Urinary incontinence in adolescent females with cystic fibrosis in Poland

Abstract

<jats:title>Abstract</jats:title>

A systematic review of the prevalence and impact of urinary incontinence in cystic fibrosis

“…reported that many women felt UI affected their social life, school/work and intimate relationships ‘a lot’ or ‘most of the time’ (range: 29–42%). More than half of the sample also reported that UI affected their holidays, social life, school/work and interests/hobbies ‘a little bit’ or ‘a fair bit’ (50–58%) . A report by Moran et al .…”

“…Both increasing age and lower FEV 1 were significantly associated with UI frequency. A study of 64 young Polish women with CF (mean ± SD age: 20.9 ± 1.5 years) found that 44% experienced UI . The majority (86%) reported UI more than once per year, with 58% endorsing moderate severity of incontinence (defined as ‘wet/a small amount’).…”

“…All but two studies sought to identify activities that trigger or exacerbate UI in the CF population. The most commonly reported activities were coughing, laughing, sneezing, physical activity, airway clearance and spirometry …”

“…However, two studies found that approximately one‐third of patients with UI also experienced faecal incontinence . In a Polish study, females with CF who reported constipation more than occasionally were at higher risk for UI …”

“…Seven of the 12 published articles explored the effect of UI on airway clearance, exercise and/or spirometry. In these studies, between 16% and 42% of patients reported that UI limited effective airway clearance or chest physiotherapy . Additionally, two studies found that UI affected patients’ ability to perform optimal spirometry .…”