Publication:
Changes in pelvic floor mobility in uncomplicated pregnant women over 28 gestational week and its relation with subjective urinary incontinence complaints

dc.contributor.coauthorYassa, Murat
dc.contributor.coauthorSevim, Burçak
dc.contributor.coauthorBuran, Ayça Miray
dc.contributor.coauthorBirol, Pınar
dc.contributor.coauthorTekin, Arzu Bilge
dc.contributor.coauthorTuğ, Arzu
dc.contributor.departmentSchool of Medicine
dc.contributor.kuauthorKalkan, Üzeyir
dc.contributor.schoolcollegeinstituteSCHOOL OF MEDICINE
dc.date.accessioned2024-11-09T12:00:55Z
dc.date.issued2022
dc.description.abstractTo describe the mobility of the anterior pelvic compartment and hiatal enlargement measures in pregnancy with urinary stress incontinence complaints and their relation to the perceived subjective urinary incontinence severity. Forty-six pregnant women were included in this observational prospective cohort study, the ultrasonographic parameters of the pelvic anterior compartment including hiatal anteroposterior (AP) diameter, retrovesical angle (RVA), bladder neck descent (BND), urethral rotation angle (URA) and cystocele level were compared with the subjective urinary complaints in healthy third trimester pregnant women. Hiatal AP diameter, RVA and BND on Valsalva did not significantly correlate with gestational week (p=0.292, r=0.096; p=0.079, r=0.159; p=0.901, r=0.011, respectively). Urethral rotation angle was significantly increased in women after 39th gestational week (p=0.037, t=-2.17). Hiatal AP diameter, BND and RVA on maximal Valsalva did not differ with estimated fetal weight above and below 3000 gr. Total severity and bother scores of the M-ISI scale was found as similar among women with open (>1400) RVA and intact (<1400) RVA (p=0.556 and p=0.779, respectively). Only nocturia frequency (?=.379, t=4.035, p=.000) positively predicted the incontinence severity score. The pelvic floor ultrasound parameters of the anterior compartment may not predict the subjective urinary incontinence severity in third trimester of pregnancy. Nocturia was found to contribute for subjective impaired urinary function. The idea of being pregnant may suppress the general complaints related with changes in pelvic floor mobility.
dc.description.fulltextYES
dc.description.indexedbyScopus
dc.description.issue1
dc.description.openaccessYES
dc.description.publisherscopeNational
dc.description.sponsoredbyTubitakEuN/A
dc.description.sponsorshipN/A
dc.description.versionPublisher version
dc.description.volume39
dc.identifier.doi10.52142/omujecm.39.1.32
dc.identifier.eissn1309-5129
dc.identifier.embargoNO
dc.identifier.filenameinventorynoIR03943
dc.identifier.issn1309-4483
dc.identifier.quartileN/A
dc.identifier.scopus2-s2.0-85131966204
dc.identifier.urihttps://doi.org/10.52142/omujecm.39.1.32
dc.keywordsPelvic floor ultrasound
dc.keywordsUrinary incontinence
dc.keywordsCystocele
dc.keywordsPregnancy
dc.language.isoeng
dc.publisherOndokuz Mayıs Üniversitesi
dc.relation.grantnoNA
dc.relation.ispartofJournal of Experimental and Clinical Medicine
dc.relation.urihttp://cdm21054.contentdm.oclc.org/cdm/ref/collection/IR/id/10810
dc.subjectMedicine
dc.titleChanges in pelvic floor mobility in uncomplicated pregnant women over 28 gestational week and its relation with subjective urinary incontinence complaints
dc.typeJournal Article
dspace.entity.typePublication
local.contributor.kuauthorKalkan, Üzeyir
local.publication.orgunit1SCHOOL OF MEDICINE
local.publication.orgunit2School of Medicine
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