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Childbirth not linked to urinary incontinence, study finds
December 02, 2005Postmenopausal women who have given birth vaginally do not appear to suffer from urinary incontinence at higher rates than their sisters who have never given birth, according to a University of Rochester Medical Center study published in the December Obstetrics and Gynecology journal.
The study results are contrary to conventional thinking that vaginal delivery will result in urinary incontinence later in life. In fact, elective caesarean sections are now being performed for the sole purpose of preventing future incontinence, the authors report, even though the scientific literature is inconsistent on this link.
In the current study, lead author Gunhilde Buchsbaum, M.D., compared 143 pairs of biological, postmenopausal sisters from western New York and northern Vermont. The sisters completed a comprehensive questionnaire about their symptoms of pelvic floor disorders, and 101 pairs underwent a clinical evaluation.
The results: 49.7 percent of the women who had given birth reported some degree of urinary incontinence compared to 47.6 percent of the women who had never given birth. The difference is not statistically significant. Instead, an underlying genetic predisposition seemed to play the largest role in determining risk. The results showed that in 63 percent of the sisters, if one experienced urinary incontinence the other sister also did.
"The family history and genetic predisposition is something that definitely needs to be explored further," said Buchsbaum, an associate professor of obstetrics and gynecology at the University of Rochester. "If we can find a clear genetic link, it would have great implications for the direction of basic research, treatment approaches, risk management and potential prophylactic interventions."
University of Rochester Medical Center
The results: 49.7 percent of the women who had given birth reported some degree of urinary incontinence compared to 47.6 percent of the women who had never given birth. The difference is not statistically significant. Instead, an underlying genetic predisposition seemed to play the largest role in determining risk. The results showed that in 63 percent of the sisters, if one experienced urinary incontinence the other sister also did.
"The family history and genetic predisposition is something that definitely needs to be explored further," said Buchsbaum, an associate professor of obstetrics and gynecology at the University of Rochester. "If we can find a clear genetic link, it would have great implications for the direction of basic research, treatment approaches, risk management and potential prophylactic interventions."
University of Rochester Medical Center
Urinary Incontinence Current Events and Urinary Incontinence News RSSPelvic floor muscle exercises can help manage urinary incontinence in older women
Researchers at Rush University Medical Center have found that a program of pelvic floor muscle exercises, combined with pelvic health education, can be an effective way to manage urinary incontinence in elderly women.
Study finds no link between cognitive decline, socioeconomic status in elderly
New UCLA research suggests that for seniors age 70 and older, socioeconomic status does not play a major role in the brain's continued ability to function.
Uterus sparing surgery is a safe and effective treatment for pelvic organ prolapse
Researchers presented data at the 104th Annual Scientific Meeting of the American Urological Association (AUA) showing that uterus sparing surgery is an effective and safe treatment for women who want to preserve the integrity of vaginal function after pelvic organ prolapse.
Autologous muscle-derived cells may treat stress urinary incontinence
Researchers have confirmed that transplanting autologous muscle-derived cells (AMDC) into the bladder is safe at a wide range of doses and significantly improves symptoms and quality of life in patients with stress urinary incontinence.
M. D. Anderson study finds pre-surgical stress management improves mood, quality of life
Brief stress management sessions prior to and immediately after surgery may have both short- and long-term benefit for men undergoing a radical prostatectomy for early-stage prostate cancer.
Collagen injections can help some incontinence patients when surgery fails, researcher finds
Collagen injections can benefit women who still suffer from stress urinary incontinence (SUI) even after urethral or periurethral surgery, a UT Southwestern Medical Center researcher has found.
Weight Loss Reduces Incontinence for Women
Starting a weight-loss regimen significantly reduces urinary incontinence for women, according to researchers at the University of Alabama at Birmingham (UAB) and the University of California, San Francisco.
Bittersweet milestones
For many of the elderly, the golden years are anything but. Faced with health problems, financial issues and the death of a spouse or loved one, many adults 65 years and older suffer from depression. While research is emerging to help this group understand and treat the problem, another group - centenarians - has been left largely in the dark.
OHSU Cancer Institute researchers study breathing during radiation
Oregon Health & Science University researchers have determined exactly how much breathing affects prostate movement during radiation treatment.
Pelvic disorders affect large number of women, UT Southwestern researchers find
Nearly one-quarter of all women suffer from pelvic-floor disorders, such as incontinence, at some point in their lives, a national study, including researchers from UT Southwestern Medical Center, has found.
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