Prevalence of Urinary Incontinence among Post-Menopausal Females and Its Associated Factors
Urinary Incontinence among Post-Menopausal Females
DOI:
https://doi.org/10.55735/hjprs.v3i4.117Keywords:
postmenopausal, prevalence, urinary incontinenceAbstract
Background: Urinary Incontinence is now recognized as a major public health concern globally. It affects a large number of females worldwide and has a substantial socio-economic influence. It might also disturb the quality of life and lead to depression. Objective: To find out the prevalence of urinary incontinence in post-menopausal females and its related factors. Methods: This is a cross-sectional study in which 100 participants were recruited using non-probability convenient sampling. Urinary incontinence questionnaires were given to the females based on socio-demographics, clinical characteristics and experiences of urinary incontinence-related questions. Data was collected from different healthcare providers and hospitals in Daska and Gujranwala, Pakistan. The age of the participants ranged between 50 to 65 years and their previous menstruation was from at least one year ago. Females with early menopause before the age of 40, those females who were suffering from multiple sclerosis, brain tumor, Parkinson’s, spinal cord injury and hysterectomy were excluded from study. Urinary incontinence questionnaires were given to the participants that were based on socio-demographics, clinical characteristics and experiences of Urinary incontinence related questions. Data was evaluated by SPSS version 23 and qualitative data was calculated as frequency and percentages. Results: The prevalence of urinary incontinence among postmenopausal females was 71%, stress urinary incontinence was 45%, urge urinary incontinence was 36% and mixed urinary incontinence was 19%. The menopausal age, mode of delivery and parity were not significantly associated with urinary incontinence however diabetes was significantly associated with urinary incontinence. (p<0.05). Conclusion: This study concluded that there is a higher prevalence of urinary incontinence among post-menopausal females. A greater number of childbirths, vaginal delivery, diabetes and high blood pressure are among some of the associated factors with urinary incontinence.
References
Koothirezhi R, Ranganathan S. Postmenopausal syndrome. 2020.
https://europepmc.org/article/nbk/nbk560840
Gulraiz GE, Sania SR, Farooq FI, Asim AR, Nayab NJ. Obesity and Overweight in Women with Knee Osteoarthritis Secondary to Menopause: Obesity in Knee Osteoarthritis & Menopause. The Healer Journal of Physiotherapy and Rehabilitation Sciences 2022; 2(3): 197-204.
DOI: https://doi.org/10.55735/hjprs.v2i3.66
Mansour Ghanaie M, Abdolahi E, Kazemnezhad Leili E, Hojat Ansari R, Asgari Galebin SM. Comparing the Prevalence of Depression in Postmenopausal Women With and Without Urinary Incontinence. Journal of Holistic Nursing And Midwifery 2020; 30(2): 86-92.
DOI: 10.32598/jhnm.30.2.86
Simbar M, Nazarpour S, Alavi Majd H, Dodel Andarvar K, Jafari Torkamani Z, Alsadat Rahnemaei F. Is body image a predictor of women’s depression and anxiety in postmenopausal women? BMC psychiatry 2020; 20(1): 1-8.
DOI: https://doi.org/10.1186/s12888-020-02617-w
Russo E, Caretto M, Giannini A, et al. Management of urinary incontinence in postmenopausal women: An EMAS clinical guide. Maturitas 2021; 143: 223-30.
https://doi.org/10.1016/j.maturitas.2020.09.005
Ryu M, Shin H, Bang M, Kwon S. Experience of Urinary Incontinence in Elderly Women in Urban Areas. Journal of Korean Gerontological Nursing 2021; 23(3): 213-25.
