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International Urogynecology Journal

Published in:

01-09-2011 | Original Article

Is cesarean section a real panacea to prevent pelvic organ disorders?

Authors: Onder Koc, Bulent Duran, Safak Ozdemırcı, Yesim Bakar, Nuriye Ozengin

Published in: International Urogynecology Journal | Issue 9/2011

Abstract

Introduction and hypothesis

The aim of this study is to compare the pelvic floor muscle strength after vaginal delivery vs. after cesarean section.

Methods

Five groups of 50 cases each were designated as follows: nullipara (control group), spontaneous vaginal delivery (SVD), repeat SVD (SVD-R), cesarean section (CS), and repeat CS (CS-R). Perineometric measurements, stress urinary incontinence (SUI) symptoms, pelvic organ prolapse quantification examinations, and Incontinence-Specific Quality of Life Questionnaire (IQOL) were evaluated.

Results

In all delivery groups, pelvic muscle strength was significantly lower than the control group (65.10 ± 15.69, 56.29 ± 17.39, 54.28 ± 20.08, 56.82 ± 17.62, and 57.92 ± 16.45 (cm H₂O± SD) for the control, SVD, SVD-R, CS, and CS-R groups, respectively; p < 0.05). However, no significant difference was found among the delivery groups. There were significant differences in SUI symptoms between the control (2%) and SVD-R (26%) groups and between the SVD (10%) and SVD-R groups (p < 0.001 and p = 0.037, respectively). No statistically significant correlations between IQOL and perineometric measurements were noted (r = 0.097 and p = 0.598).

Conclusions

Pregnancy increases postpartum muscle weakness independent of the mode of delivery. Increased SUI symptoms are associated with vaginal delivery.

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Title: Is cesarean section a real panacea to prevent pelvic organ disorders?
Authors: Onder Koc
Bulent Duran
Safak Ozdemırcı
Yesim Bakar
Nuriye Ozengin
Publication date: 01-09-2011
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 9/2011
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-011-1457-5

At a glance: The STEP trials

Springer Medicine

Is cesarean section a real panacea to prevent pelvic organ disorders?

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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