VARIOUS TYPES OF URINARY INCONTINENCE AND ASSOCIATED RISK FACTORS AMONG WOMEN ATTENDING URODYNAMIC CENTER AT SURGICAL TEACHING HOSPITAL IN SULAIMANI CITY
Gona Othman Faris a, Niyan Hakim Ismael b, Delan Jamal Qader b, and Away Ghazy Abdulkareem c
a Department of Maternal Neonate Nursing, College of Nursing, University of Sulaimani, Kurdistan Region, Iraq.
b Department of Pediatric Nursing, College of Nursing, University of Sulaimani, Kurdistan Region, Iraq.
c Department of Adult Nursing, College of Nursing, University of Sulaimani, Kurdistan Region, Iraq.
Submitted: 16/2/2021; Accepted: 12/8/2021; Published: 21/12/2021
DOI Link: https://doi.org/10.17656/jsmc.10328
Urinary incontinence is a complaint involving the involuntary leakage of urine. It has a significant health problem with psychological, social and hygienic effects on the lives of both women and their families.
The present study aimed to determine different types of urinary incontinence among married women, identify factors that affect this condition, and discover how urinary incontinence and related factors are correlated.
Patient and Methods
The study was carried out in a Urodynamic Center at Surgical Teaching Hospital in Sulaimani City. The present descriptive case-control study was carried out on a purposive sample of 100 incontinent women admitted to the Urodynamic Center, and 100 continent women admitted to the hospital with other symptoms. In addition, face-to-face interviews were conducted to collect required data through a questionnaire on risk factors for urinary incontinence.
The prevalence of mixed urinary incontinence was 62% and was more in old age for both groups. The majority of the case and control group were housewives living in the urban and had no systemic disease. Age, educational level, parity, gravity, type of delivery, menopause, gynaecological exam, diabetes mellitus and hypertension were associated with urinary incontinence among cases, variables that significantly varied in the chi-square study.
Three-quarters of women are affected by mixed urinary incontinence. Age, obstetric history, types of gynaecological exam, menopausal state and types of delivery recognize as risk factors associated with the occurrence of different types of urinary incontinence among both groups.
Urinary incontinence, Various types, Risk factors, Urodynamic Center.
1. Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, et al. The standardization of terminology in lower urinary tract function: Report from the standardization sub-committee of the International Continence Society. Urology. 2003; 61(1):37–49.
2. Haylen BT, de Ridder D, Freeman RM, Swift SE, Berghmans B, Lee J, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Neurourol Urodyn. 2010;29(1):4–20
3. Sensoy N, Dogan N, Ozek B, Karaaslan L. Urinary incontinence in women: prevalence rates, risk factors and impact on quality of life. Pakistan J Med Sci. 2013; 29(3):818.
4. Koebl H, Nitti V, Baessler K, Salvatore S, Sultan A, Yamaguchi O. Pathophysiology of urinary incontinence, faecal incontinence and pelvic organ prolapse. In: Abrams P, Cardozo L, Khoury, Wein A (editors), incontinence. 4th ed. Plymouth: Health Publication Ltd; 2009: 255-330.
5. Davis K, Kumar D. Pelvic floor dysfunction: a conceptual framework for collaborative patientcentred care. J Adv Nurs. 2003; 43(6):555–68.
6. Mørkved S, Bø K, Schei B, Salvesen KÅ. Pelvic floor muscle training during pregnancy to prevent urinary incontinence: a single-blind randomized controlled trial. Obstet Gynecol. 2003; 101(2):313–9.
7. Kristiansson P, Samuelsson E, Schoultz B Von, Svärdsudd K. Reproductive hormones and stress urinary incontinence in pregnancy. Acta Obstet Gynecol Scand. 2001; 80(12):1125–30.
8. Irwin DE, Milsom I, Hunskaar S, Reilly K, Kopp Z, Herschorn S, et al. Population-based survey of urinary incontinence, overactive bladder, and other lower urinary tract symptoms in five countries: results of the EPIC study. Eur Urol. 2006; 50(6):1306–15.
9. Dolan LM, Hilton P. Obstetric risk factors and pelvic floor dysfunction 20 years after the first delivery. Int Urogynecol J. 2010; 21(5):535–44.
