scholarly journals Prevalence of urinary incontinence and other lower tract urinary symptoms in patients with uterine myomas

2011 ◽  
Vol 25 (1) ◽  
pp. 18
Author(s):  
Dorota Borawski ◽  
Martin H. Bluth ◽  
Wellman W. Cheung
Keyword(s):  
Urinary Incontinence ◽  
Overactive Bladder ◽  
Stress Incontinence ◽  
Urge Incontinence ◽  
Statistical Significance ◽  
Demographic Data ◽  
Premenopausal Women ◽  
Wilcoxon Test ◽  
Urinary Symptoms ◽  
Uterine Myomas

To study the prevalence and risk factors of the overactive bladder, urinary incontinence and other lower tract urinary symptoms in patients with uterine myomas, female patients with established diagnosis of the uterine myomas presenting to gynecology clinic were invited to answer a self-administered questionnaire, which included questions on evidence of lower urinary tract symptoms [modified Overactive Bladder-Validated 8-question Screener (OAB-V8)]. Demographic data, relevant medical and surgical history, and pelvic ultrasound findings were reviewed from the patients charts. Statistical significance of relationship between OAB, stress incontinence and urge incontinence in relation to body mass index (BMI), uterine volume and size of dominant myoma were analyzed using 2-taild exact Fisher test and Wilcoxon test. Ninty-eight patients (28 to 81 years) completed the questionnaire over a period of 3 months. The majority were premenopausal and had detectable myomas on ultrasound. OAB was present in 47.9% women. No significant statistical relation between size and volume of the uterus and overactive bladder, urge incontinence, stress incontinence and mixed incontinence was noted. Observation of OAB subtypes with urge and stress incontinence in premenopausal patients with uterine myomas was statistically significant in comparison with premenopausal women studied (60.8% <em>vs</em> 15.3 and 63% <em>vs</em> 6.8, respectively; P&lt;0.001). Overall prevalence of OAB was similar in both groups. Our study showed the higher prevalence of overactive bladder than in the general population, however overall OAB prevalence related to fibroids did not show statistical significance. OAB-stress incontinence and OABurge incontinence subtypes were associated with uterine myomas.

Urinary Incontinence and Overactive Bladder Syndrome

2018 ◽  
Author(s):  
Kristie A. Greene ◽  
Lennox Hoyte
Keyword(s):  
Urinary Incontinence ◽  
Overactive Bladder ◽  
Stress Incontinence ◽  
Urge Incontinence ◽  
Valsalva Maneuver ◽  
Abdominal Pressure ◽  
Sudden Increase ◽  
Overactive Bladder Syndrome ◽  
Urinary Frequency ◽  
Mixed Incontinence

Urinary incontinence falls into two broad categories: stress incontinence and urge incontinence. Stress urinary incontinence occurs when urethral closure pressure cannot increase sufficiently to compensate for a sudden increase in intra-abdominal pressure, as from a cough or Valsalva maneuver. Urge urinary incontinence occurs when an unintended bladder contraction creates an insuppressible urge to void, leading to urinary leakage. When women have signs and/or symptoms of both stress and urge incontinence, it is referred to as mixed urinary incontinence. Overactive bladder syndrome is defined by the Standardization Subcommittee of the International Continence Society (ICS) as urinary urgency, with or without urge incontinence and usually with frequency and nocturia. Nocturia, which is often associated with urinary frequency, is defined as a need to urinate that awakens the person during the night. This chapter discusses the epidemiology and physiology of urinary incontinence and overactive bladder syndrome in women, as well as diagnosis and treatment. Tables list foods and beverages that may cause urinary frequency and urgency; features of urge incontinence, stress incontinence, and mixed incontinence; American Urologic Association (AUA) guidelines regarding level of evidence and indications for adult urodynamics; and currently available antimuscarinic drugs and their dosages, selectivity, efficacy, and side effects. Figures depict the journal of someone with mixed incontinence, a typical urodynamics suite, a urodynamic study of someone with detrusor overactivity, incontinence pessaries, and transobturator and retropubic slings. This review contains 5 figures, 5 tables, and 44 references.

