Descriptive cross sectional study on prevalence, perceptions, predisposing factors and health seeking behaviour of women with stress urinary incontinence

Perera, Jennifer; Kirthinanda, Dinoo; Wijeratne, Sumedha; Wickramarachchi, Thanuja K

doi:10.1186/1472-6874-14-78

Cited by 80 publications

(92 citation statements)

References 26 publications

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“…After univariate analysis the Odd's ratio for UI in subjects with chronic cough and bladder infections was 4-5 times more. Chronic cough itself has direct association with UI [24]. Sudden increase in intraabdominal pressure leads to exhaustion of pelvic floor muscles.…”

Section: Discussionmentioning

confidence: 99%

Untitled

2015

OGIJ

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IntroductionUrinary incontinence (UI) is a significant health concern and has been shown to impair women's activities and also affects the physical and mental health [1]. Studies on UI have reported a prevalence of 32%-64% for all UI and 40-59% for stress urinary incontinence (SUI) including mixed incontinence [2]. Affected women have poorer health seeking behavior for UI. Approximately 54.3% of all pregnant women have detrimental effects on quality of life [3]. Although, pregnancy is an independent risk factor for UI, irrespective of labor and delivery practices, however, despite the multiple references in literature, the pathophysiological effects of pregnancy and mode of delivery on the pelvic floor and lower urinary tract symptoms remain uncertain [4].Prenatal physiological changes such as increasing pressure of the advancing gravid uterus and growing fetal weight on pelvic floor muscle (PFM) throughout the pregnancy, along with the pregnancy-related changing levels of hormones such as progesterone, estrogen, and relaxin, may lead to reduced strength and supportive and sphincteric function of PFM [5][6][7][8]. PFM weakness causes bladder-neck and urethral mobility, leading to urethral sphincter incompetence. Hence, when intra-abdominal pressure is increased with coughing, sneezing, laughing, or moving, the pressure inside the bladder becomes greater than the urethral closure pressure and the urethral sphincter is not strong enough to maintain urethral closure. Urinary leakage will be the result. In particular, SUI is common during pregnancy and puerperium. After delivery, SUI symptoms resolve in the vast majority of cases [9]. The healing process may take some time after the delivery, but in a significant percentage of women, it can persist in subsequent stages of life [10]. In primipara women, SUI symptoms tend to resolve within 3 month after delivery [11].Multiple risk factors have been associated with UI. Significant risk factors for UI in pregnancy were maternal age ≥35 years, body mass index and parity [12]. Smoking, diabetes, chronic cough and high intake of caffeine are identifiable risk factors for UI [13][14][15]. Research ArticleObstet Gynecol Int J 2015, 3(4): 00087 AbstractIntroduction: Urinary incontinence (UI) is a common problem in antenatal and postpartum period. This study investigated the prevalence and risk factors of urinary incontinence in post partum women.

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Section: Discussionmentioning

confidence: 99%

Untitled

2015

OGIJ

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“…Chronic cough itself has direct association with UI. 24 Sudden increase in intra-abdominal pressure leads to exhaustion of pelvic floor muscles. Hence, UI was found to be more common with multiparity, chronic cough and bladder infections in our study.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and risk factors of urinary incontinence during antenatal period in women delivering in a tertiary care center of Northern India

Priya

Singh

Rajaram

2017

Int J Community Med Public Health

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INTRODUCTIONUrinary incontinence (UI) is a significant health concern and has been shown to impair women's activities and also affects the physical and mental health.1 UI is higher in few specific groups like pregnancy and have been reported a prevalence of 32%-64% for all UI and 59% for stress urinary incontinence (SUI) and 40% for mixed incontinence.2 Women with UI have poorer treatment seeking behavior for UI. Approximately 54.3% of all pregnant women have detrimental effects on quality of life.3 Pregnancy is an independent risk factor for UI that leads to weakened pelvic floor muscle because of pregnancy related physiological and anatomical changes. However, despite the multiple references in literature on effects of, parity, age of women, pathophysiological changes in pregnancy and mode of delivery, on the pelvic floor and lower urinary tract symptoms remain inconclusive. 4Prenatal physiological changes such as increasing pressure of the advancing gravid uterus and growing fetal weight on pelvic floor muscle (PFM) throughout the pregnancy, along with the pregnancy-related changing ABSTRACT Background: Urinary incontinence (UI) is a commonly encountered entity in antenatal and postpartum period. It is known to have detrimental effects on quality of life in approximately 54.3% of all pregnant women. However, the true prevalence of UI is still not known, especially in the South East Asia. This study has investigated the prevalence and risk factors of urinary incontinence during antenatal period. Methods: 500 women admitted in postnatal ward were interviewed retrospectively about the UI occurred during antenatal period, using questionnaire. The study was done over a period of six months. Detailed information regarding risk factors of urinary incontinence was included in questionnaire based on previous validated studies. Data was analyzed using SPSS 20 using chi square test. P value <0.05 was taken as significant. Results: Total 500 women were interviewed and based on questionnaire. 202 reported incontinence, thus giving a prevalence of 40.4%, out of that 192 (45.5%) had stress urinary incontinence (SUI), 40(19.8%) had urge urinary incontinence (UUI) and 70 (34.6%) had mixed incontinence. The risk factors like bladder infections and chronic cough had significant association with urinary incontinence. Advancing gestation had worsening effects on the symptoms of UI (p =0.000). Conclusions: Urinary incontinence is a common and neglected problem with poor treatment seeking behavior. SUI is more common in pregnant women than urge or mixed incontinence. Obstetricians need to ask have precise interrogation regarding UI in pregnant women to diagnose and treat the problem.

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“…As a consequence, local candida infection, cellulitis, skin irritation, insomnia and fatigue due nocturia may occur (5). furthermore, self-image dysfunction, avoidance of social activities, traveling, recreation, and interpersonal and sexual dysfunction often occur due to embarrassment.…”

Section: Introductionmentioning

confidence: 99%

“…it occurs twice more often in women than in men: 13.1% versus 5.4% (3), until the age of 80, after which the prevalence is equal for both genders (4). the international continence society (ics) defines urinary incontinence as the complaint of involuntary leakage of urine (5,6) and suggests a classification according to the presence of symptoms and pathophysiological mechanisms of occurrence.…”

Section: Introductionmentioning

confidence: 99%