Year 2021,
Volume: 7 Issue: 1, 32 - 37, 30.04.2021
Zerrin Gamsızkan
,
Mehmet Ali Sungur
,
Aşkı Ellibeş Kaya
,
Yasemin Çayır
References
- 1. Haylen BT, de Ridder D, Freeman RM, Swift SE, Berghmans B, Lee J, et al. International Urogynecological Association; International Continence Society. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Neurourol Urodyn 2010; 29(1): 4-20.
2. Irwin DE, Milsom I, Hunskaar S, Reilly K, Kopp Z, Herschorn S, et al. Population-based survey of urinary incontinence, overactive bladder, and other lower urinary tract symptoms in five countries: results of the EPIC study. Eur Urol 2006; 50(6): 1306-1314.
- 3. Milsom I, Gyhagen M. Epidemiology (Europe). In: Cardozo L, Staskin D. Editors, Textbook of Female Urology and Urogynaecology. Boca Raton: CRC Press; 2017
- 4. Baykuş N, Yenal K. Prevalence of urinary incontinence in women aged 18 and over and affecting factors. J Women Aging 2019; 22: 1-13.
- 5. Kılıç M. Prevalence and risk factors of sexual dysfunction in healthy women in Turkey. Afr Health Sci 2019; 19(3): 2623-2633.
- 6. Biyik I, Kucuk B, Arpaci HF, Demirci H. Factors affecting doctor visits of postmenopausal women with urinary incontinence. Low Urin Tract Symptoms 2019; 11(4): 200-205.
- 7. Ozdurak İ , Goymen A , Si̇msek Y , Ozaki̇n E , Akpak Y , Şık A , Sarı O . Impacts of Childbirth on the Subsequent Risk of Stress Urinary Incontinence. Konuralp Medical Journal 2018; 10(2): 149-152.
- 8. Goforth J, Langaker M. Urinary Incontinence in Women. N C Med J 2016; 77(6): 423-425.
- 9. Steibliene V, Aniuliene R, Aniulis P, Raskauskiene N, Adomaitiene V. Affective Symptoms and Health-Related Quality of Life Among Women with Stress Urinary Incontinence: Cross-Sectional Study. Neuropsychiatr Dis Treat 2020; 24; 16: 535-544.
- 10. Pal M, Halder A, Bandyopadhyay S. Approach to a woman with urinary incontinence. Urol Ann 2020; 12(1): 4-8.
- 11. Schreiber Pedersen L, Lose G, Høybye MT, Jürgensen M, Waldmann A, Rudnicki M. Predictors and reasons for help-seeking behavior among women with urinary incontinence. Int Urogynecol J 2018; 29(4): 521-530.
- 12. Nusee Z, Rusly A, Jamalludin AR, Abdulwahab DF, Ismail R. Translation and Validation of Bahasa Malaysia Version of Urogenital Distress Inventory (UDI-6) and Incontinence Impact Quality of Life Questionnaires (IIQ-7), a Cross Sectional Study. Malays J Med Sci 2016; 23(3): 57-63.
- 13. Cam C, Sakalli M, Ay P, Cam M. Validation of the short forms of the incontinence impact questionnaire (IIQ-7) and the urogenital distress inventory (UDI-6) in a Turkish population. Neurourol Urodyn 2007; 26(1): 129-133.
14. Lasserre A, Pelat C, Guéroult V, Hanslik T, Chartier-Kastler E, Blanchon T, et al. Urinary incontinence in French women: prevalence, risk factors, and impact on quality of life. Eur Urol 2009; 56(1): 177-183.
- 15. Ahmadi B, Alimohammadian M, Golestan B, Mahjubi B, Janani L, Mirzaei R. The hidden epidemic of urinary incontinence in women: a population-based study with emphasis on preventive strategies. Int Urogynecol J 2010; 21 (4): 453-459.
- 16. 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(2): 339-445.
- 17. Komeilifar R, Javadifar N, Afshari P, Haghighizade MH, Honarmandpour A. The Prevalence, Subtypes and Obstetric Risk Factors of Urinary Incontinence in Reproductive Age Women Referred to Community Health Care Centers of Dezful, Iran- 2015. Int J Community Based Nurs Midwifery 2017; 5(3): 275-283.
