title: [Analysis of obstetrical and gynaecological history of women with urinary stress incontinence].
abstract: Urinary leakage is a hygienic and social problem, that concerns women both in reproductive and perimenopausal age. It leads to a life deterioration, depression, and social isolation. Urinary stress incontinence (USI) is one of the most common-type of urine leakage. Characteristic symptom of this disorder there is involuntary leakage of urine during increased intra-abdominal pressure (cough, laugh, sneezing or physical work). There are many various predictive factors of urinary stress incontinence in a large number of publications. One of them, the most important, seems to be a gravidity and labor. 40-82% pregnant women complain of urinary leakage. The main aim of investigation was to determine obstetrical and gynaecological predictive factors of urinary stress incontinence. 53 women with diagnosed USI and qualified to TVT procedure have to fill in questionnaire with row questions about their obstetrical and gynaecological history. Our investigation revealed that significant influence on appearance of USI exert number of spontaneous labors, birth weight >3500 g, lack of substitute hormonal therapy during menopause and hard physical work in the past.
authors.affiliation: Z Katedry i Oddziału Klinicznego Ginekologii i Połoznictwa w Tychach.
authors.forename: Andrzej
authors.initials: A
authors.lastname: Sobański
authors.forename: Janusz
authors.initials: J
authors.lastname: Pozowski
authors.forename: Ryszard
authors.initials: R
authors.lastname: Poreba
authors.forename: Magdalena
authors.initials: M
authors.lastname: Piwowarczyk
authors.forename: Aneta
authors.initials: A
authors.lastname: Pasierbek
mesh_terms: D000328:Adult; D000368:Aged; D036861:Delivery, Obstetric / Q000009:adverse effects / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects / Q000706:statistics & numerical data; D008875:Middle Aged; D007744:Obstetric Labor Complications / Q000453:epidemiology; D011044:Poland; D011247:Pregnancy; D011788:Quality of Life; D012307:Risk Factors; D011795:Surveys and Questionnaires; D001745:Urinary Bladder Diseases / Q000150:complications / Q000453:epidemiology; D014550:Urinary Incontinence, Stress / Q000453:epidemiology* / Q000209:etiology* / Q000601:surgery; D013520:Urologic Surgical Procedures; D016526:Workload