10. Menezes M, Pereira M, Hextall A. Predictors of female urinary incontinence at midlife and beyond. Maturitas. 2010; 65(2):167–71.
11. Waetjen LE, Liao S, Johnson WO, Sampselle CM, Sternfield B, Harlow SD, et al. Factors associated with prevalent and incident urinary incontinence in a cohort of midlife women: a longitudinal analysis of data: the study of women’s health across the nation. Am J Epidemiol. 2007; 165(3):309–18.
12. Demir S, Beji NK. Üriner inkontinanslı kadınlarda yaşam kalitesi ve sağlık arama davranışları. FN Hem Derg. 2015; 23(1):23–31.
13. Priya B, Singh N, Rajaram S. Prevalence and risk factors of urinary incontinence during the antenatal period in women delivering in a tertiary care centre of Northern India. Int J Community Med Public Heal. 2017; 4(6):2071–4.
14. Zhu L, Li L, Lang J, Xu T. Prevalence and risk factors for peri-and postpartum urinary incontinence in primiparous women in China: a prospective longitudinal study. Int Urogynecol J. 2012; 23(5):563–72.
15. Beji NK, Güngör İ, Onat G, Erkan HA, Gökyildiz Ş, Yalçin Ö. Risk factors for urinary incontinence among Istanbul women: A hospital based case-control study. Cent Eur J Nurs Midwifery. 2018; 9(2):825–31.
16. Yalcin O, Timur S, Özbaş A, Özerdoğan N, Aslan E, Kızılkaya Beji N. Urinary incontinence prevalence and risk factors in women aged 20 and over in Malatya. Int J Urol Nurs. 2011; 5(2):65–72.
17. Santos PC, Mendonça D, Alves O, Barbosa AM. Prevalence and impact of stress urinary incontinence before and during pregnancy. Acta Med Port. 2006; 19(5):349–56.
18. Oztac Ozerdogan D, Kizilkaya Beji D. Prevention of urinary incontinence, risk factors, and establishment in 20 years older women in Eskisehir, Bilecik, Afyon and Kutahya countries. Florence Nightingale Journal of Nursing. 2015; 13(51):9027-9045.
19. Zhu L, Lang JH, Wang H, Han SM, Liu CY. The study on the prevalence and associated risk factors of female urinary incontinence in Beijing women. Zhonghua Yi Xue Za Zhi. 2006; 86(11):728–31.
20 Gözükara F, Koruk I, Kara B. Urinary incontinence among women registered with a family health centre in the Southeastern Anatolia Region and the factors affecting its prevalence. Turkish J Med Sci. 2015; 45(4):931–9.
21. Ünsal A, Tosun M, Arslantas D. Urinary Incontinence, Related Factors and Depression among 20 Aged and Over Women in Beylikova District Centre in Eskisehir. TAF Prev Med Bull. 2013; 12(3):1.
22. Tseng L, Liang C, Lo H, Lo T, Lee S, Wang AC. The prevalence of urinary incontinence and associated risk factors in Taiwanese women with lower urinary tract symptoms. Chang Gung Med J. 2006; 29(6):596.
23. Danforth KN, Townsend MK, Lifford K, Curhan GC, Resnick NM, Grodstein F. Risk factors for urinary incontinence among middle-aged women. American Journal of Obstetrics and Gynecology. 2006;194(2):339–345
24. Yu PL, Shi J, Liu XR, Xia CW, Liu DF, Wu ZL, Sun ZQ. Study on the prevalence of urinary incontinence and its related factors among elderly in rural areas, Jixian country, Tianjin. Zhonghua Liu Xing Bing Xue Za Zhi. 2009;30(8):766–7712
25. Rortveit G, Daltveit AK, Hannestad YS, Hunskaar S; Norwegian EPINCONT Study. Urinary incontinence after vaginal delivery or caesarean section. New England Journal of Medicine. 2003;348(10):900–907
26. Ham E, Choi H, Seo J-T, Kim H-G, Palmer MH, Kim I. Risk factors for female urinary incontinence among middle-aged Korean women. J Women’s Heal. 2009; 18(11):1801–6.
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