Epidemiology and natural history of urinary incontinence in women

Hunskaar, Steinar; Burgio, Kathryn L.; Diokno, Ananias C.; Herzog, A. Regula; Hjälmås, K; Lapitan, Marie Carmela

doi:10.1016/s0090-4295(03)00755-6

Cited by 295 publications

(224 citation statements)

References 44 publications

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“…The estimates of the prevalence of urinary incontinence found in this study are comparable with results from several other studies [2Á/7], taking into account that differences in the definitions of urinary incontinence may produce some variation [1,2]. The purpose of the present study was not to look for the aetiology of urinary incontinence but to describe characteristics that would make it easy for GPs to identify women with a high probability of incontinence.…”

Section: Discussionsupporting

confidence: 86%

Characteristics of middle-aged and elderly women with urinary incontinence

Rohr

Støvring

Christensen

et al. 2005

Scandinavian Journal of Primary Health Care

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Section: Discussionsupporting

confidence: 86%

Characteristics of middle-aged and elderly women with urinary incontinence

Rohr

Støvring

Christensen

et al. 2005

Scandinavian Journal of Primary Health Care

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“…Studies analysing older populations (> 60 years) reveal an increased prevalence of UUI [17][18][19][20] with a higher prevalence rate among HT users [21].…”

Section: Commentsmentioning

confidence: 99%

Serum estradiol does not differentiate stress, mixed and urge incontinent women around menopause. A report from the Women's Health in the Lund Area (WHILA) study

Hamer

Källén

Lidfeldt

et al. 2011

European Journal of Obstetrics & Gynecology and Reproductiv

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Serum estradiol does not differentiate stress, mixed and urge incontinent women around menopause. A report from the Women's Health in the Lund Area (WHILA) study.Andrada, Maria; Källén, Karin; Lidfeldt, Jonas; Samsioe, Göran; Teleman, Pia General rights Copyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.• Users may download and print one copy of any publication from the public portal for the purpose of private study or research.• You may not further distribute the material or use it for any profit-making activity or commercial gain • You may freely distribute the URL identifying the publication in the public portal Take down policy If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim. To outline serum estradiol levels in perimenopausal women with stress, mixed or urge incontinence. We believe the majority of urgency symptoms in perimenopausal women to be caused by a pelvic floor dysfunction and a hypermobility of the bladder neck. If this is the case, there would be no difference in estradiol levels between the groups. Study design:Setting: university hospital. In the observational Women´s Health In the Lund Area study, a subset of 400/2221 women reporting urinary incontinence completed a detailed questionnaire regarding lower urinary tract symptoms and had their serum steroid hormone levels measured.Statistical analyses were made by Chi-square test, nonparametrical tests, ANOVA, multi-and univariate logistic regression analysis. Results:Stress incontinence was reported by 196, mixed incontinence by 153 and urge incontinence by 43 women. Serum estradiol did not differ significantly between stress incontinent (median 49.5 pmo/l, range 2.63-875.4), urge incontinent ( median 31.6 pmol/l, range 2.63-460.7) or mixed incontinent women ( median 35.5 pmol/l, range 2.63-787.9, p = 0.62). Logistic regression analysis correcting for age, parity, hormonal status, smoking, hysterectomy and BMI also failed to show any difference in estradiol levels between the groups (p=0.41-0.58). Conclusion:No significant differences in serum estradiol levels between stress, mixed or urge incontinent perimenopausal women could be demonstrated . 4Keywords:Female urinary incontinence; mixed urinary incontinence; serum estradiol; stress urinary incontinence; urge urinary incontinence.5

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“…2 Estimates of prevalence of UI vary considerably, ranging from 12 to 51%, depending on the concept of UI, research methodologies, inclusion criteria, such as age and ethnicity, and type of incontinence studied. [3][4][5][6][7] In Brazil, data on prevalence of UI in middle aged women usually relate to stress UI (SUI), reaching 8 to 48%. [8][9][10][11][12][13][14] Moreover, there is a disturbing economic impact on the health system, seen, for example, in the costs in Brazil in 2014; the total spent on women between 30 and 59 years totaled more than BRL 2 billion, and of these, BRL 183 million were directed to genitourinary diseases.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and factors associated with urinary incontinence in climacteric

Dellú

Schmitt

Cardoso

et al. 2016

Rev. Assoc. Med. Bras.

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Objective: To estimate the prevalence and identify associated factors to urinary incontinence (UI) in climacteric women. Method: In a cross-sectional study with a stratified random sample, 1,200 women aged between 35 and 72 years were studied, enrolled in the Family Health Strategy in the city of Pindamonhangaba, São Paulo. Urinary incontinence was investigated using the International Consultation of Incontinence Questionnaire -Short Form, while associated factors were assessed based on a self-reported questionnaire with socio-demographic, obstetric and gynecological history, morbidities and drug use. The prevalence of urinary incontinence was estimated with a 95% confidence interval (95CI) and the associated factors were identified through multiple logistic regression model performed using Stata software, version 11.0. Results: Women had a mean age of 51.9 years, most were in menopause (59.4%), married (87.5%), Catholic (48.9%), and declared themselves black or brown (47.2%). The mean age of menopause of women with UI was 47.3 years. The prevalence of UI was 20.4% (95CI: 17.8-23.1%). The factors associated with UI were urinary loss during pregnancy (p=0.000) and after delivery (p=0.000), genital prolapse (p=0.000), stress (p=0.001), depression (p=0.002), and obesity (p=0.006). Conclusion: The prevalence of UI was lower but similar to that found in most similar studies. Factors associated with the genesis of UI were urinary loss during pregnancy and after delivery, genital prolapse and obesity.

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Epidemiology and natural history of urinary incontinence in women

Cited by 295 publications

References 44 publications

Characteristics of middle-aged and elderly women with urinary incontinence

Characteristics of middle-aged and elderly women with urinary incontinence

Serum estradiol does not differentiate stress, mixed and urge incontinent women around menopause. A report from the Women's Health in the Lund Area (WHILA) study

Prevalence and factors associated with urinary incontinence in climacteric

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