Risk factors for stress, urge or mixed urinary incontinence in Italy

Objective: To identify the prevalence of urinary incontinence, the distribution of the type of urinary incontinence and related risk factors in women older than 50 years. Method: This is a descriptive study with cross sectional design. Two hundred and seventy eight women older than 50 years old living in nursing home were interviewed using the Questionnaire for Urinary Incontinence Diagnosis (QUID) that has been translated and validated. The prevalence will be presented in the form of percentage; while the relationship between risk factors and the incidence or urinary incontinence will be analyzed using Chi square test or Fisher’s exact test, as appropriate, and multivariate analysis. Result: Of 278 research subjects, we obtained 95 subjects (34.2%) suffering from urinary incontinence. Moreover, the distribution of the type is 67 subjects (70.5%) with mixed urinary incontinence, 17 (17.9%) with stress incontinence and 11 subjects (11.6%) with urge incontinence. Body mass index (BMI) showing overweight and obesity are not related with the prevalence of urinary incontinence (p>0.05), which may be caused by the low number of subjects with overweight and obesity. Meanwhile, factors related to urinary incontinence are age older than 60 years (OR=7.79, p=0.021), menopause 10 years (OR=5.08, p=0.004) and multiparity (OR=1.82, p=0.019). Based on multivariate analysis, the risk factor of age older than 60 years is no longer related to urinary incontinence (p>0.05). Thus it can be inferred that age older than 60 years is not a singular factor causing urinary incontinence but rather a part of a multifactorial model. Conclusion: This study shows that the prevalence of urinary incontinence in women living in nursing home is 34.2%; while the distribution of the urinary incontinence is 67 subjects (70.5%) with mixed urinary incontinence, 17 subjects with stress incontinence (17.9%) and 11 subjects (11.6%) with urge incontinence. Risk factors for urinary incontinence are menopause 10 years and multiparity. [Indones J Obstet Gynecol 2014; 4: 193-198 Keywords: mixed urinary incontinence, menopause, multiparity, prevalence, stress incontinence, urge incontinence, urinary incontinence, Questionnaire for Urinary Incontinence Diagnosis (QUID)

Download Full-text

RISK FACTORS FOR STRESS, URGE, AND MIXED URINARY INCONTINENCE

Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi ◽

10.38136/jgon.836649 ◽

2021 ◽

Author(s):

Gizem TANRIKULU ◽

Melike DOĞANAY ◽

Mustafa Burak AKSELİM ◽

Mahmut Kuntay KOKANALI ◽

Kadriye ÖZCAN ◽

...

Keyword(s):

Risk Factors ◽

Urinary Incontinence ◽

Mixed Urinary Incontinence

Download Full-text

Risk Factors for De Novo Mixed Urinary Incontinence and Stress Urinary Incontinence Following Surgical Removal of a Urethral Diverticulum

LUTS Lower Urinary Tract Symptoms ◽

10.1111/luts.12008 ◽

2012 ◽

Vol 5 (3) ◽

pp. 154-158 ◽

Cited By ~ 1

Author(s):

Jae Heon KIM ◽

Kwang Woo LEE ◽

Jun Mo KIM ◽

Min Eui KIM ◽

Young Ho KIM

Keyword(s):

Risk Factors ◽

Urinary Incontinence ◽

Stress Urinary Incontinence ◽

De Novo ◽

Urethral Diverticulum ◽

Mixed Urinary Incontinence ◽

Surgical Removal

Download Full-text

Clinicoanamnestic risk factors of mixed urinary incontinence in women

Journal of obstetrics and women s diseases ◽

10.17816/jowd64333-39 ◽

2015 ◽

Vol 64 (3) ◽

pp. 33-39

Author(s):

Elena Ivanovna Rusina

Keyword(s):

