International Urogynecology Journal

, Volume 22, Issue 9, pp 1135–1141 | Cite as

Is cesarean section a real panacea to prevent pelvic organ disorders?

  • Onder Koc
  • Bulent Duran
  • Safak Ozdemırcı
  • Yesim Bakar
  • Nuriye Ozengin
Original Article


Introduction and hypothesis

The aim of this study is to compare the pelvic floor muscle strength after vaginal delivery vs. after cesarean section.


Five groups of 50 cases each were designated as follows: nullipara (control group), spontaneous vaginal delivery (SVD), repeat SVD (SVD-R), cesarean section (CS), and repeat CS (CS-R). Perineometric measurements, stress urinary incontinence (SUI) symptoms, pelvic organ prolapse quantification examinations, and Incontinence-Specific Quality of Life Questionnaire (IQOL) were evaluated.


In all delivery groups, pelvic muscle strength was significantly lower than the control group (65.10 ± 15.69, 56.29 ± 17.39, 54.28 ± 20.08, 56.82 ± 17.62, and 57.92 ± 16.45 (cm H2O± SD) for the control, SVD, SVD-R, CS, and CS-R groups, respectively; p < 0.05). However, no significant difference was found among the delivery groups. There were significant differences in SUI symptoms between the control (2%) and SVD-R (26%) groups and between the SVD (10%) and SVD-R groups (p < 0.001 and p = 0.037, respectively). No statistically significant correlations between IQOL and perineometric measurements were noted (r = 0.097 and p = 0.598).


Pregnancy increases postpartum muscle weakness independent of the mode of delivery. Increased SUI symptoms are associated with vaginal delivery.


Vaginal delivery Cesarean section Pelvic floor muscle weakness Quality of life 


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Copyright information

© The International Urogynecological Association 2011

Authors and Affiliations

  • Onder Koc
    • 1
  • Bulent Duran
    • 1
  • Safak Ozdemırcı
    • 2
  • Yesim Bakar
    • 3
  • Nuriye Ozengin
    • 3
  1. 1.Department of Obstetrics and Gynecology, Faculty of MedicineAbant Izzet Baysal UniversityGolkoyTurkey
  2. 2.Department of Obstetrics and Gynecology, Simav City HospitalKütahyaTurkey
  3. 3.School of Physical Therapy and RehabilitationAbant Izzet Baysal UniversityGolkoyTurkey

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