Vahdatpour Babak, Zargham Mahtab, Chatraei Maryam, Bahrami Faranak, Alizadeh Farshid
Department of Physical Medicine and Rehabilitation, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Urology, Kidney Transplantation Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Adv Biomed Res. 2015 Sep 28;4:205. doi: 10.4103/2277-9175.166141. eCollection 2015.
Stress urinary incontinence (SUI) is considered as one of the major hygienic problems among women. The main aim of the study is to assess the potential risk factors associated with SUI among Iranian women.
This study was conducted on 90 married women with history of SUI diagnosed by an urologist and were selected randomly. Their pelvic muscles contraction (PMC) and the history of the subjects were assessed for some of risk factors such as age, height, weight, body mass index (BMI), pregnancy history, miscarriage, type of delivery (normal vaginal delivery or cesarean section), number of offspring born healthy in addition to other risk factors such as chronic cough, constipation and hypothyroidism by use of POP Questionnaire. Data were analyzed using Pearson correlation coefficient and SPSS version 18 Software.
There was a significant relation between SUI and height (P < 0.05, r = 0.45), vaginal delivery (NVD) (P < 0.05, r = 0.2), number of genitourinary surgery (P < 0.05, r = 0.42), hypothyroidism and constipation (P < 0.05). An inverse relatively strong significant relation was found between SUI and cesarean section (P < 0.05, r = -0.50) No significant relation was found between SUI and weight, BMI, age, chronic cough and miscarriage, and other study parameters. An inverse significant relation between PMC and weight (P < 0.05, r = -0.52), BMI (P < 0.05, r = -0.42) and number of genitourinary surgery (P < 0.05, r = -0.18).
Cesarean section had a preventive effect on SUI versus normal vaginal delivery. The rate of SUI was higher in taller women or those suffering from hypothyroidism or constipation or who had genitourinary surgery. The women with high BMI had lower pelvic floor muscles strength.
压力性尿失禁（SUI）被认为是女性主要的卫生问题之一。本研究的主要目的是评估伊朗女性中与压力性尿失禁相关的潜在风险因素。
本研究对90名经泌尿科医生诊断有压力性尿失禁病史的已婚女性进行，这些女性是随机选取的。通过盆底器官脱垂（POP）问卷评估她们的盆底肌肉收缩情况（PMC）以及受试者的一些风险因素，如年龄、身高、体重、体重指数（BMI）、妊娠史、流产、分娩类型（顺产或剖宫产）、健康出生的子女数量，此外还有其他风险因素，如慢性咳嗽、便秘和甲状腺功能减退。使用Pearson相关系数和SPSS 18版软件对数据进行分析。
压力性尿失禁与身高（P < 0.05，r = 0.45）、顺产（NVD）（P < 0.05，r = 0.2）、泌尿生殖系统手术次数（P < 0.05，r = 0.42）、甲状腺功能减退和便秘（P < 0.05）之间存在显著关系。压力性尿失禁与剖宫产之间发现存在较强的负相关关系（P < 0.05，r = -0.50）。压力性尿失禁与体重、BMI、年龄、慢性咳嗽和流产以及其他研究参数之间未发现显著关系。盆底肌肉收缩与体重（P < 0.05，r = -0.52）、BMI（P < 0.05，r = -0.42）和泌尿生殖系统手术次数（P < 0.05，r = -0.18）之间存在显著负相关关系。
与顺产相比，剖宫产对压力性尿失禁有预防作用。身高较高、患有甲状腺功能减退或便秘或接受过泌尿生殖系统手术的女性压力性尿失禁发生率较高。体重指数较高的女性盆底肌肉力量较低。