Urinary Incontinence and Overactive Bladder Syndrome

2017 ◽  
Author(s):  
Kristie A. Greene ◽  
Lennox Hoyte
Keyword(s):  
Urinary Incontinence ◽  
Overactive Bladder ◽  
Stress Incontinence ◽  
Urge Incontinence ◽  
Valsalva Maneuver ◽  
Abdominal Pressure ◽  
Sudden Increase ◽  
Overactive Bladder Syndrome ◽  
Urinary Frequency ◽  
Mixed Incontinence

Urinary incontinence falls into two broad categories: stress incontinence and urge incontinence. Stress urinary incontinence occurs when urethral closure pressure cannot increase sufficiently to compensate for a sudden increase in intra-abdominal pressure, as from a cough or Valsalva maneuver. Urge urinary incontinence occurs when an unintended bladder contraction creates an insuppressible urge to void, leading to urinary leakage. When women have signs and/or symptoms of both stress and urge incontinence, it is referred to as mixed urinary incontinence. Overactive bladder syndrome is defined by the Standardization Subcommittee of the International Continence Society (ICS) as urinary urgency, with or without urge incontinence and usually with frequency and nocturia. Nocturia, which is often associated with urinary frequency, is defined as a need to urinate that awakens the person during the night. This chapter discusses the epidemiology and physiology of urinary incontinence and overactive bladder syndrome in women, as well as diagnosis and treatment. Tables list foods and beverages that may cause urinary frequency and urgency; features of urge incontinence, stress incontinence, and mixed incontinence; American Urologic Association (AUA) guidelines regarding level of evidence and indications for adult urodynamics; and currently available antimuscarinic drugs and their dosages, selectivity, efficacy, and side effects. Figures depict the journal of someone with mixed incontinence, a typical urodynamics suite, a urodynamic study of someone with detrusor overactivity, incontinence pessaries, and transobturator and retropubic slings. This review contains 5 figures, 5 tables, and 44 references.

Urinary Incontinence and Overactive Bladder Syndrome

2018 ◽  
Author(s):  
Kristie A. Greene ◽  
Lennox Hoyte
Keyword(s):  
Urinary Incontinence ◽  
Overactive Bladder ◽  
Stress Incontinence ◽  
Urge Incontinence ◽  
Valsalva Maneuver ◽  
Abdominal Pressure ◽  
Sudden Increase ◽  
Overactive Bladder Syndrome ◽  
Urinary Frequency ◽  
Mixed Incontinence

Urinary incontinence falls into two broad categories: stress incontinence and urge incontinence. Stress urinary incontinence occurs when urethral closure pressure cannot increase sufficiently to compensate for a sudden increase in intra-abdominal pressure, as from a cough or Valsalva maneuver. Urge urinary incontinence occurs when an unintended bladder contraction creates an insuppressible urge to void, leading to urinary leakage. When women have signs and/or symptoms of both stress and urge incontinence, it is referred to as mixed urinary incontinence. Overactive bladder syndrome is defined by the Standardization Subcommittee of the International Continence Society (ICS) as urinary urgency, with or without urge incontinence and usually with frequency and nocturia. Nocturia, which is often associated with urinary frequency, is defined as a need to urinate that awakens the person during the night. This chapter discusses the epidemiology and physiology of urinary incontinence and overactive bladder syndrome in women, as well as diagnosis and treatment. Tables list foods and beverages that may cause urinary frequency and urgency; features of urge incontinence, stress incontinence, and mixed incontinence; American Urologic Association (AUA) guidelines regarding level of evidence and indications for adult urodynamics; and currently available antimuscarinic drugs and their dosages, selectivity, efficacy, and side effects. Figures depict the journal of someone with mixed incontinence, a typical urodynamics suite, a urodynamic study of someone with detrusor overactivity, incontinence pessaries, and transobturator and retropubic slings. This review contains 5 figures, 5 tables, and 44 references.

Urinary Incontinence and Overactive Bladder Syndrome

2018 ◽  
Author(s):  
Kristie A. Greene ◽  
Lennox Hoyte
Keyword(s):  
Urinary Incontinence ◽  
Overactive Bladder ◽  
Stress Incontinence ◽  
Urge Incontinence ◽  
Valsalva Maneuver ◽  
Abdominal Pressure ◽  
Sudden Increase ◽  
Overactive Bladder Syndrome ◽  
Urinary Frequency ◽  
Mixed Incontinence