DOI: https://doi.org/10.17079/jkgn.2021.23.3.213
Palmer SJ. Urge incontinence in postmenopausal women. British Journal of Community Nursing 2020; 25(4): 168-72.
https://doi.org/10.12968/bjcn.2020.25.4.168
Almousa S, van Loon AB. The prevalence of urinary incontinence in nulliparous adolescent and middle-aged women and the associated risk factors: a systematic review. Maturitas 2018; 107: 78-83.
https://doi.org/10.1016/j.maturitas.2017.10.003
Almousa S, Bandin Van Loon A. The prevalence of urinary incontinence in nulliparous female sportswomen: A systematic review. Journal of Sports Sciences 2019; 37(14): 1663-72.
https://doi.org/10.1080/02640414.2019.1585312
Luo X, Chuang CC, Yang E, Zou K, Araiza A, Bhagnani T. Prevalence, management and outcomes of medically complex vulnerable elderly patients with urinary incontinence in the United States. International Journal of Clinical Practice 2015; 69(12): 1517-24.
https://doi.org/10.1111/ijcp.12740
Amaro JL, Yamamoto H, Kawano PR, Barros G, Gameiro MO, Agostinho AD. Clinical and quality-of-life outcomes after autologous fascial sling and tension-free vaginal tape: a prospective randomized trial. International braz j urol 2009; 35: 60-7.
https://doi.org/10.1590/S1677-55382009000100010
Kołodyńska G, Zalewski M, Rożek-Piechura K. Urinary incontinence in postmenopausal women–causes, symptoms, treatment. Menopause Review/Przegląd Menopauzalny 2019; 18(1): 46-50.
DOI: https://doi.org/10.5114/pm.2019.84157
Newman DK. Pelvic floor muscle rehabilitation using biofeedback. Urol Nurs 2014; 34(4): 193-202.
doi 10.7257/1053-816X.2014.34.4.193
de Abreu Pereira CM, Castiglione M, Kasawara KT. Effects of physiotherapy treatment for urinary incontinence in patient with multiple sclerosis. Journal of physical therapy science 2017; 29(7): 1259-63.
https://doi.org/10.1589/jpts.28.1259
Reilly E, Freeman R, Waterfield M, Waterfield A, Steggles P, Pedlar F. Prevention of postpartum stress incontinence in primigravidae with increased bladder neck mobility: a randomised controlled trial of antenatal pelvic floor exercises. BJOG: an international journal of obstetrics and gynaecology 2002; 109(1): 68-76.
https://www.sciencedirect.com/science/article/pii/S1470032802011163
Terlikowski R, Dobrzycka B, Kinalski M, Kuryliszyn-Moskal A, Terlikowski SJ. Transvaginal electrical stimulation with surface-EMG biofeedback in managing stress urinary incontinence in women of premenopausal age: a double-blind, placebo-controlled, randomized clinical trial. International urogynecology journal 2013; 24(10): 1631-8.
DOI: https://doi.org/10.1007/s00192-013-2071-5
Nygaard IE, Kreder KJ, Lepic MM, Fountain KA, Rhomberg AT. Efficacy of pelvic floor muscle exercises in women with stress, urge, and mixed urinary incontinence. American journal of obstetrics and gynecology 1996; 174(1): 120-5.
https://doi.org/10.1016/S0002-9378(96)70383-6
Erekson EA, Cong X, Townsend MK, Ciarleglio MM. Ten‐year prevalence and incidence of urinary incontinence in older women: a longitudinal analysis of the health and retirement study. Journal of the American Geriatrics Society 2016; 64(6): 1274-80.
https://doi.org/10.1111/jgs.14088
Buckley BS, Lapitan MCM. Prevalence of urinary incontinence in men, women, and children—current evidence: findings of the Fourth International Consultation on Incontinence. Urology 2010; 76(2): 265-70.
https://doi.org/10.1016/j.urology.2009.11.078
Sumardi R, Mochtar CA, Junizaf J, et al. Prevalence of urinary incontinence, risk factors and its impact: multivariate analysis from Indonesian nationwide survey. Acta medica Indonesiana 2016; 46(3).
http://actamedindones.org/index.php/ijim/article/view/86
Dumoulin C, Cacciari LP, Hay‐Smith EJC. Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. Cochrane database of systematic reviews 2018; (10).
https://doi.org/10.1002/14651858.CD005654.pub4
Fitz FF, Resende APM, Stüpp L, Sartori MGF, Girão MJBC, Castro RA. Biofeedback for the treatment of female pelvic floor muscle dysfunction: a systematic review and meta-analysis. International urogynecology journal 2012; 23(11): 1495-516.
