Impact of urinary incontinence on quality of life among rural women

Ganapathy, Thilagavathy

doi:10.4103/mjmsr.mjmsr_10_18

Cited by 5 publications

(3 citation statements)

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“…In our study, we found that the prevalence of UI increased, with age being highest (61.8%) in women aged > 45 years ( p < 0.05). This is in coherence with a study by Ganapathy T showing that the prevalence was high (59.7%) in women > 40 years of age [ 31 ]. Singh et al also reported that the prevalence of UI increased with advancing age (27.8–42.8%) [ 14 ].…”

Section: Discussionsupporting

confidence: 91%

Utility of opportunistic screening to assess the impact of urinary incontinence on quality of life and barriers to seeking treatment among women attending a tertiary healthcare centre in North India

Garg,

Goyal,

Goyal

et al. 2024

BMC Urol

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Introduction Urinary incontinence (UI) is a common but frequently neglected problem in females, significantly impacting their psychosocial health. The available estimates are an underestimation of a bigger problem. Thus, the study aimed to estimate the prevalence of UI, its associated risk factors, its impact on the Quality of life (QoL), and barriers to treatment-seeking behaviour in women attending tertiary healthcare centres. Methods We conducted a cross-sectional study using an opportunistic screening among women visiting a tertiary care hospital in Punjab recruited using multi-stage systematic random sampling. UI was classified as Stress (SUI), Urge (UUI), mixed (MUI), and No Incontinence (UI less than once a week or a month or no complaints) using the International Consultation on Incontinence Questionnaire–Urinary Incontinence Short Form (ICIQ-UI SF). Bivariate analyses were done using the chi-square test to test the association between the dependent and independent variables. The predictors of UI were explored using univariable and multivariable binary logistic regression and depicted using Odds ratio with 95% confidence intervals. The impact of UI on Quality of Life (QoL) was assessed using the Incontinence Impact Questionnaire-Short Form (IIQ-7), and compared among the three UI types using One-Way ANOVA. Treatment barriers were explored using open-ended questions. Results Of the 601 women, 19.6% reported UI (stress UI: 10.1%, mixed UI: 6.0%, and urge UI: 3.5%). There were significant clinical-social factors that predicted different types of UI. The UI depicted a significant effect on QoL across all domains of the IIQ-7 (total mean score: 50.8 ± 21.9) compared to women with no incontinence (0.1 + 1.9). The score was highest in women with MUI, followed by SUI and UUI. About two-thirds of the affected women never consulted a doctor and considered it a non-serious condition or a normal ageing process. Conclusions The present study found a high prevalence of UI through opportunistic screening across all the women’s age groups with different conditions. Due to the associated stigma, clinicians should make every attempt to talk more about this, especially in women with medical conditions that can precipitate UI. Furthermore, the results call for generating more robust estimates through community-based screening studies.

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Section: Discussionsupporting

confidence: 91%

Utility of opportunistic screening to assess the impact of urinary incontinence on quality of life and barriers to seeking treatment among women attending a tertiary healthcare centre in North India

Garg,

Goyal,

Goyal

et al. 2024

BMC Urol

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“…Researchers agree that UI affects the quality of life (QOL) in women physically by restricting their activities and psychologically by lowering their self-esteem [7]- [9]. Potential risk factors of UI are ageing, vaginal deliveries, obesity, surgery, constipation, and chronic respiratory problems [10], many of which are unavoidable.…”

Section: Introductionmentioning

confidence: 99%

RETRACTED: Predictors of Delay in Treatment of Urinary Incontinence Among Pakistani Women – A Cross-sectional Study

