Skip to main content

Advertisement

SpringerLink
Log in

Management of Bladder Dysfunction and LUTs During Pregnancy

  • Post-Prostatectomy and Acquired Voiding Dysfunction (V Tse, Section Editor)
  • Published:
Current Bladder Dysfunction Reports Aims and scope Submit manuscript

Abstract

Management of lower urinary tract dysfunction in pregnancy can be challenging, with the need to take into account impact of treatment on gestation and impact of pregnancy and delivery on intervention. Whilst the approach to lower urinary tract symptoms is not significantly different, this article will highlight specific pregnancy/delivery impact on lower urinary tract symptoms, including its management.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. Chaliha C, Bland JM, Monga A, Stanton SL, Sultan AH. Pregnancy and delivery: a urodynamic viewpoint. BJOG. 2000;107(11):1354–9.

    Article  CAS  PubMed  Google Scholar 

  2. Dietz HP, Benness CJ. Voiding function in pregnancy and puerperium. Int Urogynecol J Pelvic Floor Dysfunct. 2005;16(2):151–4.

    Article  CAS  PubMed  Google Scholar 

  3. http://www.gpo.gov/fdsys/pkg/FR-2008-05-29/pdf/E8-11806.pdf. Accessed 24 May 15.

  4. Gardner CS, Jaffe TA, Hertzberg BS, Javan R, Ho LM. The incarcerated uterus: a review of MRI and ultrasound imaging appearances. AJR Am J Roentgenol. 2013;201(1):223–9. doi:10.2214/AJR.12.9473.

    Article  PubMed  Google Scholar 

  5. Beekhuizen HJ, Bodewes HW, Tepe EM, Oosterbaan HP, Kruitwagen R, Nijland R. Role of magnetic resonance imaging in the diagnosis of incarceration of the gravid uterus. Obstet Gynecol. 2003;102(5 pt 2):1134–7.

    Article  PubMed  Google Scholar 

  6. Dierickx I, Meylaerts LJ, Van Holsbeke CD, de Jonge ET, Martens IF, Mesens T, et al. Incarceration of the gravid uterus: diagnosis and preoperative evaluation by magnetic resonance imaging. Eur J Obstet Gynecol Reprod Biol. 2014;179:191–7. doi:10.1016/j.ejogrb.2014.05.037.

    Article  PubMed  Google Scholar 

  7. Fiadjoe P, Kannan K, Rane A. Maternal urological problems in pregnancy. Eur J Obstet Gynecol Reprod Biol. 2010;152:13–7.

    Article  PubMed  Google Scholar 

  8. Wesnes SL, Rortveit G, Bø K, Hunskaar S. Urinary incontinence during pregnancy. Obstet Gynecol. 2007;109(4):922–8.

    Article  PubMed  Google Scholar 

  9. Sangsawang B, Sangsawang N. Stress urinary incontinence in pregnant women: a review of prevalence, pathophysiology, and treatment. Int Urogynecol J. 2013;24(6):901–12. doi:10.1007/s00192-013-2061-7. An exhaustive search of articles reporting on the prevalence of SUI in pregnant women across the continents, the pathophysiology and management.

    Article  PubMed Central  PubMed  Google Scholar 

  10. Kristiansson P, Samuelsson S, Svardsudd K. Reproductive hormones and stress urinary incontinence in pregnancy. Acta Scandinavia Obstet Gynecol. 2001;80(12):1125–30.

    Article  CAS  Google Scholar 

  11. Morkved S, Salvesen KA, Bo K, Eik-Nes S. Pelvic floor muscle strength and thickness in continent and incontinent nulliparous pregnant women. Int Urogynecol J. 2004;15:384–90.

    Article  Google Scholar 

  12. Chaliha C, Khullar V, Stanton SL, Monga A, Sultan AH. Urinary symptoms in pregnancy: are they useful for diagnosis? BJOG. 2002;109(10):1181–3.

