title: Urinary symptoms in pregnancy: are they useful for diagnosis?
abstract: This is the second part of a study assessing 161 women 12 weeks after their first delivery. The urodynamic data have previously been published [Br J Obstet Gynaecol 2000;107:1354]. The symptoms have been assessed using a (non-validated) urinary symptom questionnaire. There was no correlation between symptoms and urodynamic findings and most importantly between the symptom of stress incontinence, a diagnosis of urodynamic stress incontinence (USI) and vaginal delivery. Symptoms of incontinence and abnormal urodynamic findings were also found in women who underwent caesarean section. These data explain why caesarean section does not appear to be wholly protective in preventing postpartum incontinence. This suggests that the aetiology of postpartum incontinence is multifactorial and urinary symptoms are misleading in determining the underlying causes.
authors.affiliation: Urogynaecology Unit, St George's Hospital, London, UK.
authors.forename: Charlotte
authors.initials: C
authors.lastname: Chaliha
authors.forename: Vik
authors.initials: V
authors.lastname: Khullar
authors.forename: Stuart L
authors.initials: SL
authors.lastname: Stanton
authors.forename: Ash
authors.initials: A
authors.lastname: Monga
authors.forename: Abdul H
authors.initials: AH
authors.lastname: Sultan
mesh_terms: D000293:Adolescent; D000328:Adult; D002585:Cesarean Section; D036861:Delivery, Obstetric; D005260:Female; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications / Q000503:physiopathology*; D011644:Puerperal Disorders / Q000175:diagnosis / Q000503:physiopathology; D012307:Risk Factors; D014550:Urinary Incontinence, Stress / Q000175:diagnosis* / Q000503:physiopathology; D016055:Urinary Retention / Q000150:complications* / Q000503:physiopathology; D014563:Urodynamics / Q000502:physiology*