Quality of life in women with stress urinary incontinence

Abstract

The objective of this study was to identify clinical and demographic factors associated with incontinence-related quality of life (QoL) in 655 women with stress urinary incontinence who elected surgical treatment. The following factors were examined for their association with QoL as measured with the Incontinence Impact Questionnaire (IIQ): number of incontinence (UI) episodes/day; self-reported type of UI symptoms (stress and urge); sexual function as measured by the Prolapse/Urinary Incontinence Sexual Questionnaire; symptom bother as measured by the Urogenital Distress Inventory; as well as other clinical and sociodemographic factors. A stepwise least-squares regression analysis was used to identify factors significantly associated with QoL. Lower QoL was related to the greater frequency of stress UI symptoms, increasing severity, greater symptom bother, prior UI surgery or treatment, and sexual dysfunction (if sexually active). Health and sociodemographic factors associated with lower incontinence-related QoL included current tobacco use, younger age, lower socioeconomic status, and Hispanic ethnicity.

The interaction of stress and urgency urinary incontinence and its effect on quality of life

“…Some studies found that mixed and urgency UI vs stress UI had a significantly higher impact on quality of life [4,[11][12][13]. Conversely, others reported that stress versus urgency UI had a more profound effect on quality of life [14]. However, most previous studies had a smaller Fig.…”

“…Previous cross-sectional studies have reported differences in symptom severity, quality of life, and bother by UI subtype [4,[11][12][13][14][15][21][22][23][24][25]. Some studies found that mixed and urgency UI vs stress UI had a significantly higher impact on quality of life [4,[11][12][13].…”

“…Some studies have shown that mixed UI is more severe and has a greater impact on QOL, but others have produced conflicting results [10][11][12][13][14]. Coyne et al showed that urgency and mixed UI had similarly high effects on QOL [12], whereas Currie et al showed that the highest impact on QOL was observed among women with stress UI [13].…”

Longitudinal comparison study of pelvic floor function between women with and without stress urinary incontinence after vaginal delivery

“…Urinary incontinence is a common problem resulting in decreased quality of life in middle-aged women [1,2]. A major factor contributing to urinary incontinence is damage to the pelvic floor by the weight of the fetus during pregnancy and passage of the fetus during vaginal delivery through the pelvic cavity [3,4].…”

Indications and risk factors for midurethral sling revision

“…This condition is associated with significant impairment in the quality of life of women [2]. The number of SUI surgical procedures has increased substantially over the last two decades, with increases in both outpatient and inpatient procedures [3][4][5].…”