Assessment of pelvic floor muscle function after vaginal delivery: Clinical value of different tests

Andrea Sartore, Roberto Pregazzi, Paolo Bortoli, Eva Grimaldi, Giuseppe Ricci, Secondo Guaschino

Research output: Contribution to journalArticlepeer-review

Abstract

OBJECTIVE: To evaluate the efficacy of different tests in identifying pelvic floor dysfunction after vaginal delivery. STUDY DESIGN: One hundred ninety-seven primiparae were investigated 2 months after vaginal delivery. They underwent pelvic floor muscle assessment by digital test, vaginal manometry and uroflowmetric stop test. Puerperae were divided into continent and incontinent subpopulations. Variables were subjected to Student's t test and Fisher's exact test to verify the difference between the subpopulations. Kappa values were used to correlate the tests. RESULTS: Perineal performance in incontinent primiparae was weaker in all the tests; only the urine stream interruption test score showed significantly different values (P =.0026), but it did not correlate with the other two tests. CONCLUSION: A simple, objective, noninvasive and low-cost technique, such as the urine stream interruption test, is useful in assessing pelvic floor performance after vaginal delivery but reflects urethrovesical support function rather than pelvic muscle function in toto.

Original languageEnglish
Pages (from-to)171-174
Number of pages4
JournalJournal of Reproductive Medicine for the Obstetrician and Gynecologist
Volume48
Issue number3
Publication statusPublished - Mar 1 2003

Keywords

  • Delivery
  • Muscles
  • Pelvic floor

ASJC Scopus subject areas

  • Obstetrics and Gynaecology
  • Reproductive Medicine

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