Velázquez-Magaña M, Aguirre-Ramos G, Álvarez-Valero R, Méndez-González JA, González-Cofrades J

Language: Spanish
References: 26
Page: 14-21
PDF size: 104.21 Kb.

ABSTRACT

Objective: To determine the prevalence of urinary incontinence in Mexican women between 20 and 80 years old in Mexico City. Materials and methods: The study is observational, transverse and descriptive. The questionnaire employed was from the international consult of urinary incontinence in it´s short form (ICIQ-IU-SF), which was used to study of the prevalence of the disease. Results: The questionnaire was applied to 80 patients. Average prevalence was 46.5%. Incidence increased from 30.2% in women between 20-29 years to 54% and 57.8% in women between 40-49 years and 50 -59 years respectively, with a further increase of up to 71.4% in women between 70 and 79 years of age. Women with urinary incontinence have a higher BMI than those who are continent (24.6±4 kg/m² vs. 27±5.5 kg/m²). Likewise, women with urinary incontinence were more likely to be overweight or to have type I, II and III obesity. Women with urinary incontinence also had a higher number of pregnancies and vaginal deliveries than continent women. Conclusion: The high prevalence of urinary incontinence in Mexican women in Mexico City encourage us to make an early diagnosis and treatment.

REFERENCES

1. Hunskaar S, Arnold EP, Burgio K, Diokno AC, Herzog AR, Mallett VT. Epidemiology and natural history of urinary incontinence. Int Urogynecol J 2000; 11 : 301–319.

2. Abrams P, Cardozo L, Khoury S, Wein A. 2nd International Consultation on Incontinence. 2nd ed. Plymouth: Health Publication, 2002: 165–201

3. Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U. The standardization of terminology of lower urinary tract function: Report from the Standardization Sub-committee of the International Continence Society. Am J Obstet Gynecol 2002; 187: 116–126.

4. Thom D. Variation in estimates of urinary incontinence prevalence in the community: Effects of differences in definition, population characteristics, and study type. J Am Geriatr Soc 1998; 46: 473–480.

5. Hunskaar S, Burgio K, Diokno AC, Herzog AR, Hjälmas K, Lapitan MC. Epidemiology and natural history of urinary incontinence in women. Urology 2003; 62 (suppl 4A): 16–23.

6. Hannestad YS, Rortveit G, Sandvik H, Hunskaar S. A community-based epidemiological survey of female urinary incontinence: The Norwegian EPINCONT Study. J Clin Epidemiol 2000; 53: 1150–1157.

7. Hunskaar S, Lose G, Sykes D, Voss S. The prevalence of urinary incontinence in women in tour European countries. BJU International 2004; 93 (3): 324-330.

8. Thom D. Variation in estimates of urinary incontinence prevalence in the community: Effects of differences in definition, population characteristics, and study type. J Am Geriat Soc 1998; 14 (2): 183-205.

9. Hunskaar S, Arnold EP, Burgio K, Diokno AC, Herzog AR, Mallett VT. Epidemiology and natural history of urinary incontinence. Int Urogynecol J Pelvis Floor Dysfunct 2000; 11: 301-319.

10. Martínez CJ, Flores O, García de Alba JE, Velázquez PI, González MI, Márquez R. Prevalencia de incontinencia urinaria y anal en mujeres de la zona metropolitana de Guadalajara. Ginecol Obstet Mex 2006; 74: 300-305.

11. Kinchen KS, Burgio K, Diokno AC, Fultz NH, Bump R, Obenchain R. Factors associated with women´s decisions to seek treatment for urinary incontinence. J Womens Health 2003; 12 (7): 687-698.

12. ACOG Practice Bulletin No 63. Urinary incontinence in women. American College of Obstetricians and Gynecologists. Obstet Gynecol 2005; 105: 1533-1545.

13. Avery K, Donovan J, Peters TJ, Shaw C, Gotoh M, Abrams P. ICIQ: A brief and robust measure for evaluating the symptoms and impact of urinary incontinence. Neurourol Urodyn 2004; 23 (4): 322-330.

14. Melville, JL, Katon, W, Delaney, K, Newton, K. Urinary Incontinence in US women. A population-bases study. Arch Intern Med 2005; 165: 537-542.

15. Swithinbank LV, Donovan JL, du Heaume JC. Urinary symptoms and incontinence in women: relationships between occurrence, age and perceived impact. Br J Gen Pract 1999; 49: 897-900.

16. Sampselle CM, Harlow SD, Skurnick J, Brubaker L, Bondarenko I. Urinary incontinence predictors and life impact in ethnically diverse perimenopausal women. Obstet Gynecol. 2002; 100: 1230-1238.

17. Moller LA, Lose G, Jorgensen T. The prevalence and bothersomeness of urinary tract symptoms in women 40-60 years of age. Acta Obstet Gynecol Scand 2000; 79: 298-305.

18. Grodstein F, Fretts R, Lifford K, Resnick N, Curhan G. Association of age, race and obstetric history with urinary symptoms among women in the nurses' health study. Am J Obstet Gynecol 2003; 189: 428-434.

19. Millsom I, Ekelund P, Molander U, Arivsson L, Areskoug B. The influence of age, parity, oral contraception, hysterectomy and menopause on the prevalence of urinary incontinence in women. J Urol 1993; 149: 1459-1462.

20. Zvetanka S, Milsom I, Kullendorff AM, Molander ]U, Bengtsson C. The prevalence of urinary incontinence and its influence on the quality of life in women from and urban Swedish population. Acta Obstet Scand 1999; 78: 546-531.

21. Foldspang A, Mommsen S, Law GW, Elving L. Parity as a correlate of adult female urinary incontinence prevalence. J Epidemiol Community Health 1992; 46: 595-600.

22. Dolan LM, Casson K, McDonald P, Ashe RG. Urinary incontinence in Northern Ireland: A prevalence study. BJU International 1999; 83: 760-766.

23. Snooks SJ, Setcell M, Swash M, Henry MM. Injury to innervation of pelvic floor sphincter musculature in childbirth. Lancet 1984; 2: 546-550.

24. Rortveit G, Daltveit AK, Hannestad YS, Hunskaar S. Norwegian EPICONT Study. Urinary incontinence after vaginal delivery or cesarean section. N Engl J Med 2003; 348: 900-907.

25. Allen RE, Gosker GL, Smith ARB, Warrel DW. Pelvic floor damage and childbirth: a neurophysiological study. Br J Obstet Gynaecol 1990; 97: 770-779.

26. Peyrat L, Haillot O, Bruyère F, Boutin JM, Bertrand P, Lanson Y. Prevalence and risk factors of urinary incontinence in young and middle-aged women. BJU Int 2002; 89: 61-66.