Women with Hidden Urinary Incontinence Waiting to Be Discovered: a Snapshot from a Developing Country

Purpose: Urinary incontinence UI , is a public health problem that has an increasing frequency and has an impact on the quality of life QoL of women worldwide. In this study, in which we focus on the general approach to risk factors associated with urinary incontinence, we aim to address the importance of transferring between practical healthcare services and screening programs. Methods: Our study was conducted between December 2018- August 2019 with patients who admitted to Trakya University Medical Hospital with different gynecologic symptoms. This study investigated the relationship between menopause, incontinence, type of delivery, socioeconomic status, and risk factors. A modular inquiry form-short form ICIQ-SF was used for the research in all aspects of urinary incontinence and its impact on the quality of life. Our aim was to increase the awareness of clinics about urinary incontinence.Results: Of the 622 participants, 176 had urinary incontinence symptoms. There was a significant relationship between menopause, age, medical treatment for uriner infection, body mass index, living in rural / urban areas, normal birth rate, education level and urinary incontinence. Conclusion: It’s important to assess the effects of urinary incontinence symptoms on women’s QoL appropriately in UI-related research and clinical studies. Women with urinary incontinence symptoms should ensure that their body mass index is within the ideal range. In every period, quality of women’s life can be improved with the necessary cares. Building awareness about urinary incontinence can help improve treatment-seeking behaviour. Improving the quality of life of women will help to increase the desired levels of quality health and welfare in the management of public health, especially in developing countries

