Authors
Riikka M Tähtinen, Rufus Cartwright, Johnson F Tsui, Riikka L Aaltonen, Yoshitaka Aoki, Jovita L Cardenas, Regina El Dib, Kirsi M Joronen, Sumayyah Al Juaid, Sabreen Kalantan, Michal Kochana, Malgorzata Kopec, Luciane C Lopes, Enaya Mirza, Sanna M Oksjoki, Jori S Pesonen, Antti Valpas, Li Wang, Yuqing Zhang, Diane Heels-Ansdell, Gordon H Guyatt, Kari AO Tikkinen
Publication date
2016/7/1
Source
European urology
Volume
70
Issue
1
Pages
148-158
Publisher
Elsevier
Description
Context
Stress urinary incontinence (SUI) and urgency urinary incontinence (UUI) are associated with physical and psychological morbidity, and large societal costs. The long-term effects of delivery modes on each kind of incontinence remain uncertain.
Objective
To investigate the long-term impact of delivery mode on SUI and UUI.
Evidence acquisition
We searched Medline, Scopus, CINAHL, and relevant major conference abstracts up to October 31, 2014, including any observational study with adjusted analyses or any randomized trial addressing the association between delivery mode and SUI or UUI ≥1 yr after delivery. Two reviewers extracted data, including incidence/prevalence of SUI and UUI by delivery modes, and assessed risk of bias.
Evidence synthesis
Pooled estimates from 15 eligible studies demonstrated an increased risk of SUI after vaginal delivery versus cesarean section (adjusted odds ratio [aOR …
Scholar articles
RM Tähtinen, R Cartwright, JF Tsui, RL Aaltonen… - European urology, 2016
R Tähtinen, R Cartwright, J Tsui, R Aaltonen, Y Aoki… - Journal of Urology, 2016