- 18. Bascur-Castillo C, Araneda-Gatica V, Castro-Arias H, Portino MC. Determinants in the process of seeking help for urinary incontinence in the Chilean health system. Int J Gynaecol Obstet 2019; 144(1): 103-111.
- 19. O'Donnell M, Lose G, Sykes D, Voss S, Hunskaar S. Help-seeking behaviour and associated factors among women with urinary incontinence in France, Germany, Spain and the United Kingdom. Eur Urol 2005; 47(3): 385-392.
- 20. Ueda T, Tamaki M, Kageyama S, Yoshimura N, Yoshida O. Urinary incontinence among community-dwelling people aged 40 years or older in Japan: prevalence, risk factors, knowledge and self-perception. Int J Urol 2000; 7(3): 95-103.
- 21. Subak LL, Richter HE, Hunskaar S. Obesity and urinary incontinence: epidemiology and clinical research update. J Urol 2009; 182(6): 2-7.
- 22. Torrisi G, Minini G, Bernasconi F, Perrone A, Trezza G, Guardabasso V, et al. A prospective study of pelvic floor dysfunctions related to delivery. Eur J Obstet Gynecol Reprod Biol 2012; 160 (1): 110-115.
- 23. Liu B, Wang L, Huang SS, Wu Q, Wu DL. Prevalence and risk factors of urinary incontinence among Chinese women in Shanghai. Int J Clin Exp Med 2014; 7(3): 686-696.
- 24. Sensoy N, Dogan N, Ozek B, Karaaslan L. Urinary incontinence in women: prevalence rates, risk factors and impact on quality of life. Pak J Med Sci 2013; 29 (3): 818-822.
25. Xu C, Chen M, Fu J, Meng Y, Qin S, Lou Y, et al. Urinary incontinence status and risk factors in women aged 50-70 years: a cross-sectional study in Hunan, China. Int Urogynecol J 2020; 24.doi: 10.1007/s00192-020-04259-8.
- 26. Jokhio AH, Rizvi RM, Rizvi J, MacArthur C. Urinary incontinence in women in rural Pakistan: prevalence, severity, associated factors and impact on life. BJOG 2013; 120 (2): 180-186.
- 27. Herschorn S, Gajewski J, Schulz J, Corcos J. A population-based study of urinary symptoms and incontinence: the Canadian Urinary Bladder Survey. BJU Int 2008; 101 (1): 52-58.
- 28. Coyne KS, Zhou Z, Thompson C, Versi E. The impact on health-related quality of life of stress, urge and mixed urinary incontinence. BJU Int 2003; 92 (7): 731-735.
- 29. Ng KL, Ng KWR, Thu WPP, Kramer MS, Logan S, Yong EL. Risk factors and prevalence of urinary incontinence in mid-life Singaporean women: the Integrated Women’s Health Program. Int Urogynecol J 2019; 28.doi: 10.1007/s00192-019-04132-3.
- 30. Dooley Y, Lowenstein L, Kenton K, FitzGerald MP, Brubaker L. Mixed incontinence is more bothersome than pure incontinence subtypes. Int Urogynecol J Pelvic Floor Dysfunct 2008; 19(10): 1359-1362.
Urinary Incontinence in Women Living in Rural Areas and Reflections on Quality of Life
Year 2021,
Volume: 7 Issue: 1, 32 - 37, 30.04.2021
Zerrin Gamsızkan
,
Mehmet Ali Sungur
,
Aşkı Ellibeş Kaya
,
Yasemin Çayır
Abstract
Objective: Urinary incontinence (UI) is a health problem affecting women's quality of life. Since it is not a life-threatening disease, women with urinary incontinence usually do not seek treatment in this regard. This causes them not to benefit from treatment opportunities that will improve their lives. The study aims to investigate the UI status in women living in rural areas and to determine its reflection on the quality of life.