___

  • Biswas B, Bhattacharyya A, Dasgupta A, Karmakar A, Mallick N, Sembiah S. Urinary incontinence, its risk factors, and quality of life: A study among women aged 50 years and above in a rural health facility of West Bengal. J Midlife Health 2017;8:130–136. [CrossRef]
  • Abrams P, Andersson K-E, Birder L, et al. Fourth International Consultation on Incontinence Recommendations of the International Scientific Committee: Evaluation and treatment of urinary incontinence, pelvic organ prolapse, and fecal incontinence. Neurourol Urodyn 2010;29:213–240. [CrossRef]
  • Nygaard I, Barber MD, Burgio KL, et al. Prevalence of symptomatic pelvic floor disorders in US women. JAMA 2008;300:1311–1316. [CrossRef]
  • Nyström E, Sjöström M, Stenlund H, Samuelsson E. ICIQ symptom and quality of life instruments measure clinically relevant improvements in women with stress urinary incontinence. Neurourol Urodyn 2015;34:747–751. [CrossRef]
  • Almousa S, van Loon AB. The prevalence of urinary incontinence in nulliparous adolescent and middle-aged women and the associated risk factors: a systematic review. Maturitas 2018;107:78–83. [CrossRef]
  • Limpawattana P, Kongbunkiat K, Sawanyawisuth K, Sribenjalux W. Help‐seeking behaviour for urinary incontinence: experience from a university community. Int J Urol Nurs 2015;9:143–148. [CrossRef]
  • Newman DK. Stress Urinary Incontinence in Women: Involuntary urine leakage during physical exertion affects countless women. Am J Nurs 2003;103:46–55. [CrossRef]
  • Welch LC, Botelho EM, Joseph JJ, Tennstedt SL. Qualitative Inquiry of Patient-Reported Outcomes: The Case of Lower Urinary Tract Symptoms. Nurs Res 2012;61:283–290. [CrossRef]
  • Glazener CM, Cooper K, Mashayekhi A. Anterior vaginal repair for urinary incontinence in women. Cochrane Database Syst Rev 2017;7:CD001755. 10.1002/14651858.CD001755.pub
  • Rachaneni S, Latthe P. Does preoperative urodynamics improve outcomes for women undergoing surgery for stress urinary incontinence? A systematic review and meta‐analysis. BJOG Int J Obstet Gynaecol 2015;122:8–16. [CrossRef]
  • Hajebrahimi S, Corcos J, Lemieux M. International consultation on incontinence questionnaire short form: comparison of physician versus patient completion and immediate and delayed self- administration. Urology 2004;63:1076–1078. [CrossRef]
  • Lim R, Liong ML, Lau YK, Yuen KH. Validity, reliability, and responsiveness of the ICIQ‐UI SF and ICIQ‐LUTSqol in the Malaysian population. Neurourol Urodyn 2017;36:438–442. [CrossRef]
  • Sánchez-Ortiz V, House J, Munro C, et al. “A computer isn’t gonna judge you”: A qualitative study of users’ views of an internet-based cognitive behavioural guided self-care treatment package for bulimia nervosa and related disorders. Eat Weight Disord 2011;16:e93–e101. [CrossRef]
  • Avery K, Donovan J, Peters TJ, Shaw C, Gotoh M, Abrams P. ICIQ. a brief and robust measure for evaluating the symptoms and impact of urinary incontinence. Neurourol Urodyn 2004;23:322–330. [CrossRef]
  • Danforth KN, Townsend MK, Lifford K, Curhan GC, Resnick NM, Grodstein F. Risk factors for urinary incontinence among middle- aged women. Am J Obstet Gynecol 2006;194:339–345. [CrossRef]
  • Fistonić I, Fistonić N. Baseline ICIQ‐UI score, body mass index, age, average birth weight, and perineometry duration as promising predictors of the short‐term efficacy of Er: YAG laser treatment in stress urinary incontinent women: A prospective cohort study. Lasers Surg Med 2018;50:636–643. [CrossRef]
  • Pearce MM, Zilliox MJ, Rosenfeld AB, et al. The female urinary microbiome in urgency urinary incontinence. Am J Obstet Gynecol 2015;213:347.e1–347.e11. [CrossRef]
  • Milsom I, Gyhagen M. The prevalence of urinary incontinence. Climacteric 2019;22:217–222. [CrossRef]
  • Chung E, Katz DJ, Love C. Adult male stress and urge urinary incontinence-a review of pathophysiology and treatment strategies for voiding dysfunction in men. Aust Fam Physician 2017;46:661–666. https://www.racgp.org.au/afp/2017/september/adult-male-stress- and-urge-urinary-incontinence/
  • Hutton EK, Hannah ME, Willan AR, et al. Urinary stress incontinence and other maternal outcomes 2 years after caesarean or vaginal birth for twin pregnancy: a multicentre randomised trial. BJOG Int J Obstet Gynaecol 2018;125:1682–1690. [CrossRef]
  • Åhlund S, Rothstein E, Rådestad I, Zwedberg S, Lindgren H. Urinary incontinence after uncomplicated spontaneous vaginal birth in primiparous women during the first year after birth. Int Urogynecol J 2019:1–8. [CrossRef]
  • Radzimińska A, Strączyńska A, Weber-Rajek M, Styczyńska H, Strojek K, Piekorz Z. The impact of pelvic floor muscle training on the quality of life of women with urinary incontinence: a systematic literature review. Clin Interv Aging 2018;13:957–965. [CrossRef]
  • Singh U, Agarwal P, Verma ML, Dalela D, Singh N, Shankhwar P. Prevalence and risk factors of urinary incontinence in Indian women: A hospital-based survey. Indian J Urol 2013;29:31. [CrossRef]
  • Aynaci G, Guksu Z. Nutritional screening and the impact of malnutrition on poor postoperative outcomes in gynecological oncology patients. Progress Nutr 2019;21:127–134. [CrossRef]
  • Rahkola-Soisalo P, Savolainen-Peltonen H, Gissler M, et al. Increased risk for stress urinary incontinence in women with postmenopausal hormone therapy. Int Urogynecol J 2019;30:251–256. [CrossRef]
  • Brubaker L, Wolfe AJ. The new world of the urinary microbiota in women. Am J Obstet Gynecol 2015;213:644–649. [CrossRef]
  • Ge J, Yang P, Zhang Y, Li X, Wang Q, Lu Y. Prevalence and risk factors of urinary incontinence in Chinese women: a population-based study. Asia Pac J Public Health 2015;27:NP1118–NP1131. [CrossRef]
  • Pastore AL, Palleschi G, Al Salhi Y, et al. Evaluation of sexual function and quality of life in women treated for stress urinary incontinence: tension-free transobturator suburethral tape versus single-incision sling. J Womens Health (Larchmt) 2016;25:355–359. [CrossRef]