Effect of severity of urinary incontinence on quality of life in women

Krhút, Jan; Gärtner, Marcel; Mokriš, Jan; Horčička, L; Švabík, Kamil; Zachoval, Roman; Martan, Alois; Zvara, Peter

doi:10.1002/nau.23568

Cited by 72 publications

(56 citation statements)

References 17 publications

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“…Similar to previous studies (9,(27)(28)(29), we evaluated the severity of UI using the validated ISI. Other studies have used various measurement methods for the evaluation of UI severity, including the 24hour pad test (30), self-perceived incontinence severity (mild, moderate, or severe; 12), and an invalidated questionnaire (6). It was reported that the 24-hour pad test does not have a standardized protocol and that urine leakage can differ based on the patient's physical activity level (30).…”

Section: Discussionmentioning

confidence: 99%

“…Other studies have used various measurement methods for the evaluation of UI severity, including the 24hour pad test (30), self-perceived incontinence severity (mild, moderate, or severe; 12), and an invalidated questionnaire (6). It was reported that the 24-hour pad test does not have a standardized protocol and that urine leakage can differ based on the patient's physical activity level (30). In clinical settings, subjective measurements for the determination of the severity of UI are preferred due to their cost-effectiveness, time-efficacy, and good correlation with objective measurements.…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies have investigated the effect of UI severity on quality of life in different patient populations, including European (6,9,29,30), American (27)(28), and Asian (12) populations. Monz et al (29) reported that the severity of UI was the single most important predictor, regardless the type of UI, in European women.…”

Section: Discussionmentioning

confidence: 99%

“…A recent study indicated that there was no linear correlation between incontinence severity, assessed by the 24-hour pad test, and quality of life, measured by the King's Health Questionnaire (30). In addition, researchers have reported that patients with any amount of urine leakage should be paid attention to, as the influence of UI on quality of life is more qualitative than quantitative (30).…”

Section: Discussionmentioning

confidence: 99%

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The Effect of Incontinence Severity on Symptom Distress, Quality of Life, and Pelvic Floor Muscle Function in Turkish Women with Urinary Incontinence

Orhan

Özgül

Baran

et al. 2020

Gynecol Obstet Reprod Med

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Objective: The aim of the present study was to compare the differences in symptom distress, quality of life, and pelvic floor muscle function among Turkish women with mild, moderate, or severe urinary incontinence.Study design: One hundred and twenty women with a diagnosis of urinary incontinence (54.2% stress urinary incontinence and 45.8% mixed-urinary incontinence) participated in the present study. The severity of the urinary incontinence was stratified by the Incontinence Severity Index. The Turkish versions of the Urinary Distress Inventory-6 and the Incontinence Impact Questionnaire-7 were used to assess symptom distress and quality of life, respectively. Pelvic floor muscle strength and endurance were measured using a non-invasive vaginal perineometer.Results: Symptom distress and quality of life significantly differed among the mild, moderate, and severe urinary incontinence groups (p<0.001). Patients with severe stress urinary incontinence displayed a higher decrease in quality of life than those with mild stress urinary incontinence (p<0.001). Furthermore, severe mixed urinary incontinence had a greater impact on symptom distress and quality of life compared to mild and moderate mixed urinary incontinence (p<0.05). The Incontinence Severity Index score was significantly associated with the Urinary Distress Inventory-6 and Incontinence Impact Questionnaire-7 scores (p<0.001).Conclusion: Urinary incontinence affected the symptom distress and quality of life of patients in proportion to the severity of the symptoms. Therefore, the relationship between the severity of urinary incontinence and patients’ quality of life should be evaluated in clinical settings. To prevent the greater influence of incontinence on the quality of life of women with urinary incontinence, early detection of urinary incontinence and early management strategies are essential.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The Effect of Incontinence Severity on Symptom Distress, Quality of Life, and Pelvic Floor Muscle Function in Turkish Women with Urinary Incontinence

Orhan

Özgül

Baran

et al. 2020

Gynecol Obstet Reprod Med

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“…Along with the worldwide rise of the proportion of older people (aged 65 years and over), a rise of pelvic floor disorders is seen [3,4]. PFDs considerably reduce the well-being and the quality of life by interfering with daily and social activities, which in the worst case leads to isolation [5,6].…”