Risk Factors ◽

Urinary Incontinence ◽

Pelvic Organ Prolapse ◽

Neurological Diseases ◽

Pelvic Organ ◽

Mixed Urinary Incontinence ◽

Vascular Lesions ◽

Medical Comorbidity ◽

Chi Square ◽

Number Of Patients

Diagnosis of mixed urinary incontinence (UI) in women is a challenge for physicians in clini-cal practice. Objectives: The determination risk factors of mixed urinary incontinence in women Materials and Methods: The subjects were 633 women 22-88 years old with complaints of mixed (n = 356) and stress (n = 277) UI. Data of the history and clinical examination data were analyzed. For statistical data analysis t-test, chi-square (χ2) test was used. Results: Significant differences in the number of pregnancies and births, body mass index (BMI), the number of patients with concomitant pelvic organ prolapse (POP) between the groups of women with complaints of mixed stress and UI were not found. Clinicoanamnestic risk factors mixed UI in women compared with stress UI are older than 56 years (OR 1,67; 95 % CI1,2-2,36; p < 0,05), postmenopause ( OR 1,59; 95 % CI1,15-2,22; p < 0,05), medical comorbidity: hypertension (OR 1,99; 95 % CI1,43-2,76; p < 0,001), chronic cystitis (OR 1,85; 95 % CI1,1-3,1; p < 0,05), diabetes mellitus (OR 1,86; 95 % CI1,1-3,23; p < 0,05), ischemic heart disease (OR 2,13; 95 % CI1,5-3,0; p < 0,001), vascular lesions of the brain (OR 3,62; 95 % CI1,7-7,6; p < 0,001), neurological diseases (Parkinson’s, multiple sclerosis, myasthenia gravis) (OR 7,1; 95 % CI1,0-56,8; p < 0,05), surgery for pelvic organ prolapse (OR 3,12; 95 % CI1,25-7, 77; p < 0,05) and urinary incontinence history (OR 6,05; 95 % CI1,37-26,7; p < 0,01). Conclusions: Medical comorbidity, previous surgery on the POP and UI, age older than 56 years are clinicoanamnestic risk factors mixed UI.

Download Full-text

4-year recurrence risk factors after tension-free vaginal tape-obturator as a treatment of stress urinary incontinence

Clinical Journal of Obstetrics and Gynecology ◽

10.29328/journal.cjog.1001069 ◽

2020 ◽

Vol 3 (2) ◽

pp. 145-150

Author(s):

S De Miguel Manso ◽

E García García ◽

JA Gobernado Tejedor ◽

CE Badillo Bercebal ◽

D Viruega Cuaresma ◽

...

Keyword(s):

Risk Factors ◽

Urinary Incontinence ◽

Stress Urinary Incontinence ◽

Mixed Urinary Incontinence ◽

Advanced Age ◽

Mixed Incontinence ◽

Tension Free ◽

Tension Free Vaginal Tape ◽

Independent Risk Factors ◽

Vaginal Tape Obturator

Objectives: Tension-free vaginal tapes are the gold standard of the surgical treatment of stress urinary incontinence (SUI); however, long-term recurrence of SUI after this surgery has been a matter of problem. Here, we attempted to determine the incidence of its recurrence and to identify the risk factors of 4-year-recurrence of SUI after this surgery. Methods: Of all patients undergoing this surgery (n = 341, 2015-2019), 71 patients were met the study inclusion criteria. Of 71, SUI recurred in 8 patients, with the recurrence rate being 11.3%. The following three were identified to be independent risk factors: older age, history of delivery of macrosomic baby (>4 kg), and the presence of mixed urinary incontinence. The frequency of recurrence in cases with mixed incontinence amounted for 19.5%. Recurrence was 22 and 50% for women with macrosomic delivery once and more than twice, respectively. Conclusion: Advanced age, macrosomic delivery and mixed urinary incontinence have shown to be independent risk factors of recurrence of SUI after tension-free vaginal tape-obturator at 4 years. Key message: Stress urinary incontinence can recur so investigate possible risk factors is a priority. Our paper relates recurrence with: advanced age, fetal macrosomia and mixed incontinence.

Download Full-text