İbrahim OZDURAK, Abdullah Goymen, Yavuz SİMSEK, Ekrem OZAKİN, Yaşam Kemal AKPAK, Aytek ŞIK, Oktay Sarı

Doğum Sonrası Gelişen Stress Üriner İnkontinans Riski Üzerine Doğum Eyleminin Etkileri

Amaç: Bu çalışmanın amacı, stres üriner inkontinans (SÜİ) gelişiminde doğum parametrelerinin rolünü araştırmaktır. Metod: Çalışmamıza polikliniğimize Mart 2008 ile Nisan 2009 tarihleri arsında başvurmuş 101 sağlıklı kadın (kontrol grubu), 98 stres üriner inkontinası olan kadın (çalışma grubu) dahil edilmiştir. Katılımcıların obstetrik hikayeleri alındı ve grupların doğum parametreleri karşılaştırıldı. Bulgular: Çalışma süresince stres üriner inkontinans prevalansı %17.2 olarak saptanmıştır. Gebelik ve doğum sayıları çalışma grubunda anlamlı olarak daha yüksekti (p<0,001). Vaginal doğum, Kristeller manevrası, forseps ve vakum kullanılan operatif doğumlar ve makrozomik fetus öyküsü stres üriner inkontinans için anlamlı birer risk faktörü olarak saptanmıştır (p<0,05). Sonuç: Doğum şekli ve obstetrik hikaye stres üriner inkontinans üzerinde anlamlı etkiye sahiptir. Planlı sezaryen doğum ise stres üriner inkontinans gelişimini önleyebilir.

Anahtar Kelimeler:

Stres Üriner İnkontinans, Pelvik Taban, Doğum, Obstetrik

Impacts of Childbirth on the Subsequent Risk of Stress Urinary Incontinence

Objectives: The aim of the current study was to investigate the role of childbirth parameters on the development of stress urinary incontinence (SUI). Methods: One hundred-one healthy women (control group) and 98 patients with SUI (study group) were included in this study between March 2008 and April 2009. Obstetric history of participants was taken and labor parameters were compared between the groups. Results: The prevalence of SUI reported in the study period was 17.2%. Gravidity and parity was significantly higher in study group (P<0.001). Vaginal delivery, Kristeller manauver, operative delivery by vacuum or forceps extraction and delivery of macrosomic fetus was found to be significant risk factors for SUI (P<0.05). Conclusions: Mode of delivery and obstetric history have significant impact on subsequent SUI. Timely cesarean section in women with obstructed labor may prevent the later occurrence of SUI.

Keywords:

Stress Urinary Incontinence, Pelvic Floor, Labor, Obstetric,

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ISSN: 1309-3878
Yayın Aralığı: Yılda 3 Sayı
Başlangıç: 2009
Yayıncı: Düzce Üniversitesi Tıp Fakültesi Aile Hekimliği AD adına Yrd.Doç.Dr.Cemil Işık Sönmez