    Article  PubMed  Google Scholar 

  13. Dinc A, Kizilkaya Beji N, Yalcin O. Effect of pelvic floor muscle exercises in the treatment of urinary incontinence during pregnancy and the postpartum period. Int Urogynecol J Pelvic Floor Dysfunct. 2009;20(10):1223–31. doi:10.1007/s00192-009-0929-3.

    Article  PubMed  Google Scholar 

  14. Dumoulin C, Hay-Smith J, Habée-Séguin GM, Mercier J. Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women: a short version Cochrane systematic review with meta-analysis. Neurourol Urodyn. 2015;34(4):300–8. doi:10.1002/nau.22700.

    Article  PubMed  Google Scholar 

  15. Subak LL, Wing R, West DS, Franklin F, Vittinghoff E, Creasman JM, et al. Weight loss to treat urinary incontinence in overweight and obese women. N Engl J Med. 2009;360(5):481–90. doi:10.1056/NEJMoa0806375.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  16. Furber CM, McGowan L, Bower P, Kontopantelis E, Quenby S, Lavender T. Antenatal interventions for reducing weight in obese women for improving pregnancy outcome. Cochrane Database Syst Rev. 2013;1, CD009334. doi:10.1002/14651858.CD009334.pub2.

    PubMed  Google Scholar 

  17. Rasmussen KM, Catalano PM, Yaktine AL. New guidelines for weight gain during pregnancy: what obstetrician/gynecologists should know. Curr Opin Obstet Gynecol. 2009;21(6):521–6. doi:10.1097/GCO.0b013e328332d24e..

    Article  PubMed Central  PubMed  Google Scholar 

  18. Beyerlein A, Schiessl B, Lack N, von Kries R. Associations of gestational weight loss with birth-related outcome: a retrospective cohort study. BJOG. 2011;118:55–61. doi:10.1111/j.1471-0528.2010.02761.x.

    Article  CAS  PubMed  Google Scholar 

  19. Richter HE, Burgio KL, Brubaker L, Nygaard IE, Ye W, Weidner A, et al. Spino C; Pelvic Floor Disorders Network. Continence pessary compared with behavioral therapy or combined therapy for stress incontinence: a randomized controlled trial. Obstet Gynecol. 2010;115(3):609–17. doi:10.1097/AOG.0b013e3181d055d4.

    Article  PubMed Central  PubMed  Google Scholar 

  20. Cacciatore A, Giordano R, Romano M, La Rosa B, Fonti I. Putative protective effects of cesarean section on pelvic floor disorders. J Prenat Med. 2010;4(1):1–4.

    PubMed Central  PubMed  Google Scholar 

  21. MacArthur C, on behalf of the ProLong study group. Exclusive caesarean section delivery and subsequent urinary and faecal incontinence: a 12-year longitudinal study. BJOG. 2011;118:1001–7. doi:10.1111/j.1471-0528.2011.02964.x.

    Article  CAS  PubMed  Google Scholar 

  22. MacArthur C, Wilson D, Herbison P, Lancashire RJ, Hagen S, Toozs-Hobson P, et al. Urinary incontinence persisting after childbirth: extent, delivery history, and effects in a 12-year longitudinal cohort study. BJOG. 2015. doi:10.1111/1471-0528.13395 [Epub ahead of print]. Long term follow up of urinary incontinence and has practice implications on mode of delivery.

    Google Scholar 

  23. Panel L, Triopon G, Courtieu C, Marès P, de Tayrac R. How to advise a woman who wants to get pregnant after a sub-urethral tape placement? Int Urogynecol J. 2008;19:347–50.

    Article  Google Scholar 

  24. Tan HJ, Siu W, Faerber GJ, McGuire EJ, Latini JM. Long-term durability of pubovaginal fascial slings in women who then become pregnant and deliver. Int Urogynecol J. 2010;21:631–5. doi:10.1007/s00192-010-1098-0.

    Article  PubMed  Google Scholar 

  25. Nicolle LE, Bradley S, Colgan R, Rice JC, Schaeffer A, Hooton TM, et al. Infectious Diseases Society of America guidelines for the diagnosis and treatment of asymptomatic bacteriuria in adults. Clin Infect Dis. 2005;40(5):643–54.

