Importance of the role of pelvic floor musculoconnective tissue and its therapeutic approach in the Prevention of Urinary Incontinentia of Genuine Exertion n the young woman

Abstract

 Introduction and justification: urinary incontinence represents a real medical problem in current societies. Our goal is to determine the nowadays know-how about the stress urinary incontinence (lUEg) risk factors and to clarify the importance of the Conective tissue (CT) in its origin. Risk factors: it is considered that one the most important risk factors for the appearance of lUEg in young women is the parity, associated with a variety of neonatal and obstetric parameters. Analysis of pelvic floor CT in lUEg: although different contradictory analysis may be found, in many of them it is confirmed the presence of important qualitative and quantitative variations both collagen and elastin in
 CT. Posible damage in pelvic floor during vaginal delivery: vaginal delivery may cause neurological, muscular and CT injuries associated with the leg appearance, which however is usually spontaneously solved. Some real experiences have shown a symptomatic reappearance in a long-term basis, fact also confirmed by our own clinical observations. Therapy against CT damage: the effect may be caused by a lack of reconstruction of the CT associated with different factors. Despite of this, a relative lack of care about postpartum prevention and its relationship with the CT is definitively shown. Conclusions: specialized studies are needed about the specific preventive treatment against pelvic floor CT damage in post-childbirth.