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

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.

Author(s):  
Chairul Rijal

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)


1992 ◽  
Vol 59 (1_suppl) ◽  
pp. 41-42
Author(s):  
L. Schiavon ◽  
C. Bondavalli ◽  
C. Pegoraro ◽  
B. Dall'Oglio ◽  
M. Luciano ◽  
...  

The authors report their experience in the treatment of female urinary incontinence with pelvic floor rehabilitation. Electrostimulation and biofeedback technique is applied. Results are satisfactory both in stress incontinence and urge incontinence. In the latter case urine lass in non-elderly patients, must be reduced and out-patients’ rehabilitation must absolutely be carried out. Anticholinergic drugs have often been administered in urge incontinence.


2011 ◽  
Vol 1 (2) ◽  
pp. 71-81
Author(s):  
Linda Birch ◽  
P. M. Doyle

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.


2020 ◽  
Vol 33 (1) ◽  
pp. 59-62
Author(s):  
Lubna Yasmin ◽  
Ferdousi Begum

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


2018 ◽  
Author(s):  
Kristie A. Greene ◽  
Lennox Hoyte

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.


2010 ◽  
Vol 16 (1) ◽  
pp. 17
Author(s):  
F. Magatti ◽  
P.L. Sirtori ◽  
C. Rumi ◽  
C. Belloni

In this study we determined the efficacy of TVT for the treatment of female urinary incontinence in a first group of patients (69) of our urogynaecology service from April 1998 to December 2000. The TVT procedure is a minimally invasive technique, using local or spinal anaesthesia, which consists in the implantation of a Prolene tape around the mid-urethra. On the basis of our results (92.3 % success rate) we consider the TVT procedure to be a safe and effective surgical procedure for the treatment of female urinary stress incontinence.


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