DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20181978

Prevalence of stress urinary incontinence and its associated risk factors amongst females attending tertiary referral centre

Gita Guin, Abha Choudhary, Ruchita Dadhich

Abstract


Background: Urinary incontinence (UI) is one of the most common diseases in the world, occurring majorly in females. The most common reason of its occurrence in women is: stress urinary incontinence. The frequent and repeated small leaks lead to soreness and excoriation of the vulva, and necessitate frequent changes of underclothing or the constant wearing of the protective clothing. In severe cases the woman’s life becomes a misery; she feels a social outcast and avoids leaving the house.

Methods: This study was conducted at Netaji Subhash Chandra Bose medical college and hospital from October 2016 to October 2017. A total of 418 women above 18 years of age who have none of the exclusion criteria (active UTI, pregnancy and 6 weeks postpartum, malignancy, any neurological illness, all patients with true illness) were included. Data was collected using a predesigned proforma meeting the objectives of the study with their consent.

Results: We have studied 418 cases out of which 77 (18.4%) cases were found to have stress urinary incontinence.

Conclusions: Stress urinary incontinence amongst women is an undiagnosed problem leading to significant suffering. This study signifies how neglected women’s health, post menopause particularly genitourinary health is. It also highlights the simple clinical diagnostic parameters needed to establish the presence of incontinence.


Keywords


Prevalence, Parity, Stress urinary incontinence, Urinary incontinence

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References


Hunskar S, Lose G, Sykes D, Voss S. The prevalence of urinary incontinence in women in four European countries. BJU Int 2004;93:324-30.

Diokno AC, Estano MV, Mallett V. Epidemiology of lower urinary tract dysfunction. Clin Obstet Gynecol. 2004;47:36-43.

Thom D. Variation in estimates of urinary incontinence prevalence in the community: effects of differences in definition, population characteristics, and study type. J Am Geriatr Soc. 1988;46:473-80.

Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U et al. The standardization of terminology of lower urinary tract function: report from the Standardization Subcommittee of the International Continence Society. Neurourol Urodyn. 2002;21:167-78.

Koelbl H, Mostwin J, Boiteux JP. Pathophysiology. In:Abrams PC, Khoury S, Wein A, editors. Incontinence. Plymouth (UK): Health Publication Ltd.;2002:203-41.

Yang A, Mostwin JL, Rosenshein NB, Zerhouni EA. Pelvic floor descent in women: dynamic evaluation with fast MR imaging and cinematic display. Radiology 1991;179:25-33.

Mostwin JL, Yang A, Sanders R, Genadry R. Radiolography, sonography and magnetic resonance imaging for stress incontinence. contributions, uses and limitation. Urol Clin North Am. 1995;22:539-49.

DeLancy JO. Structural support of the urethra as it relates to stress urinary incontinence: the hammock hypothesis. Am Obst Gynecol. 1994;170:1713-23.

DeLancy JO. Stress urinary incontinence :where are we now, where should we go ? Am J Obst Gynecol. 1996;175:311-9.

Fultz NH, Herzog AR. self reported social and emotional impact of urinary incontinence J Am Geriatr Soc. 2001;49:892-9.

Singh U, Agarwal P, Verma ML, Dalela D, Singh N, Shankhwar P. Prevalence and risk factors of urinary incontinence in Indian women: A hospital-based survey. IJU. 2013 Jan;29(1):31-6.

Abha S, Priti A, Nanakram S. Incidence and epidemiology of urinary incontinence in women. J Obstet Gynaecol India. 2007 Mar;57(2):155-7.

Hägglund D, Olsson H, Leppert J. Urinary incontinence: an unexpected large problem among young females. Results from a population-based study. Fam Pract. 1999 Oct 1;16(5):506-9.

Sommer P, Bauer T, Nielsen KK, Kristensen ES, Hermann GG, Steven K et al. Voiding Patterns and Prevalence of Incontinence in Women.: A Questionnaire Survey. BJU International. 1990 Jul 1;66(1):12-5.

Kinchen KS, Burgio K, Diokno AC, Fultz NH, Bump R, Obenchain R. Factors associated with women's decisions to seek treatment for urinary incontinence. J Women's Health. 2003 Sep 1;12(7):687-98.

Brown JS, Sawaya G, Thom DH, Grady D. Hysterectomy and urinary incontinence: a systematic review. Lancet. 2000 Aug 12;356(9229):535-9.

Chiarelli P, Brown W. Prevalence and associated factors in Australian women. Neurourol Urodynamic. 1999;18:567-77.

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 Feb;194(2):339-45.

Nitti VW. Review in urology, the prevalence of urinary incontinence. Department of urology, New York University School of Medicine.

Bortolotti A, Bernardini B, Colli E, Di Benedetto P, Nacci GG, Landoni M et al. Prevalence and risk factors for urinary incontinence in Italy. European Urol. 2000;37(1):30-5.