scholarly journals Clinicoanamnestic risk factors of mixed urinary incontinence in women

2015 ◽  
Vol 64 (3) ◽  
pp. 33-39
Author(s):  
Elena Ivanovna Rusina

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.

2005 ◽  
Vol 11 (Supplement 1) ◽  
pp. S14
Author(s):  
C Ghetti ◽  
W T. Gregory ◽  
R Edwards ◽  
S Hamilton ◽  
V Smith ◽  
...  

2019 ◽  
Vol 17 (2) ◽  
pp. 69-77
Author(s):  
Miłosz Pietrus ◽  
◽  
Monika Białoń ◽  
Inga Ludwin ◽  
Tomasz Banaś ◽  
...  

2018 ◽  
Vol 141 (3) ◽  
pp. 349-353 ◽  
Author(s):  
Matteo Frigerio ◽  
Stefano Manodoro ◽  
Stefania Palmieri ◽  
Federico Spelzini ◽  
Rodolfo Milani

2021 ◽  
Vol 5 (4) ◽  
pp. 915-918
Author(s):  
Hadrians Kesuma Putra ◽  
Callista Zahra Aidi ◽  
M. Zulkarnain

Background. Pelvic organ prolapse (POP) is a condition in which one or more pelvic organs (consisting of the uterus, vaginal cuff, bladder, intestines, and rectum) or more are still in or out of the vagina. Risk factors that influence the incidence of POP consist of obstetric risk factors (number of parity and birth method) and non-obstetric risk factors (age, menopause, BMI, comorbid disease, and hypertension). The purpose of this study was to analyze the risk factors associated with the degree of POP. Methods. This study is an observational study with a cross-sectional approach to 111 patients examined at the Department of Obstetrics and Gynecology, Dr. Mohammad Hoesin general hospital Palembang on January 2017 to December 2019, who was diagnosed with pelvic organ prolapse. Results. The results showed the effect of variables with the degree of POP using the chi-square test, consisting of parity (p=0.007), birth method (p=<0.001), age (p=0.016), menopause (p=0.001), BMI (p =0.005), indicates that there is a significant effect on the degree of POP. Meanwhile, comorbid factors (p=0.481) and hypertension (p=0.415) did not show a significant relationship with the degree of POP. The results of the binary logistic regression analysis of all risk factors, the number of parity >4, overweight, and age 40 years, will have a 99.85% chance of experiencing grade 3 or 4 prolapse. Conclusion. Age is the most dominant risk factor affecting the degree of pelvic organ prolapse, with 19 times the chance of developing POP 3 or 4 degrees.


Author(s):  
Núria. L. Rodríguez-Mias ◽  
Eva Martínez-Franco ◽  
Jaume Aguado ◽  
Emilia Sánchez ◽  
Lluis Amat-Tardiu

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