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Vaginal birth does not contribute to the development of stress urinary incontinence later in life, according to Dr. Gunhilde Buchsbaum, of the department of ob.gyn at the University of Rochester (N.Y.), and colleagues.
"Contrary to the conventional wisdom that nulliparity protects against stress urinary incontinence, we found similar rates of urinary incontinence in postmenopausal nulliparous women and their parous biological sisters," the investigators reported (Obstet. Gynecol. 2005;106:1253-8).
Dr. Buchsbaum's team analyzed a sample of 143 pairs of nulliparous/parous postmenopausal sisters. All of the women answered a questionnaire about symptoms of pelvic floor disorders, and ...