+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Urinary incontinence and pelvic organ prolapse in nulliparous women



Urinary incontinence and pelvic organ prolapse in nulliparous women



Obstetrics and Gynecology 92(6): 951-954



To determine differences between vaginally parous and nulliparous women presenting with urinary incontinence and pelvic organ prolapse. Seven hundred forty eight consecutive referrals with urinary incontinence or pelvic organ prolapse, 62 of whom were nulliparous, were included in the analysis. Five hundred thirty-seven (72%) had urinary incontinence and 235 (31%) had at least stage III pelvic organ prolapse. Each subject had standard history, physical examination, and multichannel urodynamic testing. Differences between parous and nulliparous women were compared using parametric and nonparametric analysis of variance and the chi2 test with Yates correction where appropriate. The only significant demographic difference between the groups was that parous women had more previous continence and prolapse surgery. There were significant differences in distribution of diagnoses according to parity, with the nulliparas much less likely to have pelvic organ prolapse. Among incontinent women without prolapse, nulliparas were significantly more likely to have pure detrusor instability. Of those with pure genuine stress incontinence, nulliparas were older, had less anterior vaginal wall descent, less bladder neck mobility, narrower genital hiatus and perineal body measurements, and lower maximum urethral closure pressures. Of those with pure detrusor instability, the only difference was that nulliparas were significantly younger. For women with stage III pelvic organ prolapse or worse, no significant difference in any measured characteristic was noted. Nulliparous women were less likely to present with pelvic organ prolapse and those with urinary incontinence differed little from incontinent parous women.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 047888814

Download citation: RISBibTeXText

PMID: 9840556

DOI: 10.1016/s0029-7844(98)00286-5


Related references

Urinary Incontinence and Pelvic Organ Prolapse in Nulliparous Women. Obstetrics & Gynecology 92(6): 951-954, 1998

Pelvic organ prolapse and urinary incontinence in nulliparous women at the United States Military Academy. International Urogynecology Journal and Pelvic Floor Dysfunction 17(3): 208-210, 2006

Oral Poster 23: Pelvic Organ Prolapse and Urinary Incontinence in Nulliparous College Women in Relation to Paratrooper Training and Activity Level. Journal of Pelvic Medicine and Surgery 10(Suppl. 1): S22-S23, 2004

Pelvic prolapse and urinary incontinence in nulliparous college women in relation to paratrooper training. International Urogynecology Journal and Pelvic Floor Dysfunction 18(7): 769-771, 2006

Fecal Incontinence in Women With Urinary Incontinence and Pelvic Organ Prolapse. Obstetrical & Gynecological Survey 89(3): 423-427, 1997

Fecal incontinence in women with urinary incontinence and pelvic organ prolapse. Obstetrics and Gynecology 89(3): 423-427, 1997

De novo stress urinary incontinence after pelvic organ prolapse surgery in women without occult incontinence. International Urogynecology Journal 28(4): 583-590, 2017

Prevalence of and quality of life related to anal incontinence in women with urinary incontinence and pelvic organ prolapse. European Journal of Obstetrics Gynecology and Reproductive Biology 160(2): 228-231, 2012

Pelvic organ prolapse and urinary incontinence in women with surgically managed rectal prolapse: a population-based case-control study. Diseases of the Colon and Rectum 49(1): 28-35, 2006

Uroflowmetry in women with urinary incontinence and pelvic organ prolapse. British Journal of Urology 80(2): 217-221, 1997

Correlation between levator ani muscle injuries on magnetic resonance imaging and fecal incontinence, pelvic organ prolapse, and urinary incontinence in primiparous women. American Journal of Obstetrics and Gynecology 202(5): 488.E1-6, 2010

Associated pelvic organ prolapse in women with stress urinary incontinence: when to operate?. Current Opinion in Urology 15(6): 380-385, 2005

Sexual function in women with urinary incontinence and pelvic organ prolapse. Obstetrics & Gynecology 99(2): 281-289, 2002

Sexual function among women with urinary incontinence and pelvic organ prolapse. American Journal of Obstetrics and Gynecology 191(3): 751-756, 2004

Epidemiology and treatment for urinary incontinence and pelvic organ prolapse in women. Polski Merkuriusz Lekarski 25(145): 74-76, 2008