Prevalence of urinary incontinence among women and analysis of potential risk factors in Germany and Denmark

Pedersen, Louise Schreiber; Lose, Gunnar; Høybye, Mette Terp; Elsner, Susanne; Waldmann, Annika; Rudnicki, Martin

doi:10.1111/aogs.13149

Cited by 148 publications

(160 citation statements)

References 28 publications

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“…The socio‐demographic characteristics of the study women match the reported profile of women with UI . In fact, UI rates are higher among women of the age group reported here (33–53 years), especially among those with decreased estrogen levels after the menopause.…”

Section: Discussionsupporting

confidence: 65%

“…One of the most prevalent pelvic floor dysfunctions in women is urinary incontinence (UI), which is associated with several risk factors. 1 It is calculated to affect 17%-67.2% of women aged 18 years or older. [1][2][3][4] UI has a great impact on quality of life.…”

Section: Introductionmentioning

confidence: 99%

“…1 It is calculated to affect 17%-67.2% of women aged 18 years or older. [1][2][3][4] UI has a great impact on quality of life. 4 On experiencing the first symptoms of urinary incontinence, women face different variables that affect seeking healthcare and access, 4 including embarrassment about leakage and believing that the symptoms are normal, [5][6][7] low expectations regarding health professionals, ignorance about treatment options, and taking steps to adapt their daily routine to UI.…”

Section: Introductionmentioning

confidence: 99%

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Determinants in the process of seeking help for urinary incontinence in the Chilean health system

Bascur-Castillo

Araneda-Gatica²,

Castro-Arias

et al. 2018

Intl J Gynecology & Obste

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Objective To analyze via the Andersen model what leads women with urinary incontinence (UI) to seek help and remain in the healthcare system. Methods An interpretative phenomenologic study enrolling women aged 18 years or older who were diagnosed with UI at a tertiary care hospital in Chile between January and March 2016. Data were collected by semi‐structured interview. The categories explored experience with UI and reasons for seeking health care, and included the dimensions of the Andersen model. Results Ten women were enrolled. Characteristics that eased or hindered healthcare seeking were identified to come from the women (frequency and quantity of symptoms, coping strategies, and beliefs about its causes) and from their environment (reaction of partner, family, or coworkers to her condition). Some were associated with primary care (human and/or technical resources) and some with secondary care (pelvic floor units). Conclusion The results reflect the complexities of asking for health care for women with UI, especially in a country such as Chile with different healthcare levels. Raising awareness of this complexity and developing an approach that includes all stakeholders (institution, community, and family) is crucial for professionals who want to offer both medical therapy and wellness‐focused healthcare.

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Section: Discussionsupporting

confidence: 65%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Determinants in the process of seeking help for urinary incontinence in the Chilean health system

Bascur-Castillo

Araneda-Gatica²,

Castro-Arias

et al. 2018

Intl J Gynecology & Obste

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“…1 Hence, levator ani muscle injury is related to the appearance of pelvic organ prolapse 1-3 (affecting mainly the anterior and middle compartments 4,5 ) as well as to fecal incontinence during the postpartum period [6][7][8] and in elderly women. 1 Hence, levator ani muscle injury is related to the appearance of pelvic organ prolapse 1-3 (affecting mainly the anterior and middle compartments 4,5 ) as well as to fecal incontinence during the postpartum period [6][7][8] and in elderly women.…”

Section: Introductionmentioning

confidence: 99%

A comparable rate of levator ani muscle injury in operative vaginal delivery (forceps and vacuum) according to the characteristics of the instrumentation

