The impact of pregnancy on a woman's health - stress urinary incontinence

Aleksandra Fortuna, Marta Lipka, Kornelia Kędziora-Kornatowska

DOI: http://dx.doi.org/10.12775/JEHS.2020.10.08.031

Abstract


Introduction: Urinary incontinence is an embarrassing problem that affects more and more women. The most common type of incontinene in women is stress urinary incontinence, which is defined as the involuntary loss of urine caused by an abnormal closure of the urethra. It happens most often during exercise, coughing or sneezing. The problem of urinary incontinence is extremely important due to the accompanying impact on the psyche of women. It causes a disturbance of self-esteem and is often a cause of embarrassment before visiting a doctor.

 

Results: The pathogenesis of urine loss is multifactorial, but in recent times a lot of blame has been placed on the changes taking place in the body during pregnancy and childbirth. Childbirth weakens the pelvic floor muscles, causing temporary or permanent urine loss. The diagnosis of urinary incontinence is based on the basis of a carefully collected medical history, physical examination and additional tests.

 

Conclusion: Physiotherapeutic procedures, pharmacological treatment and surgical treatment are used as a therapeutic procedures. Prophylactic pelvic floor muscle exercises also play an important role. The most popular treatment for stress urinary incontinence is physiotherapy, including Kegel exercises. The awareness of women about the problem of urinary incontinence should be increased to prevent them from limiting their daily activities and deteriorating sexual activity.

 


Keywords


pregnancy; incontinence; stress incontinence; physiotherapy in urology

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References


Fiodorenko-Dumas Ż., Paprocka-Borowicz M. Postępowanie fizjoterapeutyczne w nietrzymaniu moczu. Medycyna Ogólna i Nauki o Zdrowiu. 2014; 20(1): 12-16

Aoki Y., Brown H., Brubaker L., et al. Urinary incontinence in women. Nat Rev Dis Primers. 2017; 3: 17042

Słomko W., Zamojska P., Dzierżanowski M. Physiotherapy in the postpartum problems. Journal of Education, Health and Sport. 2017; 7(4): 323-333

Gackiewicz M., Klein N., Michałek T., et al. Raport: Pacjent z NTM w systemie opieki zdrowotnej. World Continence Week. 2017; 9-10

Zygmunt R., Kozioł S., Hładki W., Golec J. Wpływ fizjoterapii na nietrzymanie moczu u kobiet. Ostry dyżur. 2017; 10(3): 77-83

Szymanowski P., Gierat A., Szweda H., Jóźwik M. Choroby uroginekologiczne- poważny problem społeczny. Państwo i Społeczeństwo. 2017; 17(4): 107-124

Wesnes SL., Hunskaar S., Bo K., Rortveit G. The effect of urinary incontinence status during pregnancy and delivery mode on incontinence postpartum. A cohort study. BJOG. 2009; 116(5): 700-707

Stadnicka G., Iwanowicz-Palus G. The etiology of stress urinary incontinence in terms of vaginal delivery Part I. European Journal of Medical Technologies. 2015; 4(9): 8-15

Seim A., Eriksen B.C., Hunskaar S. A study of female urinary incontinence in general practice. Demography, medical history, and clinical findings. Scandinavian Journal of Urology and Nephrology. 1996; 30(6): 465-471

Kubiak, K., Husejko, J., Gajos, M., Wysocka, O., et al. Management of stress incontinence in older women. Journal of Education, Health and Sport. 2019; 9(5): 209-220

Stachowicz N., Maciejczyk-Pencuła M., Morawska D., Stachowicz S., Kotarski J. Naglące nietrzymanie moczu- wstępna diagnostyka i leczenie farmakologiczne. Wiadomości Lekarskie. 2012; 65(3): 162-166

Purc D., Rasała A. Method of treating urinary incontinence. European Journal of Medical Technologies. 2015; 3(8): 29-38

Radziszewski P., et al. Wytyczne Zespołu Ekspertów odnośnie postępowania diagnostyczno-terapeutycznego u kobiet z nietrzymaniem moczu i pęcherzem nadreaktywnym. Ginekologia Polska. 2010; 81: 789-793

Wróbel R., Kremska A., Kołodziej B., Barnaś E. ,Ocena częstości występowania objawów nietrzymania moczu w populacji kobiet po 40. roku życia. Przegląd Medyczny Uniwersytetu Rzeszowskiego i Narodowego Instytutu Leków w Warszawie. 2013; 1: 40–49

