Urinary Incontinence and its Relationship to Mental Health and Health-Related Quality of Life in Men and Women in Sweden, the United Kingdom, and the United States

Coyne, Karin S.; Kvasz, Marion; Ireland, Andrea M.; Milsom, Ian; Kopp, Zoë; Chapple, Christopher R.

doi:10.1016/j.eururo.2011.07.049

Cited by 283 publications

(277 citation statements)

References 29 publications

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“…En Chile, Salazar y colaboradores determinaron una prevalencia de IU de 62,2% en una población cerrada 8 y Hardwardt y colaboradores determinaron una prevalencia de 77% en mujeres de Isla de Pascua 9 . A pesar de que la IU no representa una amenaza para la vida, tiene una influencia negativa sobre la condición física, psicológica y social de las mujeres y está asociada con una importante disminución en la calidad de vida e importantes costos directos e indirectos en salud [10][11][12][13][14] .…”

Section: A Incontinencia Urinaria (Iu) Definida Por Launclassified

Caracterización clínica de la incontinencia urinaria y factores asociados en usuarias de la Unidad de la Mujer del Centro de Salud Familiar Ultraestación en la ciudad de Chillán, Chile

Ardila

2015

Rev. méd. Chile

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Section: A Incontinencia Urinaria (Iu) Definida Por Launclassified

Caracterización clínica de la incontinencia urinaria y factores asociados en usuarias de la Unidad de la Mujer del Centro de Salud Familiar Ultraestación en la ciudad de Chillán, Chile

Ardila

2015

Rev. méd. Chile

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“…Na gestação, a IU é ainda mais prevalente, acometendo entre 19 e 60% das gestantes 4 , devido a processos fisiológicos sequenciais que ocorrem durante a gestação e o parto que resultam na diminuição da função muscular do assoalho pélvico (FMAP) 5 . Além da IU, a diminuição da FMAP está relacionada com prolapsos dos órgãos pélvicos 6 e queixas sexuais, problemas que podem resultar em transtornos sociais e psicológicos para a mulher 7 . Historicamente, numerosas intervenções cirúrgicas e medicamentosas foram propostas como formas de tratamento da IU.…”

Section: Introductionunclassified

Effectiveness of an illustrated home exercise guide on promoting urinary continence during pregnancy: a pragmatic randomized clinical trial

Assis

Bernardes

Barbosa

et al. 2015

Rev. Bras. Ginecol. Obstet.

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ResumoOBJETIVO: Avaliar a efetividade de um manual de orientação de exercícios domiciliares (MOED) para o assoalho pélvico (AP) na promoção da continência urinária em gestantes primigestas. MÉTODOS: Ensaio clínico com 87 participantes, avaliadas 6 vezes durante a gestação e divididas aleatoriamente em 3 grupos: Grupo supervisionado (Gsup), que praticou exercícios com supervisão; Grupo observado (Gobs), que praticou exercícios sem supervisão, e Grupo referência (Gref), que não praticou exercícios. Incontinência urinária (IU) (desfecho primário) e força muscular perineal (FMP) (desfecho secundário) foram avaliadas por intermédio de diário de perdas urinárias e perineometria, respectivamente. Foram utilizados o teste de Kruskal-Wallis, seguido do teste post hoc de Dunn, para variáveis contínuas, e o teste do χ 2 e testes Z, com correções de Bonferroni, para proporções, com nível de significância de 5%. RESULTADOS: O Gsup e o Gobs apresentaram 6,9% de gestantes incontinentes, enquanto o Gref apresentou 96,6% de incontinentes. Quanto à FMP, o Gsup e o Gobs apresentaram valores médios de contração de 10 e 8,9 cmH 2 O, respectivamente, enquanto o Gref apresentou valor de 4,7 cmH 2 O. Ambos os resultados significantes. CONCLUSÃO: A utilização de um MOED é eficaz na promoção da continência urinária e no aumento da FMP em gestantes primigestas, independentemente de supervisão permanente. Registro no clinicaltrials.gov -NCT00740428Abstract PURPOSE: To evaluate the effectiveness of an illustrated home exercise guide targeting the pelvic floor muscles in promoting urinary continence during pregnancy. METHODS: A randomized clinical trial was performed with 87 participants, evaluated six times during pregnancy and divided into three groups: Gsup, supervised; Gobs, not supervised, and Gref, women who did not perform the home exercises program. A miction diary and perineometry were used to evaluate urinary incontinence (primary outcome) and pelvic floor muscle strength (secondary outcome), respectively. The Kruskal-Wallis test with post hoc Dunn's and chi-square and Z tests with Bonferroni correction were used for continuous variables and proportions, respectively, with the level of significance set at 5%. RESULTS: At the end of the study, 6.9% of pregnant women in the Gsup and Gobs had urinary incontinence, while 96.6% of Gref women were incontinent. Regarding pelvic floor muscle function, Gsup and Gobs had mean contractions of 10 and 8.9 cmH 2 O, respectively, while Gref had a value of 4.7 cmH 2 O. Both results were significant. CONCLUSION: An illustrated home exercise guide targeting the pelvic floor muscles is effective in promoting urinary continence during pregnancy, even without permanent supervision. clinicaltrials.gov Registry -NCT00740428