García‐Mejido

Fernández‐Palacín

Barby

et al. 2019

Acta Obstet Gynecol Scand

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Abbreviations: CI, confidence interval; LAM, levator ani muscle; OR, odds ratio. AbstractIntroduction: Forceps delivery is associated with a high rate of levator ani muscle (LAM) trauma (avulsion) at 35%-65% whereas data on avulsion rates after vacuum delivery vary greatly. Nevertheless, a common characteristic of all previous studies carried out to evaluate the association between instrumental deliveries (forceps and vacuum) and LAM avulsion, is the fact that characteristics of the instrumentation have not been described or evaluated. The objective of this study is to compare the rate of LAM avulsion between forceps and vacuum deliveries according to the characteristics of the instrumentation. Material and methods: Prospective, observational study, including 263 nulliparous women, who underwent an instrumental delivery with either Malmström vacuum or Kielland forceps. The characteristics of the instrumentation, position (anterior position and other position) and height of the fetal head at the moment of instrumentation (low instrumentation [vertex at +2 station] and mid-instrumentation [head isinvolved but leading part above +2 station]) were assessed. Evaluation of LAM avulsion was performed at 6 months postpartum by three-/four-dimensional transperineal ultrasound. Using the multi-view mode, a complete avulsion was diagnosed when the abnormal muscle insertion was identified in all three central slices, that is, in the plane of minimal hiatal dimensions and the 2.5-mm and 5.0-mm slices cranial to this one. To detect a 30% or 15% difference in the LAM injury rate, with 80% power and 5% α-error, we needed, respectively 42 and 99 women per study group.Results: In all, 263 nulliparous individuals have been evaluated (162 vacuum deliveries, 101 forceps deliveries). Instrumentation in an occipito-anterior position was more frequent in vacuum deliveries (75.3% vs 56.4%, P = .002), whereas other positions were more frequent in the forceps deliveries group (24.7% vs 43.6%). No statistically significant differences were noted regarding the height of the fetal head at the moment of instrumentation. No statistically significant differences were found in the presence of LAM avulsion (41.4% vs 38.6%) between vacuum and forceps deliveries.The univariate analysis of the crude odds ratio was 1.17, 95% CI 0.67-1.98, P = .70 for

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“…1,2 Stress urinary incontinence (SUI)-the involuntary leakage of urine during intraabdominal pressure (IAP) increase-is the most common form of urinary incontinence and dominates among younger women, whereas, mixed and urge incontinence dominate in older women. 2,3 In young sportive females a prevalence of SUIdepending on their sporting activity-up to 80% has been reported. 3,4 Especially the prevalence during high-impact activities, as jumping, or running is high.…”

Section: Introductionmentioning

confidence: 99%

Pelvic floor muscle displacement during jumps in continent and incontinent women: An exploratory study

Moser

Leitner

Eichelberger

et al. 2019

Neurourology and Urodynamics

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Introduction The prevalence of stress urinary incontinence during high‐impact activities is high. Enhanced comprehension of pelvic floor muscle (PFM) displacement and activity is clinically relevant for the development of specific approaches in rehabilitation. The aim of the study is to investigate and to compare PFM displacement between the continent and incontinent women during jumps. Methods A cross‐sectional, exploratory design was applied to investigate PFM displacement during drop jumps (DJ) and countermovement jumps (CMJ). PFM displacement was assessed in craniocaudal translation and forward‐backward rotation with an electromagnetic tracking system. Results Twenty‐eight continent and 22 incontinent women were included. During the first landing of DJ, a primary caudal, during the second landing of DJ/CMJ a primary cranial translation and during all jump a primary backward rotation was observed. No significant difference between the groups was found. Discussion PFM displacement during running demonstrated caudal translation/forward rotation before and cranial translation/backward rotation after heel strike. During the second landing of DJ/CMJ a cranial translation/backward rotation and during the first landing of DJ a caudal translation/backward rotation has been observed after ground contact. This may be due to the longer lasting bodyweight force in the first landing of DJ. No eccentric‐concentric stretch‐shortening cycle could be seen. Conclusion This study indicates that during jumps two opposite reactions of involuntary PFM displacement happen, but no stretch‐shortening cycle with an eccentric‐concentric contraction could be found. Jumping stimuli inducing involuntary PFM displacement should be used for future investigations to consider a beneficial effect concerning continence.

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Prevalence of urinary incontinence among women and analysis of potential risk factors in Germany and Denmark

Abstract: Prevalence rates in the two regions in Germany and Denmark were similar, despite significantly different response rates. This difference may reflect various attitudes towards answering a questionnaire, but the response rate on questions concerning UI seemed consistent.

Cited by 148 publications

References 28 publications

Determinants in the process of seeking help for urinary incontinence in the Chilean health system

Determinants in the process of seeking help for urinary incontinence in the Chilean health system

A comparable rate of levator ani muscle injury in operative vaginal delivery (forceps and vacuum) according to the characteristics of the instrumentation

Pelvic floor muscle displacement during jumps in continent and incontinent women: An exploratory study

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