Section: Introductionmentioning

confidence: 99%

The role of the urotherapist in the care of patients with pelvic floor disorders

Geissbühler¹,

Forst²,

Werner³

et al. 2020

Preprint

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Background: To improve the management of healthcare requirements of pelvic floor disorders (PFDs) in adult patients, interprofessional collaborations are emerging. The aim of this study is to describe and evaluate the activities of a urotherapist in adult patients with PFDs. Methods: The prospective observational study was carried out at the Department of ObGyn at the Cantonal Hospital Winterthur/Switzerland, from July 2016 to June 2018. The activities of the urotherapist were assessed with respect to parameters such as, number of consultations, type of counselling, time frame of consultations and therapy as well patient satisfaction. Demographic and clinical data were collected by self-administered questionnaires and electronic medical data systems. Results: 1709 patients were examined by urogynecologists. Of these patients, 514 (30%) were subsequently referred to a urotherapist. 58% of the 514 patients were over 65 years old. The most common PFDs were complaints about increased bladder sensation such as an overactive bladder, recurrent urinary tract infections, chronic cystitis and pelvic pain syndrome in 221 patients (43%); the second most common was pelvic organ prolapse in 151 patients (29%). The average number of urotherapist consultations per patient was 3 . In the group with >5 consultations, 59% were patients with increased bladder sensation. The most common type of consultation was phone counselling (59% of all activities). Conclusions: Increased bladder sensation related complaints are chronic problems that result in the highest numbers of urotherapist consultations. Interprofessional collaborations between urotherapist, as a specialist nurse, and urogynecologist should be implemented in urogynecological units and further developed in the future.

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Analysis of the incidence of falls and related factors in elderly patients based on comprehensive geriatric assessment

Xiao,

Li,

Yang

et al. 2023

Aging Medicine

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ObjectiveTo investigate the incidence of falls in elderly aged 65 years and above among outpatients and inpatients, and to analyze its related factors and identify prevention strategies.MethodsA retrospective analysis was conducted on 451 patients aged 65 years and above who received comprehensive geriatric assessment in outpatients and inpatients from the Department of Geriatrics in the Second Xiangya Hospital from March 2021 to March 2022. According to whether there had been at least one fall in the past year, the patients were divided into a fall group and a non‐fall group. Data were collected from the We‐Chat applet of comprehensive geriatric assessment. A t test and chi‐square test were performed to compare the difference between the two groups. Logistic regression analysis was then conducted to identify factors associated with falls.Results(1) The incidence of falls among the outpatient and inpatient was 28.8%. (2) The rate of light, moderate, and heavy dependence on daily living ability and decreased mobile balance ability were higher in the fall group than those in the non‐fall group. The average calf circumference in the fall group was significantly lower than that in the non‐fall group. (3) The prevalence of diabetes and eye diseases in the fall group was significantly higher than that in the non‐fall group. (4) The percentage of insomnia and suspicious insomnia cases in the fall group was higher than that in the non‐fall group. The mean scores for dysphagia, frailty, and incontinence were higher and the mean malnutrition score was lower in the fall group than in the non‐fall group. (5) Multiple logistic regression analysis showed that frailty, insomnia, and malnutrition were independent influencing factors of fall (OR = 1.955, 1.652, 10.719, P = 0.044, 0.041, 0.025, respectively).ConclusionsThe incidence of falls among outpatients and inpatients aged 65 years and above is high. Frailty, insomnia, and malnutrition are the main factors influencing falls in these patients.

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Effect of severity of urinary incontinence on quality of life in women

Abstract: This study demonstrated that even mild urinary leakage significantly reduces the QoL, while subsequent increase in the degree of incontinence has only minimal additional effect. There was no linear correlation between incontinence severity and QoL.

Cited by 72 publications

References 17 publications

The Effect of Incontinence Severity on Symptom Distress, Quality of Life, and Pelvic Floor Muscle Function in Turkish Women with Urinary Incontinence

The Effect of Incontinence Severity on Symptom Distress, Quality of Life, and Pelvic Floor Muscle Function in Turkish Women with Urinary Incontinence

The role of the urotherapist in the care of patients with pelvic floor disorders

Analysis of the incidence of falls and related factors in elderly patients based on comprehensive geriatric assessment

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