Long-term Impact of Mode of Delivery on Stress Urinary Incontinence and Urgency Urinary Incontinence: A Systematic Review and Meta-analysis

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dc.contributor.authorTahtinen, Riikka M.
dc.contributor.authorCartwright, Rufus
dc.contributor.authorTsui, Johnson F.
dc.contributor.authorAaltonen, Riikka L.
dc.contributor.authorAoki, Yoshitaka
dc.contributor.authorCardenas, Jovita L.
dc.contributor.authorEl Dib, Regina [UNESP]
dc.contributor.authorJoronen, Kirsi M.
dc.contributor.authorAl Juaid, Sumayyah
dc.contributor.authorKalantan, Sabreen
dc.contributor.authorKochana, Michal
dc.contributor.authorKopec, Malgorzata
dc.contributor.authorLopes, Luciane C. [UNESP]
dc.contributor.authorMirza, Enaya
dc.contributor.authorOksjoki, Sanna M.
dc.contributor.authorPesonen, Jori S.
dc.contributor.authorValpas, Antti
dc.contributor.authorWang, Li
dc.contributor.authorZhang, Yuqing
dc.contributor.authorHeels-Ansdell, Diane
dc.contributor.authorGuyatt, Gordon H.
dc.contributor.authorTikkinen, Kari A. O.
dc.contributor.institutionKuopio Univ Hosp
dc.contributor.institutionKanta Hame Cent Hosp
dc.contributor.institutionUniv London Imperial Coll Sci Technol & Med
dc.contributor.institutionNorth Shore LIJ Lenox Hill Hosp
dc.contributor.institutionInst Bladder & Prostate Res
dc.contributor.institutionUniv Turku
dc.contributor.institutionTurku Univ Hosp
dc.contributor.institutionUniv Fukui
dc.contributor.institutionNatl Ctr Hlth Technol Excellence
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionKing Saud bin Abdulaziz Univ Hlth Sci
dc.contributor.institutionKing Abdul Aziz Med City
dc.contributor.institutionKing Faisal Specialist Hosp & Res Ctr
dc.contributor.institutionJagiellonian Univ
dc.contributor.institutionUniv Sorocaba
dc.contributor.institutionSt Marys Hosp
dc.contributor.institutionPaijat Hame Cent Hosp
dc.contributor.institutionSouth Karelia Cent Hosp
dc.contributor.institutionMcMaster Univ
dc.contributor.institutionSichuan Univ
dc.contributor.institutionUniv Helsinki
dc.contributor.institutionHelsinki Univ Hosp
dc.date.accessioned2018-11-26T16:34:49Z
dc.date.available2018-11-26T16:34:49Z
dc.date.issued2016-07-01
dc.description.abstractContext: 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]: 1.85; 95% confidence interval [CI], 1.56-2.19; I-2 = 57%; risk difference: 8.2%). Metaregression demonstrated a larger effect of vaginal delivery among younger women (p = 0.005). Four studies suggested no difference in the risk of SUI between spontaneous vaginal and instrumental delivery (aOR: 1.11; 95% CI, 0.84-1.45; I-2 = 50%). Eight studies suggested an elevated risk of UUI after vaginal delivery versus cesarean section (aOR: 1.30; 95% CI, 1.02-1.65; I-2 = 37%; risk difference: 2.6%). Conclusions: Compared with cesarean section, vaginal delivery is associated with an almost twofold increase in the risk of long-term SUI, with an absolute increase of 8%, and an effect that is largest in younger women. There is also an increased risk of UUI, with an absolute increase of approximately 3%. Patient summary: In this systematic review we looked for the long-term effects of childbirth on urinary leakage. We found that vaginal delivery is associated with an almost twofold increase in the risk of developing leakage with exertion, compared with cesarean section, with a smaller effect on leakage in association with urgency. (C) 2016 European Association of Urology. Published by Elsevier B.V.en
dc.description.affiliationKuopio Univ Hosp, Dept Obstet & Gynecol, SF-70210 Kuopio, Finland
dc.description.affiliationKanta Hame Cent Hosp, Dept Obstet & Gynecol, Hameenlinna, Finland
dc.description.affiliationUniv London Imperial Coll Sci Technol & Med, Dept Epidemiol & Biostat, London, England
dc.description.affiliationUniv London Imperial Coll Sci Technol & Med, Dept Urogynecol, London, England
dc.description.affiliationNorth Shore LIJ Lenox Hill Hosp, Dept Urol, New York, NY USA