Saaqib

Jameel

Ghufran

et al. 2021

Preprint

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BackgroundUrinary Incontinence (involuntary loss of urine) is a highly prevalent problem among women with profound effects on their quality of life. Patients tend to conceal their problems and avoid seeking medical help, which results in their prolonged illness and psychological depression. Only a few researchers have focused on finding out the characteristics of incontinent women with prolonged treatment denial. These women's shared features can serve as predictors of treatment delay; screening the incontinent patients for these predictors can point out the susceptible women with delayed help-seeking behaviour who need in-depth counselling and support for their treatment. This cross-sectional study was designed to investigate the predictors of treatment delays of urinary Incontinence among Pakistani women.Methods We performed this survey at Lady Willingdon Hospital outdoor from july1to Dec 31, 2019. We randomly selected one-hundred and six women with urinary incontinence from the gynaecology outdoor to fill the study Performa(sample size calculated with Raosoft, sample size calculator, Inc 2004). The Performa included risk factors of incontinence: demographic features, psychosocial effects of incontinence, the logic behind treatment delay, and the Incontinence Questionnaire UI-short form for incontinence characteristics. We evaluated predictors by analyzing shared risk factors of treatment delay by regression analysis (IBM SPSS statistics 20; SPSS Inc., Chicago, IL, USA). ResultsThe mean age of participants was 56.11±11.24years (30-77years). Treatment delay ranged from 1-30years; about half of the participants (48.1%) reported >3-year delay. The shared risk factors of treatment-delay were elderly age (OR=1.163; CI:1.075-1.259), embarrassment (OR = 8.15;CI:2.117-31.382), lower subjective severity of symptoms (OR=.316;CI:133-.978) and stress incontinence (OR=8.09;CI:1.87-35).ConclusionIn this cross-sectional survey of urinary incontinent women, elderly age, embarrassment, lower subjective severity of symptoms, and stress incontinence were predictors of treatment-delay among Pakistani women. Trial registrationThis study had ethical approval from King Edward Medical University and registered retrospectively at Clinical trials.gov with reg #NCT04470700 on 13-07-2020.

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“…3,4 Untreated stress incontinence has a strong psychosocial and financial impact that affects the quality of life of affected women. 5,6 Stress incontinence is a cause of embarrassment, social stigma, personal guilt, fear of unhygienic conditions and of carrying unnecessary burden. Hence, it should be addressed urgently with essential therapeutic interventions.…”

Section: Introductionmentioning

confidence: 99%

The role of trans obturator tape as a surgical procedure for female stress urinary incontinence and its impact on quality of life in Jammu region

Puri¹,

Kohli²

2019

Int J Reprod Contracept Obstet Gynecol

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Background: Stress incontinence is one of the most common but debilitating health issue among women. It has a detrimental effect on overall health and quality of life of women. Trans obturator tape (TOT) has emerged as a promising treatment modality. The aim of present study was to assess the usefulness of TOT in terms of change in quality of life of stress incontinence patients.Methods: The study was performed at Department of Obstetrics and Gynecology, Acharya Shri Chandler of Medical Sciences (ASCOMS), Jammu. A total of 50 symptomatic women were enrolled in the study and underwent TOT procedure using outside-in technique. The quality of life of women was assessed at enrolment and 12 months after the procedure using King’s Health Questionnaire (KHQ). Change in QOL was assessed using paired ‘t’-test.Results: After 12 months follow-up, a total of 27 (54%) patients were entirely symptom free. As compared to pre-treatment QOL assessment on KHQ for general health/incontinence impact, quality of life and symptom scores a % decline of 73.2%, 79.8% and 78.4% was observed. For all the three parts, the change in scores was significant statistically. No other complications and side effects were reported.Conclusions: TOT is a useful procedure which provided symptomatic relief as well as QOL enhancement.

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Impact of urinary incontinence on quality of life among rural women

Cited by 5 publications

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Utility of opportunistic screening to assess the impact of urinary incontinence on quality of life and barriers to seeking treatment among women attending a tertiary healthcare centre in North India

Utility of opportunistic screening to assess the impact of urinary incontinence on quality of life and barriers to seeking treatment among women attending a tertiary healthcare centre in North India

RETRACTED: Predictors of Delay in Treatment of Urinary Incontinence Among Pakistani Women – A Cross-sectional Study

The role of trans obturator tape as a surgical procedure for female stress urinary incontinence and its impact on quality of life in Jammu region

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Impact of urinary incontinence on quality of life among rural women

Cited by 5 publications

References 0 publications

Utility of opportunistic screening to assess the impact of urinary incontinence on quality of life and barriers to seeking treatment among women attending a tertiary healthcare centre in North India

Utility of opportunistic screening to assess the impact of urinary incontinence on quality of life and barriers to seeking treatment among women attending a tertiary healthcare centre in North India

RETRACTED: Predictors of Delay in Treatment of Urinary Incontinence Among Pakistani Women – A&nbsp;Cross-sectional Study

The role of trans obturator tape as a surgical procedure for female stress urinary incontinence and its impact on quality of life in Jammu region

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RETRACTED: Predictors of Delay in Treatment of Urinary Incontinence Among Pakistani Women – A Cross-sectional Study