RESULTSOf the respondents, 7.7% reported SUI monthly or more often, and 15% of those had sought help. Help-seekers reported more severe symptoms and greater impact on quality of life. Most (78%) had spoken to their GP, and 77% had received some form of treatment or advice, but only 35% had received recommended treatments. The effects on quality of life were not related to treatment provision.
CONCLUSIONSMost women with SUI are treated in primary care; access to appropriate treatments is poor and may, in part, be the cause of the high levels of unmet need observed in this study. Health education interventions may aid appropriate help-seeking and self-care strategies.
KEYWORDSurinary incontinence, women, quality of life, health behaviour, treatment provision
OBJECTIVETo establish the prevalence of treatmentseeking in women with stress urinary incontinence (SUI), the extent and type of treatment provision, and the levels of unmet need in women who have and have not accessed care, as SUI in women is common but only a small proportion seek help, and there are reports suggesting that few women receive appropriate treatment.
SUBJECTS AND METHODSA cross-sectional postal survey was conducted in which questionnaires were sent to a random sample of community-dwelling women aged ≥ 40 years, registered with