An observational study of effect on quality of life in perimenopausal females suffering from urinary incontinence


  • Pooja Mathur Department of Obstetrics and Gynaecology, Mahatma Gandhi Memorial Medical College and Maharaja Yashwantrao Hospital, Indore, Madhya Pradesh, India
  • Poonam Mathur Department of Obstetrics and Gynaecology, Mahatma Gandhi Memorial Medical College and Maharaja Yashwantrao Hospital, Indore, Madhya Pradesh, India
  • Meera Soni Department of Obstetrics and Gynaecology, Mahatma Gandhi Memorial Medical College and Maharaja Yashwantrao Hospital, Indore, Madhya Pradesh, India



Urinary incontinence, Stress incontinence


Background: Urinary incontinence (UI) affects many older adults. Some of its deleterious consequences include stress, major depression, diminished quality of life, sexual dysfunction, and familial discord. Despite a wealth of research contributions on this topic, the available literature is under representative of ethnic minority older women.

Methods: A cross-sectional observational study was conducted by taking a group of 225 females of perimenopausal age group. Patients were assessed clinically for the diagnosis of urinary incontinence and effect on quality of life was assessed. Further testing was done depending on the storage symptoms & voiding symptoms and included residual volume assessment by ultrasound, cystometry, complex urodynamic test and cystoscopy. The data obtained and the socio-demographic data recorded in a structured proforma. The data obtained was assessed, analysed and results were drawn thereafter.

Results: In our study the prevalence of UI was found to be 18%. Maximum prevalence was seen in the age group of 61-70 years. Highest numbers were found to have stress incontinence 60.44%, followed by 23.55% of urge, overflow 5.33% and 10.66% mixed symptoms. The impact was equitable over all dimensions measured for QOL, namely activity limitation (28.44%), social interaction limitation (35.11%), sexual activity limitation (16%), financial burden increased (3.55%), emotional upset and distress (16.88%).

Conclusions: In the present study, we determined the prevalence of UI among 200 community-dwelling, ethnically diverse older women, discovered that our new UI screener is reliable, and did not find the UI-depression link to be significant.


Abrams P, Cardozo L, Fall M. The standardization of terminology of lower urinary tract function: report from the standardization sub-committee of the International Continence Society. Neurourol Urodyn. 2002;21:167-8.

Haylen B, de Ridder D, Freeman R. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Neurourol Urodyn. 2010;29:4-20.

Coyne K, Kvasz M, Ireland AM, Milsom I, Kopp ZS, Chapple CR. Urinary incontinence and its relationship to mental health and health-related quality of life in men and women in Sweden, the United Kingdom, and the United States. Eur Urol. 2012;61:88-95.

Coyne K, Zhou Z, Thompson C, Versi E. The impact on health-related quality of life of stress, urge and mixed urinary incontinence. BJU Int. 2003;92:731-5.

Stewart W, Van Rooyen J, Cundiff G. Prevalence and burden of overactive bladder in the United States. World J Urol. 2003;20:327-36.

Nuotio M, Tammela T, Luukkaala T. Urgency and urge incontinence in an older population: ten-year changes and their association with mortality. Aging Clin Exp Res. 2002;14:412-9.

Snooks SJ, Henry MM, Swash M. Obstetric sphincter division and pudendal nerve damage. Br J Obstet Gynaecol. 1985;92:824-8.

Hannestad YS, Rortveit G, Sandvik H, Hunskaar S. A community-based epidemiological survey of female urinary incontinence: The Norwegian EPINCONT Study. J Clin Epidemiol. 2000;53:1150-7.

U.S. department of health and human services (June 2014). Prevalence of incontinence among older Americans. CDC. Retrieved 23 August2014.

Nygaard I, Turvey C, Burns TL, Crischilles E, Wallace R. Urinary incontinence and depression in middle-aged United States women. Acog J. 2003;101:149-56.

Thom DH, Haan MN, Eeden V, Stephen K. Medically recognized urinary incontinence and risks of hospitalization, nursing home admission and mortality. Age Ageing. 1997;26:367-74.

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

Hannestad YS, Rortveit G, Daltveit AK, Hunskaar S. Are smoking and other lifestyle factors associated with female urinary incontinence? The Norwegian EPINCONT Study. BJOG. 2003;110:247-54.

Yarnell JW, Voyle GJ, Richards CJ, Stephenson TP. The prevalence and severity of urinary incontinence in women. J Epidemiol Comm Health. 1981;35:71-4.

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 Womens Health (Larchmt). 2003;12:687-98.

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. Br J Urol. 1990;66:12-5.

Nemir A, Middleton RP. Stress incontinence in young nulliparous women: a statistical study. Am J Obstet Gynecol. 1954;68:1166-8.

Wolin LH. Stress incontinence in young, healthy nulliparous female subjects. J Urol. 1969;101:545-9.

Snooks SJ, Swash M, Mathers SE, Henry MM. Effect of vaginal delivery on the pelvic floor: A 5-year follow-up. Br J Surg. 1990;77:1358-60.

Bortolotti A, Bernardini B, Colli E, Di Benedetto P, GiocoliNacci G, Landoni M et al. Prevalence and risk factors for urinary incontinence in Italy. Eur Urol. 2000;37:30-5.

Parazzini F, Chiaffarino F, Lavezzari M, Giambanco V. Risk factors for stress, urge or mixed urinary incontinence in Italy. BJOG. 2003;110:927- 33.






Original Research Articles