scholarly journals Urinary Incontinence in Women Living in Nursing Homes: Prevalence and Risk Factors

2016 ◽  
Author(s):  
Chairul Rijal
Keyword(s):  
Risk Factors ◽  
Multivariate Analysis ◽  
Urinary Incontinence ◽  
Nursing Home ◽  
Stress Incontinence ◽  
Urge Incontinence ◽  
Overweight And Obesity ◽  
Mixed Urinary Incontinence ◽  
Research Subjects ◽  
Cross Sectional

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)

scholarly journals Prevalence of Urinary Incontinence in Women

2020 ◽  
Vol 33 (1) ◽  
pp. 59-62
Author(s):  
Lubna Yasmin ◽  
Ferdousi Begum
Keyword(s):  
Urinary Incontinence ◽  
Stress Incontinence ◽  
Urge Incontinence ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Mixed Incontinence ◽  
Medical College

Objective: The objectives of the study were to find out the prevalence of urinary incontinencein women. Materials and Methods: A cross sectional study was conducted on five hundred one (501)women older than 18 years of age who were admitted in department of obstetrics andgynaecology of Shaheed Suhrawardi Medical College and Hospital from April to December2009, answered a questionnaire about urinary incontinence. They were grouped accordingto presence or absence of urinary incontinence (incontinent and continent) and type ofincontinence present (urge, stress and mixed). Results: Urinary incontinence was found in 104(20.8%) women, out of which 25 (24%)suffered from stress incontinence only, 21 (20.2%) suffered from urge incontinence and58(55.8%) suffered mixed incontinence. Conclusions: One in five women older than 18 years of age suffer from one or other formof urinary Incontinence. Bangladesh J Obstet Gynaecol, 2018; Vol. 33(1) : 59-62

scholarly journals Epidemiological study of female urinary incontinence in the province of Siena, Italy

2010 ◽  
Vol 14 (2) ◽  
pp. 51
Author(s):  
A. BERNABEI ◽  
Va. TROTTA ◽  
Vi. TROTTA
Keyword(s):  
Risk Factors ◽  
Urinary Incontinence ◽  
Retrospective Study ◽  
Epidemiological Study ◽  
Stress Incontinence ◽  
Urge Incontinence ◽  
Medical Advice ◽  
Female Urinary Incontinence ◽  
Parallel Study ◽  
Self Evaluation

A retrospective study of patients of the Urogynaecological Unit in Siena is reported. Out of 228 women examined, 141 had urinary incontinence (stress incontinence 110, urge incontinence 18, mixed 13). Predisposing factors and risk factors were investigated. A parallel study in a non-selected population of women was performed by means of a questionnaire of self-evaluation for urinary incontinence. About 20% of this population had urinary incontinence to some degree, but only a small percentage of these women had already sought medical advice.

scholarly journals The management of mixed urinary incontinence in women

2017 ◽  
Vol 11 (6S2) ◽  
pp. 121 ◽  
Author(s):  
Blayne Welk ◽  
Richard J. Baverstock
Keyword(s):  
Urinary Incontinence ◽  
Stress Incontinence ◽  
Urge Incontinence ◽  
Pelvic Floor Muscle ◽  
Management Strategies ◽  
Significant Proportion ◽  
Mixed Urinary Incontinence ◽  
Success Rates ◽  
Vaginal Estrogen ◽  
Common Diagnosis

Mixed urinary incontinence is a common diagnosis among women with urinary leakage and is often present in women who are unable to characterize their incontinence. Research and optimized clinical treatment of these patients is limited by the challenges in objectively defining and stratifying this population. The evaluation of these patients should follow the same general principles as any assessment of any women with incontinence; however, it is essential to define whether urge or stress incontinence is the predominant symptom. Urodynamics (UDS) may be helpful in this regard and may help predict surgical outcomes. Behavioural therapy, weight loss, and pelvic floor muscle therapy are usually appropriate initial management strategies. In postmenopausal women, vaginal estrogen can be considered, and in women with equal parts stress and urge incontinence or urge-predominant mixed incontinence, a trial of anticholinergics or beta-3 agonists is appropriate. In women with stress-predominant or equal parts stress and urge incontinence, stress incontinence surgery can be considered, with the caveat that outcomes are generally worse among women with more severe levels of urgency, success rates may not be as durable, and a significant proportion of women may need additional medical therapy.

