Title

A urogynecologist's view ofthe pelvic floor effects of vaginal delivery/cesarean section for the urologist

Document Type

Article

Peer Reviewed

1

Publication Date

9-1-2006

NLM Title Abbreviation

Curr Urol Rep

Journal/Book/Conference Title

Current urology reports

PubMed ID

16959177

DOI of Published Version

10.1007/s11934-006-0007-z

Start Page

376

End Page

383

Abstract

Pregnancy and parturition have been implicated in the development of pelvic floor dysfunction. These disorders include urinary incontinence, fecal incontinence, pelvic organ prolapse, and other pelvic and sexual dysfunctions. The urologist caring for women with urinary dysfunction needs to be familiar with the causes of pelvic floor dysfunction and their implications. Defects of the pelvic floor have clearly resulted from the traumatic effect of vaginal delivery. The likely mechanisms of injuries during vaginal delivery involve stretching and compression of the pudendal nerve and peripheral branches, as well as an additional tearing of muscles and connective tissue. Optimal management of labor and optimal techniques of repair of unavoidable sphincteric lacerations, ante- and postpartum pelvic floor muscle conditioning, and timely and proper indications for cesarean delivery will minimize the effect of incidental traumatic delivery.

Keywords

Cesarean Section/adverse effects, Delivery, Obstetric/adverse effects, Female, Humans, Obstetric Labor Complications, Pelvic Floor/injuries/pathology, Pregnancy, Urology

Published Article/Book Citation

Current urology reports, 7:5 (2006) pp.376-383.

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URL

https://ir.uiowa.edu/obgyn_pubs/388