stres, urge ve mikst tip üriner inkontinans risk faktörleri

Year 2021, Volume: 18 Issue: 2, 812 - 817, 01.07.2021

Gizem Tanrıkulu , Melike Doğanay , Mustafa Burak Akselim , Mahmut Kuntay Kokanalı , Kadriye Özcan Sabri Cavkaytar

https://doi.org/10.38136/jgon.836649

Abstract

Amaç: Üriner inkontinas tipleri ile ilişkili risk faktörlerinin belirlenmesi bu çalışmada amaçlanmıştır.
Gereç ve Yöntemler: Bu kesitsel çalışma Eylül 2013 ile Temmuz 2014 tarihleri arasında yapılmıştır. Çalışmaya 1459 hasta katılmıştır. Bu hastalardan 958 inde idrar kaçırıyorken, 501 i idrar kaçırmıyordu. Üriner inkontinans tanısında ICIQ-SF (International Consultation on Incontinence Questionnaire Short Form)’un Türkçe versiyonu ile ürojinekolojik ve pelvik muayene kullanıldı. Hastaların ayrıntılı tıbbi öyküleri alındı. Kategorik değişkenler Pearson’s Ki-kare testi kullanılarak değerlendirildi. Sürekli değişkenleri analiz etmek için Tek Yönlü Varyans Analizi ve Kruskall-Wallis testleri kullanılmıştır. İstatistiksel olarak anlamlı üriner inkontinans ile ilişkili risk faktörlerini belirlemek için Multiple lojistik regresyon analizi kullanılmıştır.
Bulgular: Hikayesinde >4000 gr doğum öyküsü olması, erken menarş, menapoz, konstipasyon, kahve tüketimi, astım, lumbal disk hernisi, aile öyküsü ve tekrarlayan üriner enfeksiyon tüm üriner inkontinans tipleri ile ilişkili bulundu. Evde doğum öyküsü, stres ve urge inkontinans açısından artmış risk faktörüdür. Sistosel ve rektosel ise hem stres hem de mikst tip üriner inkontinans için artmış risk faktörüdür. Hormon replasman tedavisi alan ve cuff prolapsusu olan hastalarda urge üriner inkontinans riskinin arttığı gösterilmiştir. Yüksek beden kitle indeksi ise mikst tip üriner inkontinans için spesifik risk faktörü olarak gösterildi.
Sonuç: Risk faktörlerinin ve yüksek riskli kadınların belirlenmesi, üriner inkontinans için önleyici tıbbi yaklaşımların geliştirilmesi için çok önemlidir.

Keywords

Üriner inkontinans, stres üriner inkontinans, urge üriner inkontinans, üriner inkontinans risk faktörleri

RISK FACTORS FOR STRESS, URGE, AND MIXED URINARY INCONTINENCE

Abstract

Objective: The aim of the study was to determine the risk factors associated with specific subtypes of urinary incontinence (UI).
Materials and Methods: This cross-sectional study was conducted between September 2013 and July 2014. There were 1459 patients included in our study. Of these, 958 women were incontinent, and 501 were continent. The Turkish version of the International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF), urogynecologic and pelvic examination were used for UI diagnosis. Patients' detailed medical histories were obtained. Categorical variables were evaluated using Pearson’s Chi-squared test. One-way Analysis of Variance and Kruskall-Wallis tests were used to analyze continous variables. Multiple logistic regression analysis was used to obtain statistically significant UI-associated risk factors.
Results: A history of giving birth to a baby weighing >4000 gr, early age at menarche, menopause, constipation, coffee consumption, asthma, lumbal disc hernia, family history, and recurrent urinary infections were associated with all types of UI. Delivery at home increased the risk of both stress and urge urinary incontinence (SUI and UUI, respectively). Cystocele and rectocele increased the risk of both SUI and mixed urinary incontinence (MUI). The risk of UUI was shown to increase in women who were receiving hormone replacement therapy and who had cuff prolapse. High body mass index was indicated as a specific risk factor for MUI.
Conclusions: Determining risk factors and high risk women is very important for development of preventative medical approaches for UI.

Keywords

stress urinary incontinence, urge urinary incontinence, urinary incontinence risk factors, mixed urinary incontinence

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