Prevalence of and Risk Factors for Urinary Incontinence During the Third Trimester and First Postpartum Year in Primiparous Women

2011 ◽  
Vol 1 (2) ◽  
pp. 71-81
Author(s):  
Linda Birch ◽  
P. M. Doyle
Keyword(s):  
Risk Factors ◽  
Urinary Incontinence ◽  
Cesarean Section ◽  
Stress Incontinence ◽  
Urge Incontinence ◽  
Elective Cesarean Section ◽  
Third Trimester ◽  
The Third ◽  
Bladder Emptying ◽  
Primiparous Women

OBJECTIVES: To identify the prevalence of and risk factors for urinary incontinence (UI) during the antenatal period and postpartum year in primiparous women.DESIGN: A longitudinal, prospective, repeated measures and cohort study.SETTING: Wirral University Teaching Hospital NHS Foundation Trust.PARTICIPANTS: Primiparous women with no preexisting disease (N = 516) recruited after a normal 20-week obstetric ultrasound scan.METHOD: Data were collected in the last trimester of pregnancy and at 6 weeks, at 6 months, and at 1 year postpartum using validated questionnaires. Obstetric data were extracted from case notes.MAIN OUTCOME MEASURES: UI symptoms.RESULTS: Stress incontinence during the third trimester was reported by 39.7% (n = 185) of the women participating in the study. At 6 weeks postpartum, 28.2% (n = 114); at 6 months postpartum, 31% (n = 123); and at 1 year postpartum, 26.5% (n = 89) of participants also reported stress incontinence.Urge incontinence was reported by 23.5% (n = 110) of participants in the third trimester, 21.2% (n = 86) at 6 weeks postpartum, 21.4% (n = 85) at 6 months postpartum, and 16.4% (n = 55) at 1 year postpartum.Women younger than 20 years old had higher rates of postpartum urge incontinence (p < .001) possibly associated with increased rates of infection. Body mass index (BMI) >30 was associated with higher rates of antenatal stress incontinence but was not significant in the postpartum period. BMI <20 was associated with an increase in postpartum urge incontinence. Prolonged periods in labor without bladder emptying was associated with increased rates of UI (odds ratio [OR] = 2.36). Forceps delivery was associated with postpartum stress incontinence (OR = 2.41). Although cesarean section appeared protective against UI initially, long-term data show a progressive increase in reported rates of UI even after elective cesarean section. Perineal trauma was associated with UI throughout the postpartum year with those women having anal sphincter disruption with the highest rates of stress incontinence (p < .005). Birth weight, duration of labor, feeding method, epidural anesthesia, and smoking were not significant. Overall, UI appears to be a regressive condition. Some participants had a progressive, deteriorating condition, which appears to be associated with a higher BMI or >6 hours from bladder emptying to delivery of the newborn.CONCLUSION: There are several identifiable risk factors that increase the prevalence and/or severity of UI symptoms.

scholarly journals Clinical profile of Female Urinary Incontinence: A Hospital Based Study

2021 ◽  
Vol 16 (1) ◽  
pp. 120-123
Author(s):  
Alka Shrestha
Keyword(s):  
Urinary Incontinence ◽  
Stress Incontinence ◽  
Associated Factors ◽  
Urge Urinary Incontinence ◽  
Cross Sectional Study ◽  
Descriptive Statistics ◽  
Mixed Urinary Incontinence ◽  
Female Urinary Incontinence ◽  
Sectional Study ◽  
Cross Sectional

Aim: To determine the prevalence of urinary incontinence of women attending gynae outdoor patient department. Method: It is a prospective cross sectional study conducted at Paropakar Maternity and Women’s Hospital for three months. Types of incontinence, their presentation, associated factors, age and parity were the variables studied. Data were analyzed by descriptive statistics. Results: Out of 950 gynaecological out-patients, 97 had urinary incontinence(10.2%); 34.1% were in 50- 59 years and 37.2% were multipara. Stressurinary incontinence (SUI) was the most common incontinence (56.7%) followed by mixed urinary incontinence (22.7%) and urge urinary incontinence (20.6%). Common complaints were leakage during coughing (63.6%) and sneezing(18.2%) in SUI;urgency and frequency were main problem in mixed and urge urinary incontinence. Three-fourth cases had associated medical conditions and rest had gynecological factors. Conclusions: Urinary incontinence is common in the fifth decade of life of women and more than half had stress incontinence.

scholarly journals Predictors of Delay in Treatment of Urinary Incontinence Among Pakistani Women – A Cross-sectional Study

2021 ◽  
Author(s):  
Shazia Saaqib ◽  
Amara Jameel ◽  
Muhammad Ghufran ◽  
Amna Zia Eusaph
Keyword(s):  
Risk Factors ◽  
Urinary Incontinence ◽  
Sample Size ◽  
Stress Incontinence ◽  
Treatment Delay ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Elderly Age ◽  
Cross Sectional ◽  
Shared Risk

