Premium
The effect of vaginal delivery on the urethral sphincter
Author(s) -
TAPP ANDREW,
CARDOZO LINDA,
VERSI EBOO,
MONTGOMERY JULIA,
STUDD JOHN
Publication year - 1988
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.1988.tb06843.x
Subject(s) - medicine , sphincter , urethral sphincter , vaginal delivery , anal sphincter , stress incontinence , urethra , etiology , urology , gynecology , urinary incontinence , surgery , pregnancy , biology , genetics
Summary. To investigate the actiological role of vaginal delivery in genuine stress incontinence we compared two groups of women who underwent full urodynamic assessment in our department. The women in the first group had competent urethral sphincter mechanisms and those in the second group had genuine stress incontinence. There were no differences between the two groups in respect of parity, number of vaginal deliveries or birthweight of the heaviest baby. The group with competent urethral sphincter mechanisms did show some evidence to implicate an increased number of vaginal deliveries in poor function of the distal part of the urethral sphincter mechanism.