International Urogynecology Journal

, Volume 21, Issue 1, pp 33–41

Does visceral peritoneal closure affect post-cesarean urinary symptoms? A randomized clinical trial

Original Article


Introduction and hypothesis

We hypothesized that upward bladder traction by visceral peritoneal closure during cesarean sections may have an impact on postpartum urinary complaints.


Based on a 90% power of the study and a 95% confidence interval, a sample size of 114 patients in each arm was needed to detect a 15% difference between both groups regarding postpartum urinary incontinence. To account for follow-up losses, we prospectively randomized 620 term primigravidas undergoing non-emergency cesareans into two groups (310 each): group 1, visceral peritoneal closure; group 2, non-closure. We compared perineal ultrasound findings 30 min before and 48 h after surgery. The UDI-6 questionnaire was used to assess urinary complaints.


Group 1 showed significant widening of the posterior urethrovesical angle and alpha angle, more urethral descent 48 h postpartum and higher incidence of frequency, urge and stress incontinence 8 weeks postpartum. Symptoms disappeared almost completely after 6 months.


Compared to visceral peritoneal non-closure, cesarean with visceral closure is associated with significant postpartum frequency of urination and/or incontinence that disappear without treatment almost completely within 6 months.


Cesarean Incontinence Visceral peritoneum Closure UDI-6 Urgency 


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Copyright information

© The International Urogynecological Association 2009

Authors and Affiliations

  1. 1.Department of Obstetrics and Gynecology, Women’s Health CentreAssiut UniversityAssiutEgypt
  2. 2.Department of Urology, Assiut University HospitalAssiutEgypt
  3. 3.Department of Obstetrics and GynaecologyAssiut UniversityAssiutEgypt

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