Association between levator ani avulsion and urinary incontinence in women: A systematic review and meta-analysis.

Autor: Smeets CFA; Department of Obstetrics and Gynecology, Radboud University Medical Center, Nijmegen, The Netherlands., Vergeldt TFM; Department of Obstetrics and Gynecology, Radboud University Medical Center, Nijmegen, The Netherlands., Notten KJB; Department of Obstetrics and Gynecology, Radboud University Medical Center, Nijmegen, The Netherlands., Martens FMJ; Department of Urology, Radboud University Medical Center, Nijmegen, The Netherlands., van Kuijk SMJ; GROW-School for Oncology and Developmental Biology, Maastricht University Medical Center+, Maastricht, The Netherlands.; Clinical Epidemiology and Medical Technology Assessment, Maastricht University Medical Center+, Maastricht, The Netherlands.
Jazyk: angličtina
Zdroj: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics [Int J Gynaecol Obstet] 2021 Apr; Vol. 153 (1), pp. 25-32. Date of Electronic Publication: 2021 Jan 16.
DOI: 10.1002/ijgo.13496
Abstrakt: Background: Urinary incontinence is a bothersome symptom. Although the relationship between stress urinary incontinence (SUI) and vaginal delivery is established, the pathology underlying SUI after vaginal birth remains to be elucidated.
Objectives: To determine whether levator ani muscle avulsion predisposes for SUI in women.
Search Strategy: Pubmed and Embase were searched for terms and their variations "levator ani muscle avulsion" and "urinary incontinence", from inception until 5 November 2019.
Selection Criteria: Inclusion criterion: studies describing the relationship between urinary incontinence and levator ani muscle avulsion in women at least 1 year after delivery. Exclusion criterion: studies only analyzing the urethral sphincter or hiatus dimensions.
Data Collection and Analysis: Odds ratios were used and if not available, were calculated as means of data synthesis, adjusted odds ratios if presented by the study, random-effects model to compute a pooled estimate.
Results: Seven studies were included, accounting for 2388 women. Comparing women with and without levator ani muscle avulsion, the overall odds ratio for SUI is 0.87 (95% confidence interval 0.56-1.34), and after adjustment for possible confounders was 0.72 (95% confidence interval 0.40-1.30).
Conclusion: There is no relationship between levator ani muscle avulsion and SUI in women.
(© 2020 The Authors. International Journal of Gynecology & Obstetrics published by John Wiley & Sons Ltd on behalf of International Federation of Gynecology and Obstetrics.)
Databáze: MEDLINE
Externí odkaz: