Prevalence and risk factors of female urinary incontinence in eastern Turkey

Abstract

Objectives:To evaluate the prevalence of urinary incontinence (UI) and determine risk factors for its development in women living in eastern Turkey. Methods: A cross-sectional study was conducted on 2275 women aged between 17 and 80 years. A questionnaire examining demographic characteristics, parity and pelvic organ prolapse was given. Presence and types of incontinence were examined using a validated form of the Turkish version of the urogenital distress inventory questionnaire-short form (UDI-6). Results: A total of 1054 (46.3%) women reported involuntary loss of urine. Stress UI was present in 46% of women, whereas urge UI was detected in 43% of them. Mean age of patients with and without UI were 44.57 + 11.04 and 35.04 + 9.51, respectively. Age, total number of pregnancies and number of deliveries were shown to be significantly different in patients with and without any type of UI. Multiple logistic regression analysis of the factors revealed that age, total delivery number, pelvic organ prolapse and difficult labor were significantly associated with the presence of UI. Conclusions: This is the first study examining the prevalence of UI in women living in eastern Turkey. By using a validated questionnaire, several risk factors for the development of UI were determined. Pelvic organ prolapse and increased number of births were found to be two most significant ones.

Incontinência urinária de esforço em mulheres pertencentes ao Programa de Saúde da Família de Dourados (MS)

“…A study that analyzed 5,506 adults between 30 and 79 years showed that the prevalence of SUI in groups of white, black and Hispanic women were, respectively, 35.4%, 9.4%, and 14.5%. 35 Taking into account the variable age, there was no statistically significant association with SUI, a finding confirmed in a study conducted by Botleroa et al 32 We found that some studies have reported increased prevalence of UI as the subjects get older, 14,36 however, when evaluating this variable, these studies do not distinguish between different types of UI, an important detail because UUI and mixed UI have a peak prevalence after the sixth decade life. 37 An important factor that may have affected the results of the present study is that only 16.1% of the sample was over 60 years.…”

Fatores de risco para incontinência urinária em mulheres idosas praticantes de exercícios físicos

“…Fatores associados estabelecidos na literatura, como o parto e o sobrepeso, não aumentam as chances de IU em idosas ativas 2,[22][23][24][25] . Estudos demonstraram que paridade, via de parto ou realização de episiotomia não são fatores de risco para IU entre a população idosa 1,5 .…”

“…Os fatores de risco analisados foram classificados em: ginecológicos (tempo de menopausa e uso de terapia de reposição hormonal), obstétricos (número de gestações e partos normais e realização de episiotomia), clínicos (presença de hipertensão arterial e diabetes e uso de diuréticos), comportamentais (presença de constipação, consumo de cafeína e nível de atividade física), hereditários (histórico familiar e raça) e antropométricos (índice de massa corporal -IMC -e circunferência da cintura -CC). Essa ficha de avaliação tomou como base os fatores de risco para IU conhecidos na literatura 1,2,16 . A massa corporal foi determinada por meio de uma balança digital Plenna Wind MEA 07710, e a estatura, pelo estadiômetro WCS 217 cm com plataforma da marca Cardiomed.…”

“…Alguns autores afirmam que o sexo feminino já é um fator de risco importante para a gênese da IU, bem como o avanço da idade [2][3][4] . Esses fatores de risco resultam em uma alta incidência de IU entre mulheres idosas.…”

Urinary incontinence among women registered with a family health center in the Southeastern Anatolia Region and the factors affecting its prevalence

“…Similarly, a study conducted in the Marmara Region by Filiz et al stated that the most common incontinence in women was the mixed type of incontinence, followed by the stress and urge types of incontinence (6). Two separate studies conducted in the Eastern and Central Anatolia Regions reported the most common incontinence type to be the stress type, followed by the urge and mixed types (23,24). These differences in prevalence of UI types are thought to have been caused by differences in the women's fertility characteristics.…”