Prevalence and risk factors of urinary incontinence among Iranian women

Daneshpajooh, Azar; Naghibzadeh‐Tahami, Ahmad; Najafipour, Hamid; Mirzaei, Mahboubeh

doi:10.1002/nau.24597

Cited by 10 publications

(6 citation statements)

References 66 publications

(102 reference statements)

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“…The sixth item is related to the time and type of urine leakage (not considered). The total score ranges from 0 to 21; mild (1-5), moderate (6)(7)(8)(9)(10)(11)(12), severe (13)(14)(15)(16)(17)(18), and very severe (19)(20)(21). A higher score indicates the intensity of UI.…”

Section: International Consultation On Incontinence Questionnaire-uri...mentioning

confidence: 99%

“…Due to the limited research on the Iranian population [ 16 , 17 ], the increase in mean life expectancy, and the prevalence of urinary incontinence and its impact on various aspects of life, our study aimed to determine the prevalence and severity of urinary incontinence and its related factors in a health centers-based sample of postmenopausal women in Tabriz-Iran. Caregivers better provide appropriate treatments to reduce the prevalence of UI through educating, preventing, and reducing the impact of risk factors.…”

Section: Introductionmentioning

confidence: 99%

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Prevalence and severity of urinary incontinence and associated factors in Iranian postmenopausal women: a cross-sectional study

et al. 2023

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Background Urinary incontinence (UI) is one of the most common symptoms during menopause, leading to a decreased quality of life and limited social activities. This study aimed to determine the prevalence and severity of urinary incontinence and associated risk factors in postmenopausal women. Methods It was a cross-sectional study using cluster sampling on 433 postmenopausal women in Tabriz-Iran, 2021–2022. Data were collected using questionnaires of socio-demographic characteristics, Questionnaire for Urinary Incontinence Diagnosis (QUID), and International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UISF). Multivariate logistic regression was used to determine factors related to urinary incontinence. Results The overall prevalence of urinary incontinence was 39.5%; 20.6% stress urinary incontinence (SUI), 10.4% urgency urinary incontinence (UUI), and 8.5% mixed urinary incontinence (MUI). Multivariate logistic regression analysis showed that the prevalence of SUI (aOR 0.38; 95% CI 0.18–0.77) and UUI (aOR 0.38; 95% CI 0.15–0.94) was significantly lower in women with three childbirths than the ones with fewer childbirths. Also, the odds of UUI increased significantly in women at the 50–55 age range (aOR 3.88; 95% CI 1.16–12.93) than those less than 50 years. Conclusion Due to the high prevalence of urinary incontinence in postmenopausal women, caregivers should screen for early diagnosis and appropriate treatment of urinary incontinence to prevent its destructive impact on the quality of life.

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Section: International Consultation On Incontinence Questionnaire-uri...mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Prevalence and severity of urinary incontinence and associated factors in Iranian postmenopausal women: a cross-sectional study

et al. 2023

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“…The prevalence of UI increases with advancing age. Studies from several countries have shown that the prevalence of UI ranges from 21.4% to 63% 13–21 . In Turkey, the prevalence of UI varies between 17.5% and 88.1% 8,9,12,22–25 …”

Section: Introductionmentioning

confidence: 99%

The prevalence of urinary incontinence and risk factors in menopausal women in Turkey: A systematic review and meta‐analysis

Karaçam,

Özsoy,

Özer Yurdal

2023

Int J of Uro Nursing

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This study was conducted to determine the prevalence and risk factors of urinary incontinence in menopausal women. This systematic review and meta‐analysis followed PRISMA and COSMOS‐E guidelines. The searches were conducted on 1–15 April, 2022 using PubMed, EBSCO, Embase, PsycINFO, DOAJ, Web of Science, DergiPark, Scopus, Turkish Medline, Turkish Citation Index, TR Index and National Thesis Center search engines. The keywords ‘menopause, climacteric, urinary incontinence, risk factors, prevalence’ were used in the searches. The risk of bias was assessed using the Critical Appraisal Checklist for cross‐sectional studies developed by the Joanna Briggs Institute. Data were synthesized by meta‐analysis, meta‐regression and narrative methods. Eleven studies published between 2012 and 2022 were included. The total sample size of the studies was 2531. In this meta‐analysis, the estimated rate of urinary incontinence in women aged 40–65 years was 46.9% (95% CI: 0.346–0.595), and this result was statistically significantly affected by the moderator variables risk of bias (Q = 8.76, p = 0.013) and urinary incontinence diagnostic tools (Q = 27.60, p < 0.001). The estimated stress urinary incontinence rate was 19.1% (95% CI: 0.130–0.271), urge urinary incontinence rate was 5.1% (95% CI: 0.020–0.124) and the mixed urinary incontinence rate was 13.4% (95% CI: 0.092–0.192). The risk factors affecting urinary incontinence were found to be advanced age, menopause, diabetes mellitus, constipation, obesity, history of urinary incontinence during pregnancy and the postpartum period, mode of delivery, four or more births, urinary tract infection, family history of urinary incontinence and genetic predisposition. This meta‐analysis revealed that urinary incontinence and its types are highly prevalent in women aged 40–65 years and that the prevalence is influenced by the quality of research and the type of diagnostic tool used in addition to many risk factors. Planning and offering appropriate health care services based on these results could contribute to the protection and improvement of women's health.

