Prevalence of urinary incontinence in reproductive women and its impact on quality of life
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20150710Keywords:
Urinary incontinence, Quality of life, King’s Health questionnaireAbstract
Background: Urogenital problems are more common in the female population. Among them urinary incontinence is a common problem. It has significant impact on the physical, psychological and socio-economic aspects of life. The aim of our study is to estimate the proportion of women with urinary incontinence in reproductive age groups and to assess the impact of urinary incontinence on quality of life.
Methods: This cross sectional study was conducted among 404 women aged between 20 - 45 years. Following data such as socio-demographic characteristics, urinary symptoms and obstetric history, height and weight measurements were recorded. Among those with incontinence, King’s Health Questionnaire was used to evaluate severity of affection.
Results: The prevalence of urinary incontinence was 34.1% in our study. Out of them 73.2% had mild incontinence, 19.6% had moderate incontinence and 7.2% had severe incontinence. Those with urinary incontinence had significantly more amount of health affection than those without incontinence (X2 value – 152, P value – 0.000). In those with moderate incontinence, > 95% had physical activity limitation and social limitation. In those with severe incontinence, 90% had physical activity restriction, social limitation, emotional affection and sleep deprivation.
Conclusions: The prevalence of urinary incontinence was 34.1%. Urinary incontinence had higher impact on emotional and social well-being. Awareness has to be created about available treatment options among women.
References
Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, et al. The standardization of terminology in lower urinary tract function: report from the Standardization Sub-committee of the International Continence Society. Neurourol Urodyn. 2002;21(2):167-78.
Buckley BS, Lapitan MC. Epidemiology Committee of the Fourth International Consultation on Incontinence, Paris, 2008. Prevalence of urinary incontinence in men, women, and children – current evidence: findings of the Fourth International Consultation on Incontinence Urology. 2010;76:265-70.
Staskin DR: Age-related physiologic and pathologic changes affecting lower urinary tract function. Clin Geriatr Med. 1986;2:701-10.
McGrother C, Resnick M, Yalla SV, Kirschner-Hermanns R, Broseta E, Mullar C et al. Epidemiology and etiology of urinary incontinence in the elderly. World Journal of Urology. 1998;16(1):S3-S9.
Hunskaar S, Arnold EP, Burgio K, Diokno AC, Herzog AR, Mallett VT. Epidemiology and natural history of urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 2000;11(5):301-19.
Rortveit G, Daltveit AK, Hannestad YS, Hunskaar S. The Norwegian EPINCONT Study. Urinary Incontinence after Vaginal Delivery or Cesarean Section. N Engl J Med. 2003;348(10):900-7.
Sandvik H, Hunskaar S, Seim A, Hermstad R, Vanvik A, Bratt H. Validation of a severity index in female urinary incontinence and its implementation in an epidemiological survey. J Epidemiol Community Health. 1993;47:497–9.
Kelleher CJ1, Cardozo LD, Khullar V, Salvatore S. A new questionnaire to assess the quality of life of urinary incontinent women. Br J Obstet Gynaecol. 1997;104(12):1374-9.
Irwin DE, Milsom I, Hunskaar S, Reilly K, Kopp Z, Herschorn S et al. Population-based survey of urinary incontinence, overactive bladder, and other lower urinary tract symptoms in five countries: results of the EPIC study. Eur Urol. 2006;50(6):1306-14.
Hunskaar S, Lose G, Sykes D, Voss S. The prevalence of urinary incontinence in women in four European countries. BJU Int. 2004;93(3):324-30.
Markland AD, Richter HE, Fwu C-W, Eggers P, Kusek JW. Prevalence and Trends of Urinary Incontinence in Adults in the United States, 2001 to 2008. The Journal of urology. 2011;186(2):589-93.
Nygaard I, Barber MD, Burgio KL, Kenton K, Meikle S, Schaffer J, et al. Prevalence of symptomatic pelvic floor disorders in US women. JAMA. 2008;300:1311–6.
Danforth KN, Townsend MK, Lifford K, Curhan GC, Resnick NM, Grodstein F. Risk factors for urinary incontinence among middle-aged women. Am J Obstet Gynecol. 2006;194:339-45.
Luber KM. The definition, prevalence, and risk factors for stress urinary incontinence. Rev Urol. 2004;6:S3-9.
Townsend MK, Danforth KN, Rosner B, Curhan GC, Resnick NM, Grodstein F. Body mass index, weight gain, and incident urinary incontinence in middle-aged women. Obstet Gynecol. 2007;110:346.
Burgio KL, Richter HE, Clements RH, Redden DT, Goode PS. Changes in urinary and fecal incontinence symptoms with weight loss surgery in morbidly obese women. Obstet Gynecol. 2007;110(5):1034–40.
Greer WJ, Richter HE, Bartolucci AA, Burgio KL. Obesity and pelvic floor disorders: a systematic review. Obstet Gynecol. 2008;112:341–9.
Subak LL, Wing R, West DS, Franklin F, Vittinghoff E, Creasman JM, et al. Weight loss to treat urinary incontinence in overweight and obese women. N Engl J Med. 2009;360(5):481–90.
Poylin V, Serrot FJ, Madoff RD, Ikramuddin S, Mellgren A, Lowry AC, et al. Obesity and bariatric surgery: a systematic review of associations with defecatory dysfunction. Colorectal Dis. 2011;13(6):92–103.
Gyhagen M, Bullarbo M, Nielsen T, Milsom I. The prevalence of urinary incontinence 20 years after childbirth: a national cohort study in singleton primiparae after vaginal or caesarean delivery. BJOG. 2013;120:144–51.
Kepenekci I, Keskinkilic B, Akinsu F, Cakir P, Elhan AH, Erkek AB, et al. Prevalence of pelvic floor disorders in the female population and the impact of age, mode of delivery, and parity. Dis Colon Rectum. 2011;54:85–94.
MacArthur C, Glazener CM, Wilson PD, Lancashire RJ, Herbison GP, Grant AM. Persistent urinary incontinence and delivery mode history: a six-year longitudinal study. BJOG: An International Journal of Obstetrics & Gynaecology. 2006;113:218–24.
Toozs-Hobson P, Balmforth J, Cardozo L, Khullar V, Athanasiou S. The effect of mode of delivery on pelvic floor functional anatomy. Int Urogynecol J Pelvic Floor Dysfunct. 2008;19(3):407–16.
Fritel X, Fauconnier A, Levet C, Benifla J-L. Stress urinary incontinence 4 years after the first delivery: a retrospective cohort survey. Acta Obstetricia et Gynecologica Scandinavica. 2004;83(10):941-5.
Hebbar S, Pandey H, Chawla A. Understanding King’s Health Questionnaire (KHQ) in assessment of female urinary incontinence. Int J Res Med Sci. 2015;3(3):531-8.
Margolis MK, Vats V, Coyne KS, Kelleher C. Establishing the content validity of the King's Health Questionnaire in men and women with overactive bladder in the US Patient. 2011;4(3):177-87.
Abrams P, Cardozo L, Khoury S, Wein, A, editors. Incontinence. 3rd ed. Plymouth: Plymbridge. Symptom and quality of life assessment. 2001;267-315.
Grimby A, Milsom I, Molander U, Wiklund I, Ekelund P: The influence of urinary incontinence on the quality of life of elderly women age ageing. 1993;22:82.
Ward K, Hilton P. Prospective multicentre randomised trial of tension free vaginal tape and colposuspension as primary treatment for stress incontinence. United Kingdom and Ireland Tension- Free Vaginal Tape Trial Group. BMJ. 2002;325:67-73.