Your browser doesn't support javascript.
loading
Current opinion: postpartum urinary disorders.
Dong, Shirley M; Hickman, Lisa C.
Affiliation
  • Dong SM; Department of Obstetrics and Gynecology, Division of Female Pelvic Medicine and Reconstructive Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
Curr Opin Obstet Gynecol ; 35(6): 510-516, 2023 12 01.
Article in En | MEDLINE | ID: mdl-37807921
PURPOSE OF REVIEW: The aim of this study was to describe the common postpartum urinary sequelae including urinary retention and incontinence, and to summarize the management of these conditions. RECENT FINDINGS: Despite the high frequency of urinary disorders in obstetrics, screening and management protocols are rarely utilized by providers. Large variation exists in the literature regarding assessment of postpartum urinary retention, values of postvoid residuals and management of indwelling catheters in the immediate postpartum population. Recent expert guidance outlines a strategy for managing this condition.Research also highlights that screening for peripartum urinary incontinence is not a routine practice. The diagnosis is made more challenging by the fact that patients commonly understate and over-normalize their symptoms. Emerging studies have found that pelvic floor muscle training is cost-effective, preventive, and may improve symptoms in the postpartum setting. SUMMARY: Increased awareness of urinary disorders in pregnancy and postpartum is imperative for appropriate diagnosis and management. Instituting standardized voiding protocols postpartum will allow providers to avoid undiagnosed postpartum urinary retention and its repercussions. Improved screening and education regarding urinary incontinence in the peripartum is important for early management, such as pelvic floor muscle training, and improved quality of life.
Subject(s)

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Urinary Incontinence / Urinary Retention / Pelvic Floor Disorders Type of study: Guideline Aspects: Patient_preference Limits: Female / Humans Language: En Journal: Curr Opin Obstet Gynecol Journal subject: GINECOLOGIA / OBSTETRICIA Year: 2023 Document type: Article Affiliation country: Estados Unidos Country of publication: Reino Unido

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Urinary Incontinence / Urinary Retention / Pelvic Floor Disorders Type of study: Guideline Aspects: Patient_preference Limits: Female / Humans Language: En Journal: Curr Opin Obstet Gynecol Journal subject: GINECOLOGIA / OBSTETRICIA Year: 2023 Document type: Article Affiliation country: Estados Unidos Country of publication: Reino Unido