Is Diastasis Recti Abdominis Rehabilitation after Childbirth Able to Prevent the Onset of Stress Urinary Incontinence? A Case-Control Study

被引:0
作者
Braga, Andrea [1 ,2 ]
Galli, Livia [2 ]
Caccia, Giorgio [1 ]
Amato, Giulia [1 ]
Papadia, Andrea [2 ,3 ]
Torella, Marco [4 ]
Salvatore, Stefano [5 ]
Scancarello, Chiara [6 ]
Baruch, Yoav [7 ]
Serati, Maurizio [6 ]
机构
[1] EOC Beata Vergine Hosp, Dept Obstet & Gynecol, CH-6850 Mendrisio, Switzerland
[2] Univ Svizzera Italiana, Fac Biomed Sci, CH-6900 Lugano, Switzerland
[3] EOC Civ Hosp, Dept Obstet & Gynecol, CH-6900 Lugano, Switzerland
[4] Univ Naples 2, Dept Gyanecol Obstet & Reprod Sci, I-80100 Naples, Italy
[5] IRCSS San Raffaele Sci Inst, Dept Obstet & Gynecol, I-20132 Milan, Italy
[6] Univ Insubria, Del Ponte Hosp, Dept Obstet & Gynecol, I-21100 Varese, Italy
[7] Tel Aviv Univ, Tel Aviv Med Ctr, Dept Obstet & Gynecol, IL-6997801 Tel Aviv, Israel
来源
MEDICINA-LITHUANIA | 2023年 / 59卷 / 12期
关键词
pelvic floor dysfunctions; abdominal wall; urinary incontinence; stress urinary incontinence; diastasis recti abdominis; PELVIC FLOOR DISORDERS; RISK-FACTORS; PREVALENCE; POSTPARTUM; WOMEN; PATIENT;
D O I
10.3390/medicina59122182
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background and Objectives: Pelvic floor muscle training (PFMT) represent the first-line approach to pelvic floor dysfunctions (PFDs). Recently, studies have shown a synergy between the pelvic floor and abdominal muscles, hypothesizing that the anatomical and functional integrity of the abdominal wall plays a role in the prevention of pelvic floor disorders. Some studies have shown a significant correlation between diastasis recti abdominis (DRA) and stress urinary incontinence (SUI). Nevertheless, the evidence reported in the literature is controversial and based on low-quality data. The aim of the study is to clarify whether DRA-specific abdominal rehabilitation is needed in women with SUI after childbirth. Materials and Methods: All consecutive women who had at least one delivery and complained of symptoms of pure SUI that were urodynamically proven were considered for the study. The group of symptomatic patients was compared with a series of consecutive women, identified during the same study period, without any symptoms of SUI. In both groups, we measured the inter-rectal distance (IRD) with an ultrasound scanner above and below the navel. Results: A total of 102 women eligible for the study group and 100 women who did not report any symptoms of SUI were enrolled. The inter-rectal distance above the umbilicus showed no significant difference between the two groups (2.12 +/- 0.98 vs. 2.1 +/- 0.77; p = 0.94). In contrast, the data from the sub-umbilical measurements showed a significant difference. Surprisingly, the asymptomatic group showed significantly greater (0.98 +/- 0.9 vs. 1.33 +/- 0.87 p-value: 0.009) IRD compared to the symptomatic group. Conclusions: The study shows that DRA is not a risk factor for SUI in women after childbirth. Therefore, specific abdominal wall rehabilitation after childbirth does not seem to be indicated.
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页数:10
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