Urinary incontinence falls into two broad categories: stress incontinence and urge incontinence. Stress urinary incontinence occurs when urethral closure pressure cannot increase sufficiently to compensate for a sudden increase in intra-abdominal pressure, as from a cough or Valsalva maneuver. Urge urinary incontinence occurs when an unintended bladder contraction creates an insuppressible urge to void, leading to urinary leakage. When women have signs and/or symptoms of both stress and urge incontinence, it is referred to as mixed urinary incontinence. Overactive bladder syndrome is defined by the Standardization Subcommittee of the International Continence Society (ICS) as urinary urgency, with or without urge incontinence and usually with frequency and nocturia. Nocturia, which is often associated with urinary frequency, is defined as a need to urinate that awakens the person during the night. This chapter discusses the epidemiology and physiology of urinary incontinence and overactive bladder syndrome in women, as well as diagnosis and treatment. Tables list foods and beverages that may cause urinary frequency and urgency; features of urge incontinence, stress incontinence, and mixed incontinence; American Urologic Association (AUA) guidelines regarding level of evidence and indications for adult urodynamics; and currently available antimuscarinic drugs and their dosages, selectivity, efficacy, and side effects. Figures depict the journal of someone with mixed incontinence, a typical urodynamics suite, a urodynamic study of someone with detrusor overactivity, incontinence pessaries, and transobturator and retropubic slings. This review contains 5 figures, 5 tables, and 44 references.

scholarly journals The Association between Urinary Incontinence and Low Back Pain and Radiculopathy in Women

2016 ◽  
Vol 4 (4) ◽  
pp. 665-669 ◽  
Author(s):  
Hülagu Kaptan ◽  
Haluk Kulaksızoğlu ◽  
Ömür Kasımcan ◽  
Bedreddin Seçkin
Keyword(s):  
Urinary Incontinence ◽  
Low Back Pain ◽  
Back Pain ◽  
Stress Incontinence ◽  
Urge Incontinence ◽  
Statistical Significance ◽  
Low Back ◽  
Loss Of Function ◽  
Predisposing Factor ◽  
Neurological Pathology

AIM: Urinary incontinence (UI) is a common dysfunction, affecting especially women of all ages. The terminology of low back pain (LBP) and radiculopathy (RP) may be misused interchangeably with each other. There are many reports of the association with LBP and incontinence but those involving compression of nerve root(as RP), has not been distinguished from isolated low back pain. This study was structured to analyse the association of UI, LBP and RP.METHODS: One hundred twenty patients were included in the study. Patients with spinal or urinary infection, tumour (spinal or others), cauda equine, pelvic operation, spinal trauma, spinal surgery, urogenital pathology were not accepted for this study.  Age and weight of all patients were determined. Oswestry Disability Index (ODI) was utilised for  assessment of loss of function  and SEAPI incontinence index was used for urinary incontinence. All patients were examined for neurological pathology to differentiate between the LBP and RP by department of neurosurgery. Student t-test and Mann-Whitney-U tests were used for statistical significance.RESULTS: There was no statistical significance between low back pain with overall urinary incontinence (p = 0.131), urge (p = 0.103) or stress incontinence (p = 0.68), respectively. However; The statistical aspects were identified relationship between overall (p = 0.026) and urge (p = 0.001) urinary incontinence with radiculopathy. The association of urge incontinence and radiculopathy seems to show a more significant relationship. Yet there was no correlation between radiculopathy and stress incontinence (P = 0.062).CONCLUSION: Low back pain should not be regarded as a predisposing factor for urinary incontinence; however, radiculopathy has a statistically positive correlation between overall incontinence and urge incontinence.

scholarly journals Prevalence of Urinary Incontinence in Women

2020 ◽  
Vol 33 (1) ◽  
pp. 59-62
Author(s):  
Lubna Yasmin ◽  
Ferdousi Begum
Keyword(s):  
Urinary Incontinence ◽  
Stress Incontinence ◽  
Urge Incontinence ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Mixed Incontinence ◽  
Medical College

Objective: The objectives of the study were to find out the prevalence of urinary incontinencein women. Materials and Methods: A cross sectional study was conducted on five hundred one (501)women older than 18 years of age who were admitted in department of obstetrics andgynaecology of Shaheed Suhrawardi Medical College and Hospital from April to December2009, answered a questionnaire about urinary incontinence. They were grouped accordingto presence or absence of urinary incontinence (incontinent and continent) and type ofincontinence present (urge, stress and mixed). Results: Urinary incontinence was found in 104(20.8%) women, out of which 25 (24%)suffered from stress incontinence only, 21 (20.2%) suffered from urge incontinence and58(55.8%) suffered mixed incontinence. Conclusions: One in five women older than 18 years of age suffer from one or other formof urinary Incontinence. Bangladesh J Obstet Gynaecol, 2018; Vol. 33(1) : 59-62

scholarly journals Epidemiological study of female urinary incontinence in the province of Siena, Italy