DOI: https://doi.org/10.1007/s00192-012-1707-1
Pereira V, Bonioti L, Correia G, Driusso P. Effects of surface electrical stimulation in older women with stress urinary incontinence: a randomized controlled pilot study. Actas Urológicas Españolas (English Edition) 2012; 36(8): 491-6.
https://doi.org/10.1016/j.acuroe.2011.11.009
Helms JM. An overview of medical acupuncture. Alternative therapies in health and medicine 1998; 4(3): 35-45.
https://wiki.santafe.edu/images/9/9c/AcupunctureOverview.pdf
Mahmoud EI, Hanafy HM, Kamel H-eH, Ali MM. Prevalence Of Urinary Incontinence Among Postmenopausal Women. Egyptian Journal of Physical Therapy 2021; 8(1): 1-7.
DOI: 10.21608/ejpt.2021.64127.1032
Townsend MK, Lajous M, Medina-Campos RH, Catzin-Kuhlmann A, López-Ridaura R, Rice MS. Risk factors for urinary incontinence among postmenopausal Mexican women. International urogynecology journal 2017; 28(5): 769-76.
DOI: https://doi.org/10.1007/s00192-016-3196-0
García-Pérez H, Harlow SD, Sampselle CM, Denman C. Measuring urinary incontinence in a population of women in northern Mexico: prevalence and severity. International urogynecology journal 2013; 24(5): 847-54.
DOI: https://doi.org/10.1007/s00192-012-1949-y
Ruiz-Arregui L, Ávila-Funes JA, Amieva H, et al. The Coyoacan Cohort Study: design, methodology, and participants’ characteristics of a Mexican study on nutritional and psychosocial markers of frailty. J Frailty Aging 2013; 2(2): 68-76.
Dooley Y, Kenton K, Cao G, et al. Urinary incontinence prevalence: results from the National Health and Nutrition Examination Survey. The Journal of urology 2008; 179(2): 656-61.
https://doi.org/10.1016/j.juro.2007.09.081
Espino DV, Palmer RF, Miles TP, Mouton CP, Lichtenstein MJ, Markides KP. Prevalence and severity of urinary incontinence in elderly Mexican‐American women. Journal of the American Geriatrics Society 2003; 51(11): 1580-6.
https://doi.org/10.1046/j.1532-5415.2003.51503.x
Newman DK, Cardozo L, Sievert K-D. Preventing urinary incontinence in women. Current Opinion in Obstetrics and Gynecology 2013; 25(5): 388-94.
DOI: 10.1097/GCO.0b013e328364a35d
Hunskaar S, Burgio K, Diokno A, Herzog AR, Hjälmås K, Lapitan MC. Epidemiology and natural history of urinary incontinence in women. Urology 2003; 62(4): 16-23.
https://doi.org/10.1016/S0090-4295(03)00755-6
Cortés AR, Villarreal E, Galicia L, Martínez L, Vargas ER. Cross sectional geriatric assessment of Mexican older people. Revista Medica de Chile 2011; 139(6): 725-31.
DOI: /s0034-98872011000600005
García-Fabela L, Melano-Carranza E, Aguilar-Navarro S, García-Lara JMA, Gutiérrez-Robledo LM, Ávila-Funes JA. Hypertension as a risk factor for developing depressive symptoms among community-dwelling elders. Revista de investigacion clinica 2009; 61(4): 274-80. https://www.medigraphic.com/cgi-bin/new/resumenI.cgi?IDREVISTA=77&IDARTICULO=41059&IDPUBLICACION=4300
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