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“…Stress urinary incontinence (SUI), referring to the involuntary leakage of urine in the presence of an increase in intra-abdominal pressure, is a prevalent condition among women. It occurs as a result of urethral sphincter deficiency or pelvic floor muscle and fascial supporting tissue weakness [1][2][3] . Initial treatments for urinary incontinence are conservative treatments, including pelvic floor physiotherapy, biofeedback, electrical stimulation, and in some cases, pharmacotherapy.…”

Section: Introductionmentioning

confidence: 99%

Comparing Periurethral Injection of Autologous Muscle-Derived Stem Cell and Fibroblasts with Mid-Urethral Sling Surgery in the Treatment of Female Stress Urinary Incontinence: A Randomized Clinical Trial

Daneshpajooh

Farsinejad

Derakhshani

et al. 2022

JSRM

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In this study, we analyzed the therapeutic effect of periurethral injection of autologous muscle-derived stem cell versus mid-urethral sling surgery at a 1-year follow-up.Method: This randomized controlled clinical trial was conducted on 30 women with stress urinary incontinence (SUI) who had not responded to conservative treatments, after registering the participants and obtaining informed consent. Patients were divided into two groups of 15 each treated with periurethral injection of muscle-derived stem cells (MDSCs) and mid-urethral sling surgery, respectively. Follow-ups were done at 1, 3, 6, and 12 months after the treatment using the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UISF) and Incontinence Quality of Life Questionnaire (I-QOL) questionnaires, clinical examination, cough test, and 1-hour pad test. The results were analyzed within the groups and then compared between the two groups. Moreover, both groups were compared in terms of postoperative complications. Results:At the 1-year follow-up, in the stem cell group, 10 patients (66.6%) experienced improvements after the periurethral injection of stem cells; half of these patients (33.3%) reported a full recovery. In the mid-urethral sling group, 13 patients (93.3%) experienced improvement, and 12 patients (80%) reported a full recovery. The analysis of ICIQ-UISF and I-QOL questionnaires indicated that the responses in both groups were significant, but the response in the stem cell group was significantly lower compared with the standard surgery group. No considerable complications were observed in the two groups. Conclusion:Although the periurethral injection of MDSCs considerably improves the symptoms with minimum complications in women with SUI, its therapeutic response is significantly lower compared with mid-urethral sling surgery.surgeries have been used to treat urinary continence. Since then, sling surgery has undergone a lot of improvement. The classic sling was an invasive surgical procedure with risks of postoperative complications and morbidity [6,7] .After classic sling, the integral theory was proposed [8] . This theory is based on the claim that the most significant factor of preserving urinary continence is the proper functioning of the pubourethral ligament, suburethral vaginal hammock, and pubococcygeus muscle. Damage resulting from surgery, childbirth, aging, and hormonal deprivation to any of these components could lead to impaired midurethral function, and, subsequently, urinary incontinence. Therefore, mid-urethral sling surgeries using a mesh became popular.Currently, the 2-year success rate for bulking agents, urethral suspension, and the urethral sling is 30%, 73%, and 82%-96%, respectively [1,9] . Complications of mid-urethral sling include vaginal mesh extrusions, mesh perforation at bladder and urethra, urinary retention, pelvic and groin pain, and dyspareunia [9,10] .

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Prevalence and risk factors of urinary incontinence among Iranian women

Cited by 10 publications

References 66 publications

Prevalence and severity of urinary incontinence and associated factors in Iranian postmenopausal women: a cross-sectional study

Prevalence and severity of urinary incontinence and associated factors in Iranian postmenopausal women: a cross-sectional study

The prevalence of urinary incontinence and risk factors in menopausal women in Turkey: A systematic review and meta‐analysis

Comparing Periurethral Injection of Autologous Muscle-Derived Stem Cell and Fibroblasts with Mid-Urethral Sling Surgery in the Treatment of Female Stress Urinary Incontinence: A Randomized Clinical Trial

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