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Introduction and hypothesis To determine the prevalence, severity, risk factors and self-perception of female urinary incontinence (UI) in rural Fujian, China. Methods This population-based cross-sectional study was conducted between June and October 2022. Women aged 20 to 70 years from rural communities in Fujian Province were selected by multistage random sampling. Data from respondents were collected by completing standardised questionnaires through face-to-face interviews. The main outcome was prevalence and self-perception of UI. Results A total of 5659 valid questionnaires were collected. The overall prevalence of female UI was 23.6% (95% CI 22.5–24.7). The most common type was stress UI with a prevalence of 14.0% (95% CI 13.1–14.9), followed by mixed UI with a prevalence of 6.1% (95% CI 5.5–6.7), and finally urgency UI with a prevalence of 3.5% (95% CI 3.0–3.9). Multivariate regression analysis suggested that older age, obesity, postmenopausal status, multiple vaginal deliveries, macrosomia, instrumental vaginal delivery and previous pelvic floor surgeries were independently associated with UI ( P < 0.05). The overall awareness rate of UI was 24.7%, and older age, lower level of education, and income were significantly associated with a decrease in awareness ( P < 0.05). Only 33.3% of respondents believed they should seek medical help for UI. Conclusion UI affects more than one-fifth of women in rural Fujian, and several factors are thought to be associated with its development. Rural women have a poor self-perception of UI, which is exacerbated by older age, lower levels of education, and lower income.

Purpose To investigate the prevalence, risk factors, and impact on quality of life (QOL) of female urinary incontinence (UI) in a region of southeastern China. Patients and Methods This cross-sectional study, conducted between June 2022 and March 2023, included 9584 women aged 20–70 years who completed a standardized questionnaire through face-to-face interviews. This sample size represents almost 10% of the population in the target area. Results The prevalence of female UI was found to be 24.8%, with stress UI being the most common subtype (12.7%), followed by mixed UI (8.0%) and urgency UI (4.1%). Notably, the prevalence of UI increased progressively with age and body mass index (BMI). The study also revealed several risk factors for UI, including urban residence, postmenopausal status, multiple vaginal deliveries, instrumental vaginal deliveries, previous delivery of macrosomia, and prior history of pelvic floor surgery as determined by multivariate analysis. Furthermore, the study showed that 89.5% of women who reported UI experienced varying degrees of negative impact on their QOL. The incontinence quality of life (I-QOL) scale had an average score of 79.70±19.03, which decreased with increasing severity of UI. Despite the adverse effects on QOL, only 20.6% of women with UI had sought medical help. Conclusion UI is common among women in the survey area. UI has been observed to have varying degrees of adverse effects on the QOL of those affected, but most of them do not seek treatment for several reasons, highlighting the urgent need for health authorities to develop effective UI intervention strategies.

Purpose: To evaluate the feasibility and effectiveness of cesarean myomectomy (CM) via trans-endometrial approach in pregnant women with single intramural fibroid in the posterior uterine wall. Methods: Ninety-eight patients with single intramural fibroids in the posterior uterine wall who underwent CM were divided into two groups depending on surgical style. The study group consisted of 50 patients who underwent trans-endometrial myomectomy (EM), whereas the control group included 48 patients who had trans-serosal myomectomy (SM). Patients’ demographic data, intraoperative and postoperative outcomes were analyzed retrospectively. Results: No significant differences were found in the demographic data, characteristics of fibroids (size, location and pathological type), intraoperative hemorrhage, blood transfusion rate, postoperative fever incidence and postoperative hospitalization between two groups (all p > 0.05). The time of operation and postoperative ventilation in the EM group was shorter than that in the SM group (p<0.05). More importantly, estimated blood loss and postoperative hemoglobin decline were less in the EM group than in the SM group (p<0.05). Conclusion EM can be considered a viable procedure in CM for single intramural fibroids in posterior wall, with the benefit of shorter operative time ,less intraoperative bleeding and potentially reduced risk of pelvic adhesions.