dc.description.affiliationInst Bladder & Prostate Res, New York, NY USA
dc.description.affiliationUniv Turku, Dept Obstet & Gynecol, Turku, Finland
dc.description.affiliationTurku Univ Hosp, FIN-20520 Turku, Finland
dc.description.affiliationUniv Fukui, Fac Med Sci, Dept Urol, Fukui 910, Japan
dc.description.affiliationNatl Ctr Hlth Technol Excellence, Dept Clin Practice Guidelines, Mexico City, DF, Mexico
dc.description.affiliationSao Paulo State Univ, Botucatu Med Sch, Dept Anesthesiol, Sao Paulo, Brazil
dc.description.affiliationKing Saud bin Abdulaziz Univ Hlth Sci, Dept Obstet & Gynecol, Jeddah, Saudi Arabia
dc.description.affiliationKing Abdul Aziz Med City, Minist Natl Guard Hlth Affairs, Jeddah, Saudi Arabia
dc.description.affiliationKing Faisal Specialist Hosp & Res Ctr, Dept Obstet & Gynecol, Riyadh 11211, Saudi Arabia
dc.description.affiliationJagiellonian Univ, Coll Med, Fac Med, Krakow, Poland
dc.description.affiliationUniv Sorocaba, Pharmaceut Sci Master Courde, Sao Paulo, Brazil
dc.description.affiliationUniv Estadual Paulista, Sch Pharmaceut Sci, Dept Drugs & Medicat, Sao Paulo, Brazil
dc.description.affiliationSt Marys Hosp, Dept Obstet & Gynecol, London, England
dc.description.affiliationPaijat Hame Cent Hosp, Dept Urol, Lahti, Finland
dc.description.affiliationSouth Karelia Cent Hosp, Dept Obstet & Gynecol, Lappeenranta, Finland
dc.description.affiliationMcMaster Univ, Michael G DeGroote Inst Pain Res & Care, Hamilton, ON, Canada
dc.description.affiliationSichuan Univ, West China Hosp, Chinese Cochrane Ctr, Chengdu 610064, Peoples R China
dc.description.affiliationMcMaster Univ, Dept Clin Epidemiol & Biostat, Hamilton, ON, Canada
dc.description.affiliationMcMaster Univ, Dept Med, Hamilton, ON, Canada
dc.description.affiliationUniv Helsinki, Dept Urol, Haartmaninkatu 4, Helsinki 00029, Finland
dc.description.affiliationUniv Helsinki, Dept Publ Hlth, Helsinki, Finland
dc.description.affiliationHelsinki Univ Hosp, Haartmaninkatu 4, Helsinki 00029, Finland
dc.description.affiliationUnespSao Paulo State Univ, Botucatu Med Sch, Dept Anesthesiol, Sao Paulo, Brazil
dc.description.affiliationUnespUniv Estadual Paulista, Sch Pharmaceut Sci, Dept Drugs & Medicat, Sao Paulo, Brazil
dc.description.sponsorshipAcademy of Finland
dc.description.sponsorshipHelsinki and Uusimaa Hospital District
dc.description.sponsorshipSouth Karelia Social and Welfare District
dc.description.sponsorshipJane and Aatos Erkko Foundation
dc.description.sponsorshipSigrid Juselius Foundation
dc.description.sponsorshipKanta-Hame Central Hospital
dc.description.sponsorshipPohjois-Savo Health Care District
dc.description.sponsorshipUK Medical Research Council
dc.description.sponsorshipMedical Research Council
dc.description.sponsorshipIdAcademy of Finland: 276046
dc.description.sponsorshipIdMedical Research Council: G1100377
dc.format.extent148-158
dc.identifierhttp://dx.doi.org/10.1016/j.eururo.2016.01.037
dc.identifier.citationEuropean Urology. Amsterdam: Elsevier Science Bv, v. 70, n. 1, p. 148-158, 2016.
dc.identifier.doi10.1016/j.eururo.2016.01.037
dc.identifier.fileWOS000377290100041.pdf
dc.identifier.issn0302-2838
dc.identifier.urihttp://hdl.handle.net/11449/161572
dc.identifier.wosWOS:000377290100041
dc.language.isoeng
dc.publisherElsevier B.V.
dc.relation.ispartofEuropean Urology
dc.relation.ispartofsjr8,593
dc.rights.accessRightsAcesso aberto
dc.sourceWeb of Science
dc.subjectCesarean section
dc.subjectVaginal delivery
dc.subjectVacuum
dc.subjectForceps
dc.subjectInstrumental delivery
dc.subjectStress urinary incontinence
dc.subjectUrgency urinary incontinence
dc.subjectSystematic review
dc.titleLong-term Impact of Mode of Delivery on Stress Urinary Incontinence and Urgency Urinary Incontinence: A Systematic Review and Meta-analysisen
dc.typeResenha
dcterms.licensehttp://www.elsevier.com/about/open-access/open-access-policies/article-posting-policy
dcterms.rightsHolderElsevier B.V.
unesp.author.orcid0000-0002-4081-803X[7]

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