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“…In about 80 % of the cases an organic cause cannot be found so that treatment has to be purely symptomatic. Coyne et al [17,18] have demonstrated that women with urge and mixed urge-stress incontinence have not only a significantly higher degree of incontinence but also a significantly poorer health-related quality of life than women with stress incontinence. In the NOBLE study (National Overactive Bladder Investigation) Steward et al [19] determined the prevalence of mental stress caused by overactive bladder in the USA.…”

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Psychosomatic Aspects of Urinary Incontinence in Women

Debus

Kästner

2015

Geburtshilfe Frauenheilkd

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Introduction !Urinary incontinence is an increasing health problem in our rapidly ageing society that is often not disclosed for a long time by the victims and is associated with appreciable costs. In the USA the annual costs generated by urgency urinary incontinence are estimated at almost $ 82.6 in 2015 with growing tendency [1]. The prevalence of urinary incontinence increases with increasing age. Thus, Buckley et al. [2] and Markland et al. [3] reported that 25 to 57 % of all Abstract ! Urinary incontinence in women is a common problem. With increasing age its prevalence and severity of its manifestations increase. Among nursing home residents the frequency is between 43 and 77 %, 6 to 10 % of all admissions to nursing homes are due to urinary incontinence. The risk for urinary incontinence among women with cognitive deficits is 1.5-to 3.4-fold higher than for women without mental disorders. The most common form is stress incontinence (50%), followed by mixed stress-urge incontinence (40 %) and purely urge incontinence (OAB = overactive bladder, 20 %). With regard to its cause, the latter remains unclarified in about 80 % of the cases. It is often difficult to treat. There are also cases in which urge incontinence is related to traumatic events. In such cases behavioural and psychotherapeutic options may be helpful. Almost inevitably every form of incontinence has psychological consequences: shame and insecurity are often results of uncontrolled loss of urine. Among others, in the long term, they lead to the avoidance of social contacts and possibly to depression and isolation. Consideration of the psychosomatics is important in the therapy for female urinary incontinence from three points of view: 1) the efficacy of treatment is better suited to the patient, 2) the treatment costs are lower, 3) the professional satisfaction of the responsible physician increases. Zusammenfassung

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Urinary Incontinence and its Relationship to Mental Health and Health-Related Quality of Life in Men and Women in Sweden, the United Kingdom, and the United States

Cited by 283 publications

References 29 publications

Caracterización clínica de la incontinencia urinaria y factores asociados en usuarias de la Unidad de la Mujer del Centro de Salud Familiar Ultraestación en la ciudad de Chillán, Chile

Caracterización clínica de la incontinencia urinaria y factores asociados en usuarias de la Unidad de la Mujer del Centro de Salud Familiar Ultraestación en la ciudad de Chillán, Chile

Effectiveness of an illustrated home exercise guide on promoting urinary continence during pregnancy: a pragmatic randomized clinical trial

Psychosomatic Aspects of Urinary Incontinence in Women

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Urinary Incontinence and its Relationship to Mental Health and Health-Related Quality of Life in Men and Women in Sweden, the United Kingdom, and the United States

Cited by 283 publications

References 29 publications

Caracterización clínica de la incontinencia urinaria y factores asociados en usuarias de la Unidad de la Mujer del Centro de Salud Familiar Ultraestación en la ciudad de Chillán, Chile

Caracterización clínica de la incontinencia urinaria y factores asociados en usuarias de la Unidad de la Mujer del Centro de Salud Familiar Ultraestación en la ciudad de Chillán, Chile

Effectiveness of an illustrated home exercise guide on promoting urinary continence during pregnancy: a pragmatic randomized clinical trial

Psychosomatic Aspects of Urinary Incontinence in Women

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Product

Resources

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Caracterización clínica de la incontinencia urinaria y factores asociados en usuarias de la Unidad de la Mujer del Centro de Salud Familiar Ultraestación en la ciudad de Chillán, Chile

Caracterización clínica de la incontinencia urinaria y factores asociados en usuarias de la Unidad de la Mujer del Centro de Salud Familiar Ultraestación en la ciudad de Chillán, Chile