Methods: A total of 589 patients were included in the study. The data was collected with a questionnaire including socio-demographic characteristics questions along with the Urogenital Distress Inventory (UDI-6) scale and the Incontinence Impact Questionnaire (IIQ-7).
Results: 157 (26.7%) patients who participated in our study suffered from UI. 70 (44.6%) of these patients suffered from stress incontinence (SUI), 40 (25.5%) were urge incontinence (UUI) and 47 (29.9%) were mixed incontinence (MUI). BMI, constipation, and menopause were found to be aggravating factors for incontinence (p<0,001). According to the UDI-6 scale; MUI significantly impacts a woman’s life quality followed by urge or stress incontinence (p<0,001). Stress incontinence decreases life quality more than urge incontinence (p<0,001) based on the IIQ-7 scale.
Conclusion: Despite the high frequency of female urinary incontinence, many patients cannot easily express this distress. Family physicians to whom the patient applies most frequently should question their patients about UI and direct their patients to appropriate treatment.
References
- 1. Haylen BT, de Ridder D, Freeman RM, Swift SE, Berghmans B, Lee J, et al. International Urogynecological Association; International Continence Society. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Neurourol Urodyn 2010; 29(1): 4-20.
2. Irwin DE, Milsom I, Hunskaar S, Reilly K, Kopp Z, Herschorn S, et al. Population-based survey of urinary incontinence, overactive bladder, and other lower urinary tract symptoms in five countries: results of the EPIC study. Eur Urol 2006; 50(6): 1306-1314.
- 3. Milsom I, Gyhagen M. Epidemiology (Europe). In: Cardozo L, Staskin D. Editors, Textbook of Female Urology and Urogynaecology. Boca Raton: CRC Press; 2017
- 4. Baykuş N, Yenal K. Prevalence of urinary incontinence in women aged 18 and over and affecting factors. J Women Aging 2019; 22: 1-13.
- 5. Kılıç M. Prevalence and risk factors of sexual dysfunction in healthy women in Turkey. Afr Health Sci 2019; 19(3): 2623-2633.
- 6. Biyik I, Kucuk B, Arpaci HF, Demirci H. Factors affecting doctor visits of postmenopausal women with urinary incontinence. Low Urin Tract Symptoms 2019; 11(4): 200-205.
- 7. Ozdurak İ , Goymen A , Si̇msek Y , Ozaki̇n E , Akpak Y , Şık A , Sarı O . Impacts of Childbirth on the Subsequent Risk of Stress Urinary Incontinence. Konuralp Medical Journal 2018; 10(2): 149-152.
- 8. Goforth J, Langaker M. Urinary Incontinence in Women. N C Med J 2016; 77(6): 423-425.
- 9. Steibliene V, Aniuliene R, Aniulis P, Raskauskiene N, Adomaitiene V. Affective Symptoms and Health-Related Quality of Life Among Women with Stress Urinary Incontinence: Cross-Sectional Study. Neuropsychiatr Dis Treat 2020; 24; 16: 535-544.
- 10. Pal M, Halder A, Bandyopadhyay S. Approach to a woman with urinary incontinence. Urol Ann 2020; 12(1): 4-8.
- 11. Schreiber Pedersen L, Lose G, Høybye MT, Jürgensen M, Waldmann A, Rudnicki M. Predictors and reasons for help-seeking behavior among women with urinary incontinence. Int Urogynecol J 2018; 29(4): 521-530.
- 12. Nusee Z, Rusly A, Jamalludin AR, Abdulwahab DF, Ismail R. Translation and Validation of Bahasa Malaysia Version of Urogenital Distress Inventory (UDI-6) and Incontinence Impact Quality of Life Questionnaires (IIQ-7), a Cross Sectional Study. Malays J Med Sci 2016; 23(3): 57-63.
- 13. Cam C, Sakalli M, Ay P, Cam M. Validation of the short forms of the incontinence impact questionnaire (IIQ-7) and the urogenital distress inventory (UDI-6) in a Turkish population. Neurourol Urodyn 2007; 26(1): 129-133.
