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Is vitamin D replacement effective in the treatment of postpartum urinary incontinence?

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A Letter to the Editor to this article was published on 27 February 2023

Abstract

Introduction and hypothesis

The main objective of this study was to compare the effectiveness of pelvic floor muscle training, and vitamin D replacement in the treatment of urinary incontinence in the postpartum period of pregnant women with vitamin D deficiency.

Methods

The study was planned as an ancillary study of a study on the determination of the relationship between vitamin D deficiency and urinary incontinence in third-trimester pregnant women. Total 61 women who defined urinary incontinence at postpartum 8th week were included in the study. The participants were divided into two groups: the vitamin D replacement group and the pelvic floor muscle training (PFMT) group. Participants in both groups received appropriate treatment for 12 weeks. İnitial evaluations of which Pelvic Organ Prolapse-Quantification stage, International Consultation on Incontinence Modular Questionnaire on Female Lower Urinary Tract Symptoms (ICIQ-FLUTS) query, and pelvic floor muscle strength were repeated after 12 weeks of treatment for each patient.

Results

In the vitamin D replacement group, there was a significant increase in Oxford scores measured after treatment compared with pre-treatment and a significant decrease in ICIQ-FLUTS scores. In the comparison of the groups, it was determined that the changes in the Oxford and ICIQ-FLUTS scores of the vitamin D group after treatment were significantly higher than those of the PFMT group. In this pilot study, it was determined that the effectiveness of vitamin D replacement in the treatment of pelvic floor dysfunction in pregnant women with hypovitaminosis D was significantly higher than PFMT.

Conclusion

Vitamin D replacement may be useful in the treatment of urinary incontinence in pregnant women with hypovitaminosis D.

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Abbreviations

BMI:

Body Mass Index

ICIQ-FLUTS:

The International Consultation on Incontinence Modular Questionnaire on Female Lower Urinary Tract Symptoms

PFMT:

Pelvic Floor Muscle Training

POP-Q:

Pelvic Organ Prolapse-Quantification

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Funding

This study was funded by the Board of Izmir Katip Celebi University Scientific Research Projects (2020-TDU-TIPF-0020).

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Authors and Affiliations

  1. İzmir Atatürk Research and Training Hospital, Department of Gynecology and Obstetrics, İzmir, Turkey

    Serpil Aydogmus, Huseyin Aydogmus, Sezer Gul, Gizem Naz Kahraman & Alpay Yilmaz

  2. School of Medicine, Department of Gynecology and Obstetrics, İzmir Katip Çelebi University, İzmir, Turkey

    Serpil Aydogmus

  3. Hınıs Şehit Yavuz Yürekseven State Hospital, Department of Gynecology and Obstetrics, Erzurum, Turkey

    Sezer Gul

Authors
  1. Serpil Aydogmus
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  2. Huseyin Aydogmus
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  3. Sezer Gul
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  5. Alpay Yilmaz
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Contributions

S Aydogmus: Project development, Critical revisions to the paper,

S Gul, Gizen Naz Kahraman: Data collection

H Aydogmus,: Manuscript writing

A. Yilmaz: Manuscript writing

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Correspondence to Serpil Aydogmus.

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Aydogmus, S., Aydogmus, H., Gul, S. et al. Is vitamin D replacement effective in the treatment of postpartum urinary incontinence?. Int Urogynecol J 34, 1103–1108 (2023). https://doi.org/10.1007/s00192-022-05446-5

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  • DOI: https://doi.org/10.1007/s00192-022-05446-5

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