The incidence of bladder injury has been reported to be 0.27% for primary cesarean delivery, and 0.43%–0.81% for repeat cesarean delivery. Positively associated with bladder injury are adhesions from prior surgery, emergency delivery, labor during cesarean, and attempted vaginal birth after cesarean.
The risk of urinary incontinence is higher among women who have had cesarean sections than among nulliparous women and is even higher among women who have had vaginal deliveries.
If the bladder or ureters have been cut during C-section, serious symptoms will occur within just a few hours following the C-section, including blood in the urine, bloating of the abdomen, abdominal pain, abnormal urinalysis results (elevated BUN and creatinine levels) and infection, including peritonitis and sepsis, ...
Women who have a caesarean can also develop bladder problems. Having a caesarean can reduce the risk of severe incontinence from 10% to 5% for the first baby, but after the third caesarean women are just as likely to develop bladder problems as women who give birth vaginally.
The incidence of bladder injury during cesarean section ranges from 0.08 to 0.94% [6-10].
The most common symptoms of a bladder injury are visible blood in the urine, difficulty in urinating, and pain in the pelvis and lower abdomen or during urination.
Sustained downward pressure on the pelvic floor on top of the c-section incision can make things a little more challenging and may mean that your rehab journey is different to a stand alone c-section or vaginal delivery mummy.
Causes of urinary incontinence
Stress incontinence is usually the result of the weakening of or damage to the muscles used to prevent urination, such as the pelvic floor muscles and the urethral sphincter. Urge incontinence is usually the result of overactivity of the detrusor muscles, which control the bladder.
Injury to the bladder from a bullet or other penetrating object is usually fixed with surgery. Most of the time, other organs in the area will be injured and need repair as well. After surgery, a catheter is left in the bladder to drain the urine and blood until the bladder heals.
If a bladder injury is noted at this time, it usually can be easily managed by a two- or three-layer closure with absorbable suture and Foley catheter bladder drainage.
Organs are part of the fascial system and they need to be able to expand and contract to work properly. When the bladder is affected by trauma or scar tissue, it exerts crushing pressure upon the bladder creating symptoms of urgency and incontinence.
Bladder control problems can happen both during pregnancy and after childbirth. Causes of bladder control issues can include pelvic organ prolapse, weakened pelvic floor muscles and damaged pelvic nerves. Kegel exercises are often recommended to help strengthen you pelvic muscles and regain bladder control.
Go to the bathroom at the specific times you and your health care provider have discussed. Wait until your next scheduled time before you urinate again. Be sure to empty your bladder even if you feel no urge to urinate. Follow the schedule during waking hours only.
No, overactive bladder doesn't go away on its own. If you don't treat OAB, your symptoms can get worse, the muscles in your bladder that help control when you pee can become weak and your pelvic floor tissues can get thinner.
Vitamin C found in foods.
A study done on vitamin c intake in 2060 women, aged 30-79 years of age found that high-dose intake of vitamin c and calcium were positively associated with urinary storage or incontinence, whereas vitamin C from foods and beverages were associated with decreased urinary urgency.
Pelvic organ prolapse can occur after both vaginal and cesarean birth, but is significantly more likely for vaginal birth because of the increased pressure from pushing during labor.
C- Section Therapy
This is where pelvic floor therapy comes into play! Therapy can help new moms reduce or even eliminate urinary incontinence, low back pain, and C-section scarring. Physical therapists can provide scar massage to mobilize the scar tissue and assist in laying down of organized collagen tissue.
Pelvic floor dysfunction is the inability to correctly relax and coordinate your pelvic floor muscles to have a bowel movement. Symptoms include constipation, straining to defecate, having urine or stool leakage, and experiencing a frequent need to pee.
Under the influence of epidural analgesia, patients may not feel the urge to urinate, which can result in urinary retention and bladder overdistension. Overfilling of the bladder can stretch and damage the detrusor muscle.
It will take 6 weeks from the date of surgery to fully recover from your operation. This can be divided into two parts -- the first 2 weeks and the last 4 weeks. During the first 2 weeks from the date of your surgery, it is important to be "a person of leisure".
Pain or burning during urination. Feeling as if you need to go right away, even when your bladder isn't full. Having trouble urinating or having a weak urine stream. Having to get up to urinate many times during the night.
The pain can be local or deep in the pelvis. Bladder problems – Adhesions can reduce the capacity and proper emptying of the bladder causing pain and frequency, which can be mistaken for cystitis. Dyspareunia – Pain during sexual intercourse.