The impact of female urinary incontinence and urgency on quality of life and partner relationship

Nilsson, Margareta; Lalos, Ann; Lalos, Othon

doi:10.1002/nau.20709

Cited by 44 publications

(20 citation statements)

References 18 publications

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“…It is not surprising that women in the normal BMD group were more impacted by pelvic floor symptoms as they were younger and may have an increased activity level such that these symptoms may have more impact. [27] Indeed, the difference in incontinence frequency and volume in the entire cohort were no longer significant once risk factors were controlled for by multivariable analysis. Being able to control for activity level may be an important issue to assess in future studies.…”

Section: Discussionmentioning

confidence: 99%

Pelvic floor symptoms and bone mineral density in women undergoing osteoporosis evaluation

et al. 2013

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Objective To characterize pelvic floor symptoms in post-menopausal women who had undergone osteoporosis evaluation, and examine their association with bone mineral density (BMD). Methods Pelvic floor symptom questionnaires were mailed to 4,026 women. Multivariable logistic regression models controlling for age, race, body mass index, and chronic obstructive pulmonary disease were performed comparing symptoms in women with osteoporosis (T-score: ≤−2.5) and osteopenia (T-score: >−2.5 to <−1) at any site to women with normal BMD (T-score: ≥−1, referent). Results 1774/4026 (44%) questionnaires were returned; 1655 were included in the analysis (362 osteoporosis, 870 osteopenia, 423 normal BMD). Overall prevalence of any urinary incontinence (UI) was 1226/1640 (75%), with UI ≥2–3 times/week in 699/1197 (58%), fecal incontinence over the past month in 247/1549 (16%), and prolapse in 162/1582 (10%). Multivariable analyses revealed that women with osteopenia had increased risk of incontinence of solid stool (aOR:1.7, 95% CI:1.1–2.4). Risk of UI ≥2–3 times/week was not increased in women with osteoporosis (aOR:0.9, CI:0.6, 1.3) and was lower in women with osteopenia (aOR:0.7, CI:0.5, 0.9). In women with osteoporosis, the odds of moderate/large-volume urine loss versus small/none was higher for those in the lower T-score quartile (lower BMD; aOR:1.43, CI:1.1, 1.9). Conclusions In women undergoing osteoporosis evaluation, those with osteopenia were at increased risk of fecal incontinence, but not UI compared to normal women. Osteoporotic women with the lowest T-scores had higher risk of moderate/large volume UI. It is unclear whether there is a pathophysiologic link between BMD loss and development of pelvic floor symptoms.

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Section: Discussionmentioning

confidence: 99%

Pelvic floor symptoms and bone mineral density in women undergoing osteoporosis evaluation

et al. 2013

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“…Researchers who investigated midlife women's perceptions of the effect of managing symptoms of chronic UI found recurring themes of lowered self-esteem (Nicolson, Kopp, Chapple, & Kelleher, 2008), feeling unfeminine (Coyne et al, 2007), and feeling unattractive (Nilsson, Lalos, & Lalos, 2009). Women reported that one of the major goals for seeking incontinence-related surgery was to improve body image and thereby restore confidence in their bodies.…”

Section: Background and Significancementioning

confidence: 99%

Urinary Incontinence and Psychosocial Factors Associated With Intimate Relationship Satisfaction Among Midlife Women

Saiki¹,

Meize-Grochowski²

2017

Journal of Obstetric, Gynecologic & Neonatal Nursing

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Objective To explore associations among symptoms of urinary incontinence, severity of symptoms, and measures of psychosocial health that may be assessed during a well-woman screening examination and the possible contribution of these variables to the relationship satisfaction of partnered midlife women living with urinary incontinence. Design Exploratory correlational design using self-report questionnaires. Setting Community recruitment by posted fliers, advertisements, and social media. Participants Partnered women, aged 45 to 65 years, with urinary incontinence (N = 57). Methods Self-report measures of severity of incontinence symptoms, relationship satisfaction, self-concept/emotional health (self-esteem, body image, depression, anxiety), and relationship factors (sexual quality of life, incontinence-related communication). Data were analyzed using Spearman rho correlation with an exploration of the contribution of study factors to relationship satisfaction through standard multiple regression. Results The severity of urinary incontinence symptoms had no significant correlation with scores on relationship satisfaction or psychosocial health. Measures of self-concept/emotional health and relationship factors were significantly correlated with each other (rs = .40 to .75, p < .01) and with relationship satisfaction (rs = .35 to .71, p < .05). Preliminary exploration of the contribution of study factors to relationship satisfaction through exploratory regression analysis demonstrated unique contributions from sexual quality of life (18.7%, p < .001) and depression (8.7%, p = .004). Conclusion Midlife women with urinary incontinence, regardless of symptom severity, might benefit from screening for poorer sexual quality of life and mild depression symptoms because these two study factors significantly contributed to poorer intimate relationship satisfaction among this study's participants.

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“…The negative impact of all types of urinary incontinence on female quality of life and, in particular, social, physical, psychological, occupational and sexual domains, have been extensively reported by several studies conducted in different populations, 1,2 hence the need for proper evaluation and treatment of this condition.…”

Section: Introductionmentioning

confidence: 99%

Transobturator mid urethral sling surgery for stress urinary incontinence: our experience

Bettaiah¹,

Saraogi²,

Reddy³

2015

Int J Reprod Contracept Obstet Gynecol

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The impact of female urinary incontinence and urgency on quality of life and partner relationship

Abstract: Female urinary incontinence, urgency and frequency significantly impair the quality of life in both younger and older women, and also have negative effects on the partner relationship and the partner's life.

Cited by 44 publications

References 18 publications

Pelvic floor symptoms and bone mineral density in women undergoing osteoporosis evaluation

Pelvic floor symptoms and bone mineral density in women undergoing osteoporosis evaluation

Urinary Incontinence and Psychosocial Factors Associated With Intimate Relationship Satisfaction Among Midlife Women

Transobturator mid urethral sling surgery for stress urinary incontinence: our experience

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