194 articles – 65 Notices  [english version]
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Female urinary incontinence, from pregnancy to menopause: a review of epidemiological and pathophysiological findings.
Fritel X., Ringa V., Quiboeuf E., Fauconnier A.
Acta Obstetricia et Gynecologica Scandinavica 91, 8 (2012) 901-910 - http://www.hal.inserm.fr/inserm-00728885
(22497363)
Female urinary incontinence, from pregnancy to menopause: a review of epidemiological and pathophysiological findings.
Xavier Fritel () 1, 2, 3, Virginie Ringa4, 5, Emeline Quiboeuf1, Arnaud Fauconnier5
1 :  Recherche Epidémiologique en Santé Périnatale et Santé des Femmes et des Enfants
INSERM : U953 – Université Paris V - Paris Descartes – Université Pierre et Marie Curie [UPMC] - Paris VI – Université Paris XI - Paris Sud – Hôpital Cochin – Hôpital Tenon – Assistance publique - Hôpitaux de Paris (AP-HP)
Maternité de Port Royal - 6ème étage 53, avenue de l'Observatoire 75014 Paris
France
2 :  CIC-P - Centre d'Investigation Clinique Plurithématique
INSERM : CIC802 – CHU Poitiers
Entrée n° 5 Cour Est Hôpital Jean Bernard - 2 Rue de la Milétrie - 86280 POITIERS
France
3 :  Gynécologie-obstétrique et médecine de la reproduction
CHRU de Poitiers - La Miletrie
2 rue de la Miletrie BP 577 86021 Poitiers Cedex
France
4 :  CESP - Centre de recherche en épidémiologie et santé des populations
INSERM : U1018 – Université Paris XI - Paris Sud – Hôpital Paul Brousse – Assistance publique - Hôpitaux de Paris (AP-HP)
16 avenue Paul Vaillant Couturier 94807 Villejuif Cedex, France
France
5 :  Service de gynécologie obstétrique
CHI Poissy-Saint-Germain
10 rue du champ Gaillard 78300 Poissy
France
Female urinary incontinence, a review
Hypotheses that might explain urinary incontinence during pregnancy and after childbirth have been examined. The prevalence of urinary incontinence reaches a maximum during pregnancy and decreases after childbirth. Cesarean delivery is associated with lower rates of stress incontinence than vaginal delivery. Women delivered by cesarean section differ from women who had a vaginal delivery through pre-existing characteristics associated with the incontinence risk, producing a selection bias. The only randomized trial (intention of vaginal delivery vs. elective caesarean section) was not conclusive. The suspected etiological factors consist of congenital elements, obesity, aging, pregnancy and vaginal delivery. They are likely to have an effect at different times and on different portions of the urethral sphincter complex. Unfortunately, there exist no cohorts facilitating description of the natural history of female urinary incontinence. Given the small amount of usable data available, it is not possible to draw any conclusions concerning the possible long-term protective effects of cesarean section.
Sciences du Vivant/Médecine humaine et pathologie/Gynécologie et obstétrique
Anglais
0001-6349

Articles dans des revues avec comité de lecture
10.1111/j.1600-0412.2012.01419.x
Acta Obstetricia et Gynecologica Scandinavica (Acta Obstet Gynecol Scand)
Publisher Wiley-Blackwell
ISSN 0001-6349 (eISSN : 1600-0412)
internationale
08/2012
22/05/2012
91
8
901-910

Urinary incontinence – pregnancy – delivery – cesarean – epidemiology
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