2007, Number 06
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Ginecol Obstet Mex 2007; 75 (06)
Prevalence and quality of life in women with urinary incontinence. A population base study
Velázquez MM, Bustos LHH, Rojas PG, Oviedo OG, Neri RES, Sánchez CC
Language: Spanish
References: 30
Page: 347-356
PDF size: 232.64 Kb.
ABSTRACT
Objective: To determine the prevalence of urinary incontinence and quality of life in relation to health in Mexican women between 20 and 80 years old in Mexico City.
Patients and methods: The present is an observational, transverse and descriptive study. The questionnaire consisted of 3 parts: The first was a questionnaire from the International Consultation on Incontinence Questionnaire Short Form, which was used to study of the prevalence of the disease. The second was the incontinence and quality of life questionnaire and the third was the EuroQol questionnaire. The last two investigated the impact of urinary incontinence on the quality of life in relation to health.
Results: The questionnaire was applied to 80 patients. The average prevalence was 46.5%. Women with urinary incontinence have a higher body mass index than those who are continent. Likewise, women with urinary incontinence were more likely to be overweight or to have type I, II and III obesity. Women with urinary incontinence had also a higher number of pregnancies and vaginal deliveries than continent women. Incontinent women reported a low quality of life in the International Consultation on Incontinence Questionnaire Short Form and the incontinence and quality of life questionnaire (8.8 ± 3.3, 77.2 ± 21.7, respectively), with a limitation on activity of 75.1 ± 21.2, a psicosocial impact of 83.4 ± 21.8 and social embarrassment of 69.5 ± 27.3. Women with urinary incontinence reported a lower quality of life index in the EuroQol questionnaire in relation to health than continent women.
Conclusion: psychosocial evaluation shows that urinary incontinence in women is associated with a lesser quality of life.
REFERENCES
Hunskaar S, Arnold EP, Burgio K, Diokno AC, et al. Epidemiology and natural history of urinary incontinence. Int Urogynecol J 2000;11:301-19.
Hunskaar S, Burgio K, Diokno A, Voss S, et al. Epidemiology and natural history of urinary incontinence. In: Abrams P, Cardozo L, Khoury S, et al. 2nd ed. International Consultation Incontinence. Paris: Plymouth Health Publication Ltd, 2002;pp:165-201.
Abrams P, Cardozo L, Fall M, Griffiths D, et al. 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;187:116-26.
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;46:473-80.
Hunskaar S, Burgio K, Diokno AC, Herzog AR, et al. Epidemiology and natural history of urinary incontinence in women. Urology 2003;62(Suppl 4A):16-23.
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;53:1150-7.
Hunskaar S, Lose G, Sykes D, Voss S. The prevalence of urinary incontinence in women in tour European countries. BJU Int 2004;93(3):324-30.
Hunskaar S, Arnold EP, Burgio K, Diokno AC, et al. Epidemiology and natural history of urinary incontinence. Int Urogynecol J Pelvis Floor Dysfunct 2000;11:301-19.
Martínez CJ, Flores O, García de Alba JE, Velázquez PI, et al. Prevalencia de incontinencia urinaria y anal en mujeres de la zona metropolitana de Guadalajara. Ginecol Obstet Mex 2006;74:300-5.
Kinchen KS, Burgio K, Diokno AC, Fultz NH, et al. Factors associated with women's decisions to seek treatment for urinary incontinence. J Womens Health 2003;12(7):687-98.
Espuña M, Salinas J. Tratado de uroginecología. Incontinencia urinaria. 1ª ed. Madrid: Ars Medica. 2005
American College of Obstetricians and Gynecologists. ACOG Practice Bulletin No 63. Urinary incontinence in women. Obstet Gynecol 2005;105:1533-45.
Avery K, Donovan J, Peters TJ, Shaw C, et al. ICIQ: a brief and robust measure for evaluating the symptoms and impact of urinary incontinence. Neurourol Urodyn 2004;23(4):322-30.
Brooks R. EuroQol: the current state of play. Health Policy 1996;37(1):53-72.
Melville JL, Katon W, Delaney K, Newton K. Urinary incontinence in US women. A population-based study. Arch Intern Med 2005;165:537-42.
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.
Sampselle CM, Harlow SD, Skurnick J, Brubaker L, Bondarenko I. Urinary incontinence predictors and life impact in ethnically diverse perimenopausal women. Obstet Gynecol. 2002;100:1230-8.
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.
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;189:428-34.
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;149:1459-62.
Simeonova Z, 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;78:546-51.
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.
Dolan LM, Casson K, McDonald P, Ashe RG. Urinary incontinence in Northern Ireland: a prevalence study. BJU International 1999;83:760-6.
Snooks SJ, Setcell M, Swash M, Henry MM. Injury to innervations of pelvic floor sphincter musculature in childbirth. Lancet 1984;2:546-50.
Rortveit G, Daltveit AK, Hannestad YS, Hunskaar S. Norwegian EPICONT Study. Urinary incontinence after vaginal delivery or cesarean section. N Engl J Med. 2003;348:900-7.
Allen RE, Gosker GL, Smith ARB, Warrel DW. Pelvic floor damage and childbirth: a neurophysiological study. Br J Obstet Gynaecol 1990;97:770-9.
Peyrat L, Haillot O, Bruyère F, Boutin JM, et al. Prevalence and risk factors of urinary incontinence in young and middle-aged women. BJU Int 2002;89:61-66.
Melville JL, Walter E, Katon W, Lentz G, et al. Prevalence of comorbid psychiatric illness and its impact on symptom perception, quality of life, and functional status in women with urinary incontinence. Am J Obstet Gynecol 2002;187:80-87.
Nygaard I, Turvey C, Burns TL, Crischilles E, Wallace R. Urinary incontinence and depression in middle-aged United States women. Obstet Gynecol 2003;101:149-56.
Stach-Lempinen B, Hakala AL, Laippala P, Lehtinen K, et al. Severe depression determines quality of life in urinary incontinent women. Neurourol Urodyn 2003;22:563-8.