2010 ◽  
Vol 14 (2) ◽  
pp. 51
Author(s):  
A. BERNABEI ◽  
Va. TROTTA ◽  
Vi. TROTTA
Keyword(s):  
Risk Factors ◽  
Urinary Incontinence ◽  
Retrospective Study ◽  
Epidemiological Study ◽  
Stress Incontinence ◽  
Urge Incontinence ◽  
Medical Advice ◽  
Female Urinary Incontinence ◽  
Parallel Study ◽  
Self Evaluation

A retrospective study of patients of the Urogynaecological Unit in Siena is reported. Out of 228 women examined, 141 had urinary incontinence (stress incontinence 110, urge incontinence 18, mixed 13). Predisposing factors and risk factors were investigated. A parallel study in a non-selected population of women was performed by means of a questionnaire of self-evaluation for urinary incontinence. About 20% of this population had urinary incontinence to some degree, but only a small percentage of these women had already sought medical advice.

scholarly journals Prevalence of female urinary incontinence in the state of Roraima, Brazil

2017 ◽  
Vol 30 (1) ◽  
Author(s):  
Mário Maciel De Lima Junior ◽  
Elizângela Castelo Branco
Keyword(s):  
Urinary Incontinence ◽  
Overactive Bladder ◽  
Stress Incontinence ◽  
Elderly Women ◽  
The State ◽  
Age Group ◽  
Mixed Incontinence ◽  
Social Discomfort ◽  
Significant Health

Urinary incontinence (UI) is a significant health problem leading to physical, psychological and social discomfort, especially in elderly women. A study of prevalence and classification of UI in the Roraima state was taken up to aid in formulation of healthcare policy and improvement of patient referral facilities. A retrospective study of 765 female patients who have undergone urodynamic examination between November 2013 and December 2014 has been conducted. Subjects were classified in to diagnostic classes: normal, stress incontinence, mixed incontinence, sensitive emergency, overactive bladder, and others. The overall prevalence of UI was 58.4%. The highest prevalence was observed in the menopausal age group (45- 49 years). Among the etiologies of UI, stress incontinence ranked highest at 30.9%, followed by overactive bladder at 6.9%. In the 25-55 years age group, stress incontinence was predominant (50-63%), while overactive bladder became significant (14-44%) in later years. The prevalence of UI in women in the state of Roraima, was high, in line with its prevalence in Brazil, as well as other western countries.

scholarly journals Unexpected benefits and potential therapeutic opportunities of tension free vaginal tape for stress urinary incontinence

2013 ◽  
Vol 27 (1) ◽  
pp. 6 ◽  
Author(s):  
Chendrimada Madhu ◽  
Penelope Harber ◽  
David Holmes
Keyword(s):  
Quality Of Life ◽  
Urinary Incontinence ◽  
Pelvic Floor ◽  
Stress Incontinence ◽  
Urinary Symptoms ◽  
Pelvic Floor Function ◽  
Vaginal Symptoms ◽  
Tension Free ◽  
Floor Function

Urinary incontinence is a debilitating problem in women with significant effects on quality of life. The tension free vaginal tape (TVT) improves urinary symptoms and achieves a high rate of patient satisfaction. The aim of the study was to evaluate the effect of TVT on vaginal symptoms, pelvic floor function and in turn quality of life. We hypothesize that the TVT is associated with an improvement in pelvic floor function. A prospective questionnaire- based analysis was conducted over a period of ten months in patients undergoing the TVT procedure. The International Consul - tation on Incontinence Modular Questionnaire - Vaginal Symptoms questionnaire was used to evaluate the vaginal symptoms pre-operatively and 6 months post-operatively. The results were compared to assess for any significant differences. A total of 31 patients were recruited for the study. There was a statistically significant improvement in vaginal symptoms score at 6 months in women undergoing TVT along with an improvement in urinary symptoms. This study suggests a positive impact of TVT insertion on vaginal symptomatology, which is an exciting prospect influencing patient counseling for treatment options of urinary stress incontinence. This finding may have an impact on performing concomitant surgeries for stress incontinence and pelvic organ prolapse. There is a need for further large–scale research to explore this aspect of unexpected benefit from the TVT.

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