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CC BY 4.0 · Rev Bras Ginecol Obstet 2022; 44(12): 1134-1140
DOI: 10.1055/s-0042-1759742
Review Article

Assessment of Pelvic Floor Disorders due to the Gestational Diabetes Mellitus Using Three-Dimensional Ultrasonography: A Narrative Review

Avaliação das desordens do assoalho pélvico decorrentes do diabetes gestacional usando a ultrassonografia tridimensional: Uma revisão narrativa
Carlos Izaias Sartorão Filho 
1   Department of Gynecology and Obstetrics, Faculdade de Medicina de Botucatu, Universidade Estadual de São Paulo (UNESP), Botucatu, SP, Brazil
2   Department of Medical School, Fundação Educacional do Município de Assis (FEMA), Assis, SP, Brazil
,
Angélica Mércia Pascon Barbosa 
1   Department of Gynecology and Obstetrics, Faculdade de Medicina de Botucatu, Universidade Estadual de São Paulo (UNESP), Botucatu, SP, Brazil
,
Iracema de Mattos Paranhos Calderon 
1   Department of Gynecology and Obstetrics, Faculdade de Medicina de Botucatu, Universidade Estadual de São Paulo (UNESP), Botucatu, SP, Brazil
,
Marilza Vieira Cunha Rudge 
1   Department of Gynecology and Obstetrics, Faculdade de Medicina de Botucatu, Universidade Estadual de São Paulo (UNESP), Botucatu, SP, Brazil
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Abstract

Gestational diabetes mellitus (GDM)is an entity with evolving conceptual nuances that deserve full consideration. Gestational diabetes leads to complications and adverse effects on the mother's and infants' health during and after pregnancy. Women also have a higher prevalence of urinary incontinence (UI) related to the hyperglycemic status during pregnancy. However, the exact pathophysiological mechanism is still uncertain. We conducted a narrative review discussing the impact of GDM on the women's pelvic floor and performed image assessment using three-dimensional ultrasonography to evaluate and predict future UI.

Resumo

O diabetes gestacional (DG)é uma entidade com nuances conceituais em evolução que merecem total consideração. O DG leva a complicações e efeitos adversos na saúde da mãe e do bebê durante e após a gravidez. As mulheres também apresentam maior prevalência de incontinência urinária (IU) relacionada ao estado hiperglicêmico durante a gravidez. No entanto, o mecanismo fisiopatológico exato ainda é incerto. Realizamos uma revisão narrativa discutindo o impacto do DG no assoalho pélvico das mulheres e utilizamos o exame de ultrassonografia tridimensional para avaliar e predizer a ocorrência de IU.

Keywords

diabetes - gestational - pelvic floor - pelvic floor disorders - urinary incontinence - ultrasonography

Palavras-chave

diabetes gestacional - assoalho pélvico - desordens do assoalho pélvico - incontinência urinária - ultrassonografia

Financial Support

The São Paulo Research Foundation (FAPESP) #2016/09710-9 awarded the corresponding author financial support for this research.




Publikationsverlauf

Eingereicht: 26. Juli 2022

Angenommen: 21. September 2022

Artikel online veröffentlicht:
29. Dezember 2022

© 2022. Federação Brasileira de Ginecologia e Obstetrícia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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