Winograd Joshua, Punyala Ananth, Sze Christina, Codelia-Anjum Alia, Elterman Dean, Zorn Kevin C, Bhojani Naeem, Chughtai Bilal
Department of Urology, Weill Cornell Medicine, New York, NY, USA.
Department of Urology, Tulane School of Medicine, New Orleans, LA, USA.
Curr Urol Rep. 2025 Mar 6;26(1):32. doi: 10.1007/s11934-025-01260-w.
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.
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.
确定孕期及产后急迫性尿失禁（UUI）的危险因素。还对这一时期UUI的患病率特征及干预措施进行了研究。
通过数据库检索最初共识别出1850项研究。去除重复项（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。应用进一步的选择标准后，37篇文章被纳入综述。这些研究涵盖1993年至2020年，样本量从58名至6369名女性不等，参与者年龄平均从19岁以下至39岁。体重指数、妊娠期糖尿病、产妇年龄、产次、尿失禁病史以及阴道助产，这些因素会导致UUI的发生或加重。研究大量聚焦于关于症状的患者问卷。通过分析超过25000名患者的数据，我们的研究确定了几个导致UUI发生或加重的危险因素，包括非干预性和干预性因素。对关于症状的患者问卷的强烈关注，而对生活质量、性功能或心理健康仅为次要关注，这表明文献中存在很大差距，还有更多工作可做。
