Prevalence of various urogynaecological problems and their subsequent management with outcome amongst women attending a tertiary care hospital of a developing Country
Keywords:Prevalence, Urogynaecological problems, Women
Background: The prevalence of urogynaecological problems may be significantly underestimated since the physicians rarely ask women about these problems and women seldom initiate discussion about these symptoms on their own with the physician.
Methods: The present study was conducted from March 2006 to August 2008. All the women between 20 to 80 years of age with varying parity attending gynecological outpatient department were evaluated for urogynaecological and bowel problems, based on a questionnaire incorporating demographic and urogynaecological symptoms (IUGA terminology). The frequency of various urinary problems was correlated with the demographic data, urodynamic studies and cystoscopic findings, whenever appropriate and available. Exclusion criteria: The women with disorders of central nervous system, retention urine and pregnancy were excluded from the study.
Results: During this period, 15100 women attended outpatient department of gynecology. Out of these, 376 women had urogynaecological and bowel problems. The prevalence of urogynaecological and bowel problems was 24.9 per 1000 women. The incidence of symptoms was dysuria in 38.5 % women, increased frequency of micturition in 38% women; feeling of something coming out per vaginum in 37% women, nocturia in 27.6 % women and pain lower abdomen in 25 % women.
Conclusions: Amongst incontinence, 31.3% women had stress incontinence, 25% women had urge incontinence, 14.6% women had urgency, 8.7% women had continuous urinary incontinence and 2.12% women had anal incontinence.
Kelleher CJ, Cardozo LD, Khullar V, Salvatore S. A new questionnaire to assess the quality of life of urinary incontinent women. Br J Obstet Gynaecol. 1997;14(12):1374-9.
Sharma JB, Malhotra M, Gupta S, Kumar A, Singh B P, Vindal A. A preliminary survey of women views on awareness, information choices and expectations in women undergoing hysterectomy. J Indian Med Assoc. 2004;102:304-8.
Sharma JB, Malhotra M, Joshi D, Arora R. Survey of the women views on awareness, information, choices and care during labour in a teaching hospital Obstet Gynecol India. 2003;53:252-6.
Sharma JB, Sharma K, Sarin U.A study of maternal awareness and participation during cesarean section. J Obstet Gynecol India. 2001;51:37-9.
Sharma JB, Gupta N, Aggarwal P, Mittal S. A survey of obstetrician’s practice of using prophylactic antibiotics in vaginal deliveries and cesarean sections. J Indian Med Assoc. 2008:106:147-9.
Sharma JB, Wadhwa L, Mittal S. Survey of knowledge, attitude and practices of urogynaecological problems amongst gynaecologists of Delhi. Indian J Med Sci. 2005:59;28-30.
Hayln BT, de Ridder D, Freeman RM, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Int Urogynecol J. 2010;21(1):5-26.
Bass M, Duckett JRA. Management of the overactive bladder syndrome. In: Studd J, tan SL chervenek FA(eds), progress in Obstetrics and Gynecology. 2008;18:365-78.
Rufford J. Urinary Incontinence. In: Luesley DM, Baker PN (eds): Obstetrics and Gynaecology. An evidence based text for MRCOG. 1st edn. Arnold London; 2004;634-48.
Balmforth J. Assessment of lower urinary tract function. In: Leusley D M, Baker PN (edsObstetrics and Gynecology. An evidence based text for MRCOG. Men Arnold. London. 2004;619-33.
Inove H, Sekiguchi Y. Does the slowbirth protects the pelvic floor against injury due to delivery? Int Urogynecol J. 2003;77(268):S23.
Brieger GM, Yip SK, Hin ly, Chung TKh. The prevalence of urinary dysfunction in Hong Kong Chinese women. Obstet Gynecol. 1996:88(6):1041-4.
Swithinbark LV, Donvan JL, Haone JC. Urinary symptoms and incontinence in women; relationship between occurrence, age and perceived impact. Br J Gen Pract. 1999;49;897-900.
Zhang W, Song Y, He X, Li BY. European urology prevalence and risk factors of lower urinary tract symptoms in Funzhou Chinese women. 2005;48:309-13.
Hanif S. Frequency and pattern of Urinary complaints among pregnant women. J Coll Physician Surg Pak. 2006;16:514-7.