Jóźwik M., Jóźwik M. Wpływ porodu drogami natury na czynność dolnego odcinka dróg moczowych oraz unerwienie dna miednicy – przegląd obecnego stanu wiedzy. Nowa Medycyna. 2000; 5: 44-48

Meyer S., Hohlfeld R., Achtari C., et al. Birth trauma: short and long term effects of forceps delivery compared with spontaneous delivery on various pelvic floor parameters. British Journal of Obstetrics and Gynaecology. 2000; 107(11): 1360-1365

Stadnicka G., Janik M., Łepecka-Klusek C., Pilewska-Kozak A. Psychospołeczne następstwa nietrzymania moczu. Medycyna Ogólna i Nauki o Zdrowiu. 2014; 20(2): 136–140

Klisowska I., Dąbek A., Zborowska I., et al. Nietrzymanie moczu – zadanie dla fizjoterapeuty. Część II. Pielęgniarstwo i Zdrowie Publiczne. 2012; 2(2): 145–152

Kocur D. Wiedza kobiet na temat mięśni dna miednicy. Seksuologia Polska. 2016; 14(1): 31–38

Chmielewska D., Kwaśna K., Piecha M., et al. Selected methods of conservative treatment of stress urinary incontinence: current views. Part 1. Menopause Review/Przegląd Menopauzalny. 2012; 11(4): 264-268

Krzysztoszek K., Truszczyńska-Baszak A. Fizjoterapia w wysiłkowym nietrzymaniu moczu u kobiet – przegląd piśmiennictwa oraz propozycja protokołu postępowania. Rehabilitacja Medyczna. 2017; 21(4): 60-67

Borowicz A.M., Wieczorowska-Tobis K. Metody fizjoterapeutyczne w leczeniu nietrzymania moczu. Gerontologia Polska. 2010; 18(3): 114–119

Andersson KE, Chapple CR, Cardozo L, Cruz F, Hashim H, Michel MC, Tannenbaum C, Wein AJ. Pharmacological treatment of urinary incontinence. In: Abrams P, Cardozo L, Khoury S, Wein AJ, editors. Incontinence. Paris: Health Publication Ltd. 2009: 631–99

Cardozo L., Drutz H., Baygani S., Bump R. Pharmacological Treatment of Women Awaiting Surgery for Stress Urinary Incontinence. Obstetrics & Gynecology. 2004; 104(3): 511-519

Paramananthan M., Alhasso A., Ballantyne Z., Grant A., N’Dow J. Duloxetine, a Serotonin and Noradrenaline Reuptake Inhibitor (SNRI) for the Treatment of Stress Urinary Incontinence: A Systematic Review. European Urology. 2007; 51(1): 67-74

Dahm P., Dmochowski R. Evidence-based Urology. 2nd ed. John Willey & Sons; 2018

Rahkola-Soisalo P., Savolainen-Peltonen H., Gissler M., et al. Increased risk for stress urinary incontinence in women with postmenopausal hormone therapy. International Urogynecology Journal. 2018; 30: 251-256

Nilsson C., Kuuva N. The tension‐free vaginal tape procedure is successful in the majority of women with indications for surgical treatment of urinary stress incontinence. International Journal of Obstetrics and Gynaecology. 2001; 108: 414-419

Wróbel A., Rechberger T., Winkler I., et al. Clinical effectiveness of transobturator midurethral sling (T-sling) with additional 2-point tape fixation performed on an outpatient and inpatient basis. Ginekologia Polska. 2014; 85(11): 833-837

Bogusiewicz M., Monist M., Stankiewicz A., et al. Most of the Patients With Suburethral Sling Failure Have Tapes Located Outside the High-Pressure Zone of the Urethra. Ginekologia Polska. 2013; 84(5): 334-338

Bodelsson G., Henriksson L., Osser S., Stjernquist M. Short term complications of the tension free vaginal tape operation for stress urinary incontinence in women. International Journal of Obstetrics and Gynaecology. 2002; 109: 566-569

Witkoś J., Onik G., Budziosz J., Sieroń K. Wysiłkowe nietrzymanie moczu – czynności sprzyjające występowaniu objawów choroby. Ostry Dyżur. 2016; 9(4): 100-104.


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