    Article  PubMed  Google Scholar 

  26. Smaill F, Vazquez JC. Antibiotics for asymptomatic bacteriuria in pregnancy. Cochrane Database Syst Rev. 2007;18(2):CD000490.

    Google Scholar 

  27. Romero R, Oyarzun E, Mazor M, Sirtori M, Hobbins JC, Bracken M. Meta-analysis of the relationship between asymptomatic bacteriuria and preterm delivery/low birth weight. Obstet Gynecol. 1989;73(4):576–82.

    CAS  PubMed  Google Scholar 

  28. Widmer M, Gülmezoglu AM, Mignini L, Roganti A. Duration of treatment for asymptomatic bacteriuria during pregnancy. Cochrane Database Syst Rev. 2011;12:CD000491. doi:10.1002/14651858.

    PubMed  Google Scholar 

  29. http://www.sahealth.sa.gov.au/wps/wcm/connect/4bf52c004eee77c8bfa3bf6a7ac0d6e4/2013_04_29_urinary + tract + infections + in + pregnancy.pdf?MOD = AJPERES&CACHEID = 4bf52c004eee77c8bfa3bf6a7ac0d6e4. Accessed 24th May 2015.

  30. Yip SK, Sahota D, Pang MW, Chang A. Postpartum urinary retention. Acta Obstet Gynecol Scand. 2004;83:881–91.

    Article  PubMed  Google Scholar 

  31. Mulder FE, Hakvoort RA, Schoffelmeer MA, Limpens J, Van der Post JA, Roovers JP. Postpartum urinary retention: a systematic review of adverse effects and management. Int Urogynecol J. 2014;25(12):1605–12. doi:10.1007/s00192-014-2418-6. An excellent overview on the adverse effects and management of post-partum urinary retention.

    Article  CAS  PubMed  Google Scholar 

  32. Lim JL. Post-partum voiding dysfunction and urinary retention. Aust N Z J Obstet Gynaecol. 2010;50:502–5. doi:10.1111/j.1479-828X.2010.01237.x.

    Article  PubMed  Google Scholar 

  33. Lee JW, Doumouchtsis SK, Fynes MM. Is Doppler planimetry a valid technique for the evaluation of postpartum urinary bladder volume? Int Urogynecol J Pelvic Floor Dysfunct. 2008;19(7):1019–25. doi:10.1007/s00192-007-0552-0.

    Article  PubMed  Google Scholar 

  34. Van Os AF, Van der Linden PJ. Reliability of an automatic ultrasound system in the post partum period in measuring urinary retention. Acta Obstet Gynecol Scand. 2006;85(5):604–7.

    Article  PubMed  Google Scholar 

  35. Pallis LM, Wilson M. Ultrasound assessment of bladder volume: is it valid after delivery? Aust N Z J Obstet Gynaecol. 2003;43(6):453–6.

    Article  PubMed  Google Scholar 

Download references

Compliance with Ethics Guidelines

Conflict of Interest

Lin Li Ow and Joseph K-S Lee declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

Author information

Authors and Affiliations

  1. Department Urogynaecology, Mercy Hospital for Women, 163 Studley Road, Heidelberg, VIC, 3084, Australia

    Lin Li Ow & Joseph K-S Lee

  2. Pelvic Floor Clinic Monash Medical Centre, 823 Centre Rd East Bentleigh, East Bentleigh, 3165, VIC, Australia

    Joseph K-S Lee

  3. University of Melbourne, Melbourne, VIC, Australia

    Joseph K-S Lee

Authors
  1. Lin Li Ow
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Joseph K-S Lee
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Joseph K-S Lee.

Additional information

This article is part of the Topical Collection on Post-Prostatectomy and Acquired Voiding Dysfunction

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Ow, L.L., Lee, J.KS. Management of Bladder Dysfunction and LUTs During Pregnancy. Curr Bladder Dysfunct Rep 10, 308–312 (2015). https://doi.org/10.1007/s11884-015-0314-7

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11884-015-0314-7

Keywords

Search

Navigation