Effect of urinary incontinence on the quality of life of patients in postmenopausal age group who applied to the urogynecology policlinic

Introduction: Urinary incontinence is a common health problem in women population. In this study, we evaluated the urinary incontinance risk factors and its  effect on the quality of life of the postmenuposal women applying to Bakırköy Dr. Sadi Konuk Education and Training Hospital Urogynecology outpatient  clinic with urinary incontinance.  Materials and Method: Our study is cross-sectional and retrospective study which included 139  postmenuposal patients who applied to the outpatient urogynocology clinic with the complaints  of urinary incontinance between January 2003-April 2013. We  performed UDI-6 and 7 questioned IIQ-7 life quality quessionare form  to the patients who were included in the study.Results : The mean age of 139 postmenopausal women with urinary incontinance was 57.19  ± 9. Body  mass index increase (p> 0.05), duration of menopause (p> 0.05), the number of nocturia (p> 0.05)  and night-time wetting (p <0.005), making birth (p> 0.05), abortion (p> 0.05), hypertension (p <0.05)  as well as some chronic diseases, medication use (p <0.05) did not cause a change in the quality of  life in postmenopausal women with urinary incontinance. We found that the quality of life was significantly affected in the group with sudden urgency when compared with the group of patients who did not have urgency complaint (p<0,005). Conclusion: Quality of life deteriorates, especially psychosocial health, in patients with urinary incontinence. Regardless of the severity of the urinary incontinence that is shown objectively, the quality of  life is negatively affected.

Effect of urinary incontinence on the quality of life of patients in postmenopausal age group who applied to the urogynecology policlinic

Introduction: Urinary incontinence is a common health problem in women population. In this study, we evaluated the urinary incontinance risk factors and its  effect on the quality of life of the postmenuposal women applying to Bakırköy Dr. Sadi Konuk Education and Training Hospital Urogynecology outpatient  clinic with urinary incontinance.  Materials and Method: Our study is cross-sectional and retrospective study which included 139  postmenuposal patients who applied to the outpatient urogynocology clinic with the complaints  of urinary incontinance between January 2003-April 2013. We  performed UDI-6 and 7 questioned IIQ-7 life quality quessionare form  to the patients who were included in the study.Results : The mean age of 139 postmenopausal women with urinary incontinance was 57.19  ± 9. Body  mass index increase (p> 0.05), duration of menopause (p> 0.05), the number of nocturia (p> 0.05)  and night-time wetting (p <0.005), making birth (p> 0.05), abortion (p> 0.05), hypertension (p <0.05)  as well as some chronic diseases, medication use (p <0.05) did not cause a change in the quality of  life in postmenopausal women with urinary incontinance. We found that the quality of life was significantly affected in the group with sudden urgency when compared with the group of patients who did not have urgency complaint (p<0,005). Conclusion: Quality of life deteriorates, especially psychosocial health, in patients with urinary incontinence. Regardless of the severity of the urinary incontinence that is shown objectively, the quality of  life is negatively affected.

___

  • 1. Abrams P.,Blavias JG., Stanton, SL., Andersen JT., The standardization of terminology of lower urinary tract dysfunction Scand J. Urol Nephrol. Suppl 114;5-19,1998.
  • 2. FantlJA,NewmanDK ,Colling,etall: Urinary incontinance in adults: Acute and Chronic management. Clinical practise guideline no.2 1996 update
  • 3. Bump RC, McClish DK: Cigarette smoking and urinary incontinence in women. American Journal Obstetrics and Gynaecology 167:1213, 1992.
  • 4. Koçak I, Okyay P, Dündar M, Erol H, Beser E: Female urinary incontinence in the West of Turkey: Prevalence, risk factors and impact on quality of life. European Urology 48:634–41, 2005
  • 5. Lasserre A, Pelat C, Guéroult V, et al. Urinary incontinence in French women: prevalence, risk ractors, and impact on quality of life. Eur Urol 2009; 56: 177-183.
  • 6. Çetinel B. İdrarkaçırma (üriner inkontinans): Tanımlama, sınıflandırma, değerlendirmevetipleri. Türk ÜrolojiDergisi 2005; 31: 246-252.
  • 7. Ertem KG, Coban A, Sevil U. [Evalua tion of the insidance of incontinence in women applied to gynecology clinic and effect of their Qol]. Journal of Ege University School of Nur sing 2002;18(1-3):57-68
  • 8. Parazzini F, Colli E, Origgi G, Surace M, Bianchi M, Benzi G, Artibani W: Risk factors for urinary incontinence in women. Eur Urol 37:637-43, 2000.
  • 9. Hsieh CH, Lee MS, Lee MC, Kuo TC, Hsu CS, Chang ST, Taiwan J: Risk factors for urinary incontinence in Taiwanese women aged 20-59 years. ObstetGynecol 47:197-202,2008.
  • 10. Milson I, Ekelumd P, Molander U, Ardvidson L: The influence of age, parity, oral contraception, hysterectomy and menapause on the prevelance of urinary incontinence in women. Journal of Urology 149:1459-62, 1993.
  • 11. Koçak I, Okyay P, Dündar M, Erol H, Beser E: Female urinary incontinence in the West of Turkey: Prevalence, risk factors and impact on quality of life. European Urology 48:634–41, 2005.
  • 12. Choo MS, KuJH, Oh SJ, Lee KS, PaickJS,Seo JT, etal. Prevalence of urinary incontinence in Korean women:an epidemiologic suvey.IntUrogynecol J Pelvic Floor Dysfunct 2007;18(11):1309-15.
  • 13. Van Brummen HJ, Bruinse HW, Van de PolG, Heintz AP, Van der Vaart CH. What is the effect of over ac tive bladder symptoms on woman's quality of life during and afterfirst pregnancy? BJU Int 2006;97(2):296-300.
  • 14. Kök G, Şenel N, Akyüz A. GATA jinekolojipolikliğinebaşvuran 20 yaşüstükadınların üriner incontinansaçısındanfarkındalıkdurumlarınındeğerlendirilmesi. GülhaneTıpDergisi 2006; 48: 132-136.