Abstract BackgroundUrinary Incontinence (involuntary loss of urine) is a highly prevalent problem among women with profound effects on their quality of life. Patients tend to conceal their problems and avoid seeking medical help, which results in their prolonged illness and psychological depression. Only a few researchers have focused on finding out the characteristics of incontinent women with prolonged treatment denial. These women's shared features can serve as predictors of treatment delay; screening the incontinent patients for these predictors can point out the susceptible women with delayed help-seeking behaviour who need in-depth counselling and support for their treatment. This cross-sectional study was designed to investigate the predictors of treatment delays of urinary Incontinence among Pakistani women.Methods We performed this survey at Lady Willingdon Hospital outdoor from july1to Dec 31, 2019. We randomly selected one-hundred and six women with urinary incontinence from the gynaecology outdoor to fill the study Performa(sample size calculated with Raosoft, sample size calculator, Inc 2004). The Performa included risk factors of incontinence: demographic features, psychosocial effects of incontinence, the logic behind treatment delay, and the Incontinence Questionnaire UI-short form for incontinence characteristics. We evaluated predictors by analyzing shared risk factors of treatment delay by regression analysis (IBM SPSS statistics 20; SPSS Inc., Chicago, IL, USA). ResultsThe mean age of participants was 56.11±11.24years (30-77years). Treatment delay ranged from 1-30years; about half of the participants (48.1%) reported >3-year delay. The shared risk factors of treatment-delay were elderly age (OR=1.163; CI:1.075-1.259), embarrassment (OR = 8.15;CI:2.117-31.382), lower subjective severity of symptoms (OR=.316;CI:133-.978) and stress incontinence (OR=8.09;CI:1.87-35).ConclusionIn this cross-sectional survey of urinary incontinent women, elderly age, embarrassment, lower subjective severity of symptoms, and stress incontinence were predictors of treatment-delay among Pakistani women. Trial registrationThis study had ethical approval from King Edward Medical University and registered retrospectively at Clinical trials.gov with reg #NCT04470700 on 13-07-2020.

Prevalence of obesity and its risk factors among school children in Karachi, Pakistan

2018 ◽  
Vol 48 (4) ◽  
pp. 266-269 ◽  
Author(s):  
Naveed Mansoori ◽  
Nighat Nisar ◽  
Naveen Shahid ◽  
Syed Muhammad Mubeen ◽  
Shahid Ahsan
Keyword(s):  
Risk Factors ◽  
School Children ◽  
Dietary Habits ◽  
Overweight And Obesity ◽  
Growth Chart ◽  
Sociodemographic Characteristics ◽  
Cross Sectional ◽  
Factors Influencing ◽  
Private And Public ◽  
Prevalence Of Obesity

A cross-sectional questionnaire study was conducted during 2012 in private and public-sector schools of Karachi to determine the prevalence and factors influencing overweight and obesity among school children (aged 11–15 years). Sociodemographic characteristics and dietary habits were explored. The CDC Growth Chart was used to record height and weight. Of a total of 887 children, being overweight and frankly obese was found in 169 (19.1%) and 96 (10.8%), respectively. Of these, 176 (66.4%) were from private schools, and significant associations were found in 202 (76.2%) who were spending > 2 h/day watching television and 139 (52.5%) sleeping > 8 h/day.

Urinary Incontinence and Overactive Bladder Syndrome

2018 ◽  
Author(s):  
Kristie A. Greene ◽  
Lennox Hoyte
Keyword(s):  
Urinary Incontinence ◽  
Overactive Bladder ◽  
Stress Incontinence ◽  
Urge Incontinence ◽  
Valsalva Maneuver ◽  
Abdominal Pressure ◽  
Sudden Increase ◽  
Overactive Bladder Syndrome ◽  
Urinary Frequency ◽  
Mixed Incontinence

Urinary incontinence falls into two broad categories: stress incontinence and urge incontinence. Stress urinary incontinence occurs when urethral closure pressure cannot increase sufficiently to compensate for a sudden increase in intra-abdominal pressure, as from a cough or Valsalva maneuver. Urge urinary incontinence occurs when an unintended bladder contraction creates an insuppressible urge to void, leading to urinary leakage. When women have signs and/or symptoms of both stress and urge incontinence, it is referred to as mixed urinary incontinence. Overactive bladder syndrome is defined by the Standardization Subcommittee of the International Continence Society (ICS) as urinary urgency, with or without urge incontinence and usually with frequency and nocturia. Nocturia, which is often associated with urinary frequency, is defined as a need to urinate that awakens the person during the night. This chapter discusses the epidemiology and physiology of urinary incontinence and overactive bladder syndrome in women, as well as diagnosis and treatment. Tables list foods and beverages that may cause urinary frequency and urgency; features of urge incontinence, stress incontinence, and mixed incontinence; American Urologic Association (AUA) guidelines regarding level of evidence and indications for adult urodynamics; and currently available antimuscarinic drugs and their dosages, selectivity, efficacy, and side effects. Figures depict the journal of someone with mixed incontinence, a typical urodynamics suite, a urodynamic study of someone with detrusor overactivity, incontinence pessaries, and transobturator and retropubic slings. This review contains 5 figures, 5 tables, and 44 references.

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