14. Lasserre A, Pelat C, Guéroult V, Hanslik T, Chartier-Kastler E, Blanchon T, et al. Urinary incontinence in French women: prevalence, risk factors, and impact on quality of life. Eur Urol 2009; 56(1): 177-183.
- 15. Ahmadi B, Alimohammadian M, Golestan B, Mahjubi B, Janani L, Mirzaei R. The hidden epidemic of urinary incontinence in women: a population-based study with emphasis on preventive strategies. Int Urogynecol J 2010; 21 (4): 453-459.
- 16. 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(2): 339-445.
- 17. Komeilifar R, Javadifar N, Afshari P, Haghighizade MH, Honarmandpour A. The Prevalence, Subtypes and Obstetric Risk Factors of Urinary Incontinence in Reproductive Age Women Referred to Community Health Care Centers of Dezful, Iran- 2015. Int J Community Based Nurs Midwifery 2017; 5(3): 275-283.
- 18. Bascur-Castillo C, Araneda-Gatica V, Castro-Arias H, Portino MC. Determinants in the process of seeking help for urinary incontinence in the Chilean health system. Int J Gynaecol Obstet 2019; 144(1): 103-111.
- 19. O'Donnell M, Lose G, Sykes D, Voss S, Hunskaar S. Help-seeking behaviour and associated factors among women with urinary incontinence in France, Germany, Spain and the United Kingdom. Eur Urol 2005; 47(3): 385-392.
- 20. Ueda T, Tamaki M, Kageyama S, Yoshimura N, Yoshida O. Urinary incontinence among community-dwelling people aged 40 years or older in Japan: prevalence, risk factors, knowledge and self-perception. Int J Urol 2000; 7(3): 95-103.
- 21. Subak LL, Richter HE, Hunskaar S. Obesity and urinary incontinence: epidemiology and clinical research update. J Urol 2009; 182(6): 2-7.
- 22. Torrisi G, Minini G, Bernasconi F, Perrone A, Trezza G, Guardabasso V, et al. A prospective study of pelvic floor dysfunctions related to delivery. Eur J Obstet Gynecol Reprod Biol 2012; 160 (1): 110-115.
- 23. Liu B, Wang L, Huang SS, Wu Q, Wu DL. Prevalence and risk factors of urinary incontinence among Chinese women in Shanghai. Int J Clin Exp Med 2014; 7(3): 686-696.
- 24. Sensoy N, Dogan N, Ozek B, Karaaslan L. Urinary incontinence in women: prevalence rates, risk factors and impact on quality of life. Pak J Med Sci 2013; 29 (3): 818-822.
25. Xu C, Chen M, Fu J, Meng Y, Qin S, Lou Y, et al. Urinary incontinence status and risk factors in women aged 50-70 years: a cross-sectional study in Hunan, China. Int Urogynecol J 2020; 24.doi: 10.1007/s00192-020-04259-8.
- 26. Jokhio AH, Rizvi RM, Rizvi J, MacArthur C. Urinary incontinence in women in rural Pakistan: prevalence, severity, associated factors and impact on life. BJOG 2013; 120 (2): 180-186.
- 27. Herschorn S, Gajewski J, Schulz J, Corcos J. A population-based study of urinary symptoms and incontinence: the Canadian Urinary Bladder Survey. BJU Int 2008; 101 (1): 52-58.
- 28. Coyne KS, Zhou Z, Thompson C, Versi E. The impact on health-related quality of life of stress, urge and mixed urinary incontinence. BJU Int 2003; 92 (7): 731-735.
- 29. Ng KL, Ng KWR, Thu WPP, Kramer MS, Logan S, Yong EL. Risk factors and prevalence of urinary incontinence in mid-life Singaporean women: the Integrated Women’s Health Program. Int Urogynecol J 2019; 28.doi: 10.1007/s00192-019-04132-3.
- 30. Dooley Y, Lowenstein L, Kenton K, FitzGerald MP, Brubaker L. Mixed incontinence is more bothersome than pure incontinence subtypes. Int Urogynecol J Pelvic Floor Dysfunct 2008; 19(10): 1359-1362.