Prevalence and risk factors of persistent stress urinary incontinence at three months postpartum in Indonesian women

Fakhrizal, Edy; Priyatini, Tyas; Santoso, Budi; Junizaf, Junizaf; Moegni, Fernandi; Djusad, Suskhan; Hakim, Surahman; Maryuni, Sri

doi:10.13181/mji.v25i3.1407

Cited by 7 publications

(9 citation statements)

References 25 publications

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“…The primary aim was to explore the association between preoperative factors and the occurrence of stress urinary incontinence (SUI) following hysterectomy, rather than establishing a causal relationship. 10 Univariate analysis focused on risk factors for SUI after laparoscopic hysterectomy. The study included 164 patients with benign non-prolapsed diseases who underwent the procedure.…”

Section: Resultsmentioning

confidence: 99%

“…A onehour pad test in the study group indicated a mean urine leakage of 15.6 ± 2.3 g, with 60.7% of the patients having a significant degree of incontinence (more than 10 g). 10 In multivariate analysis, variables with statistical significance in the univariate analysis underwent Logistic multivariate analysis. Age, preoperative hemoglobin ≤ 100 g/L, preoperative urine bacteria ≥ 100u/L, uterine volume ≥ 90cm³, history of chronic cough, and BMI ≥ 28 kg/m² emerged as risk factors for postoperative urinary incontinence in patients undergoing hysterectomy (P < 0.05).…”

Section: Resultsmentioning

confidence: 99%

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Stress Urinary Incontinence: A Ten Years Systematic Review

Mahendra,

Budiyono

2024

JARMHS

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Introduction: Stress urinary incontinence (SUI) and pelvic organ prolapse (POP) affect a substantial percentage of women, significantly impacting their quality of life. This review explores the prevalence, definitions, and pathophysiology of SUI, POP, and associated urinary incontinence, emphasizing the need for medical attention and offering insights into current treatment trends over the past 5 years. Methods: The researchers in this study followed the 2020 Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines to ensure that their work met the required standards. This was done to ensure the precision and reliability of the conclusions derived from the research. Result: Our search produced 21 results. After looking at the titles and summaries, we found 9 papers that fit our criteria. At first, we excluded several articles because they were written in review style. But after reading the full papers carefully, we included five papers in our final analysis. These papers included a retrospective observational study, prospective study, and randomized control trial. Conclusion: In this decade-long systematic review on stress urinary incontinence (SUI), notable findings include a 2.2 prevalence of SUI operations post-hysterectomy, persistent links between vaginal hysterectomy (VH) and SUI operations, and significant associations with preceding pelvic organ prolapse (POP), vaginal deliveries, laparoscopic hysterectomy (LH), and urinary incontinence (UI) visits. Combining pelvic floor muscle (PFM) strengthening with hip synergic muscle exercises improves daily urine loss frequency, while modifiable risk factors such as achieving an ideal body weight and preventing traumatic vaginal delivery are identified for SUI prevention. Cost analysis indicates that savings from avoiding unnecessary surgical treatments through urodynamic investigations (UDIs) in uncomplicated patients cover associated expenses, emphasizing the need to consider potential legal actions in a comprehensive cost assessment of negative externalities

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Stress Urinary Incontinence: A Ten Years Systematic Review

Mahendra,

Budiyono

2024

JARMHS

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“…The reported prevalence of UI among women varies significantly across studies due to different definitions, the heterogeneity of diverse study populations, and population sampling procedures (Milsom, 2019) According to Fakhrizal et al, the prevalence of urge urinary incontinence among 400 postpartum primipara women ranges from 8.8 to 30%, with the likelihood of urinary incontinence increasing twofold in vaginal delivery versus cesarean delivery. Increased events are expected to follow the increase in the life expectancy of Indonesian women in the UI prevalence rate (Fakhrizal et al, 2016). To date, there has been no report on the overall prevalence of urinary incontinence and stress urinary incontinence (SUI) in Riau Province, one of Indonesia's coastal areas where most people work as fishermen and have low incomes.…”

Section: Introductionmentioning

confidence: 99%

The Prevalence of Stress Urinary Incontinence in Coastal Community from Riau Province

2022

Nusantara Science and Technology Proceedings

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Stress Urinary Incontinence (SUI) significantly affects women's quality of life through physical and psychosocial limitations and sexual dysfunction. This condition may cause a huge individual and family burden, leading to a global burden. The coastal area is geographically located in islands confined by the sea, thus becoming the basis of health problems due to its limited access to healthcare facilities. No study has been conducted to identify the SUI prevalence rate. This study aims to help determine problems caused by SUI, eventually conceiving effective prevention and treatment strategies to be proposed to health policymakers. This research is a quantitative study with women of reproductive age (20 -44 years old) and >44 years old in 4 coastal areas (Bengkalis, Dumai, Siak, and Rumbai Pesisir) as the key population. Of 320 patients, 178 (53,80%) were screened for urinary incontinence. Among 178 screened subjects, 152 (85%) were classified as stress urinary incontinence, with the highest incidence rate found at Dumai, with 59 (39%) cases. Bengkalis, Siak, and Pekanbaru had an incidence rate of 51 (33%), 33 (22%), and 9 (6%), consequently. This study found most women had urinary incontinence, with the most common type being stress urinary incontinence. Based on this study, due to the high prevalence of SUI, the authors agreed that effective prevention and treatment strategies are needed to prevent SUI's severity and further development.

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“…3 The prevalence of SUI 3 months after delivery in Indonesia was estimated at 20.1%, while primiparous women with vaginal delivery had a 2.1 times higher risk of developing SUI. 4 Unfortunately, postpartum SUI treatment is still limited to lifestyle and pelvic floor rehabilitation. 5 The treatment of POP mostly starts when symptoms have already appeared, which only 5-20% of them, whereas almost half of women over 50 years of age with a history of vaginal birth have asymptomatic POP based on physical examination.…”

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confidence: 99%

A randomized control trial of platelet-rich plasma in supporting the recovery of postpartum levator ani muscle trauma

et al. 2022

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BACKGROUND Pelvic floor dysfunction (PFD) is mostly caused by childbirth levator ani muscle (LAM) trauma. We hypothesized that platelet-rich plasma (PRP) therapy could support the recovery of LAM in postpartum trauma. METHODS A prospective, single-blind, randomized control study was enrolled in primigravid women from November 2016 to July 2019 at 21 health facilities in Jakarta, Indonesia. Subjects were injected with autologous PRP or placebo at LAM during perineorrhaphy after childbirth. The primary outcome was regaining LAM strength and reducing levator hiatal area at 3 months postpartum. The LAM strength was examined by perineometer (cmH₂O), and levator hiatal area was examined by transperineal ultrasound (cm²) at antenatal and 3 months after delivery. Mann–Whitney U test and Wilcoxon signed-rank test were used for analysis. The study was registered in clinicaltrials.gov: NCT03021954. RESULTS Among 240 women, 58 were eligible for analysis. There were no differences in LAM strength and levator ani hiatal area at 3 months postpartum between the two groups (p = 0.583 and p = 0.185, respectively). CONCLUSIONS PRP therapy did not show a difference in the muscle recovery healing process.

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Prevalence and risk factors of persistent stress urinary incontinence at three months postpartum in Indonesian women

Cited by 7 publications

References 25 publications

Stress Urinary Incontinence: A Ten Years Systematic Review

Stress Urinary Incontinence: A Ten Years Systematic Review

The Prevalence of Stress Urinary Incontinence in Coastal Community from Riau Province

A randomized control trial of platelet-rich plasma in supporting the recovery of postpartum levator ani muscle trauma

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