学检查结果。研究组由30名在坎皮纳斯州立大学更年期门诊咨询尿失禁问题的更年期女性组成，她们接受了问诊和完整的尿动力学检查。19名女性仅有阴道分娩史，11名仅通过剖宫产分娩。与仅通过剖宫产分娩的女性相比，阴道分娩与正常排尿欲望和强烈排尿欲望降低以及最大膀胱测压容量降低显著相关。仅有阴道分娩史的女性中逼尿肌不稳定的发生率高出四至五倍。两组在尿流率参数方面没有差异。仅有阴道分娩史的尿失禁更年期女性尿动力学异常风险更高。
