DOI: http://dx.doi.org/10.18203/issn.2454-2156.IntJSciRep20192796

Urinary incontinence among female patients attending a selected public hospital in Bangladesh

Shima Begum, Khondoker Mahmuda Akter Halim, Ratna Khatun, Sharmin Islam, A. B. M. Alauddin Chowdhury, Faisal Muhammad

Abstract


Background: Urinary incontinence is a frequent public health problem with negative social consequences, particularly for women. Women are much more susceptible to urinary incontinence than men. Female susceptibility is the result of anatomical, social, economic and cultural factors.

Methods: A cross sectional study was conducted to find out the factors related to urinary incontinence, distribution of types of incontinence among female patients and their health care seeking behavior and socio-demographic characteristics among 121 adult female patients who attended the outpatient department of Gynae and Obstetrics department and Urology department of Dhaka Medical College and Hospital during the period of January to June 2016. Data were collected through face to face interview.  

Results: The mean age of the respondents was 43.42 years and the mean monthly income of the respondents was 17409.09 taka. Little above nine-tenths (91.7%) of the respondents were Muslim and the majority of the respondents (47.9%) were living in pacca house. More than seven-tenths (73.6%) of the respondents were married and over 35% of the respondents were illiterate. Among the respondents about 42.1% of them had pressure type of incontinence, followed by mixed incontinence (27.3%). Over 65% had some complication during delivery and little above six-tenths (61.2%) had gynecological problems.

Conclusions: Female urinary incontinence is a frequent and a major embarrassing healthcare problem in Bangladesh. Patients who had complications during labor, having multipara, recurrent UTI, gynecological problem such as uterine prolapse, urethral injury, had high percentage of urinary incontinence. Patients with urinary incontinence should be encouraged to seek treatment early as the problem can be treated. 


Keywords


Urinary, Incontinence, Health, Female, Patients

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References


Salam MA. Incontinence (Neuro-Urology): Principles and Practice of Urology. Volume I and II. Florida, USA: Brown Walker Press; 2012: 492-493.

Loh KY, Sivalingam N. Urinary Incontinence in the Elderly Population. Med J Malaysia. 2006;61(4):506-11.

Thomas TM, Plymat KR, Blanning J, Meade TW. Prevalence of urinary incontinence. BMJ. 1980:281:1243–5.

Campbell-Walsh. Urinary Incontinence: Epidemiology, Pathophysiology, Evaluation and Management Overview. Urology. Ninth Edition. 2003: 3-46.

Diokno AC, Brock BM, Brown MB, Herzog AR. Prevalence of urinary incontinence and other urological symptoms in the none institutionalized elderly. J Urol. 1986;136(5):1022-5.

Hannestad YS, Rortveit G, Sandvik H, Hunskaar S. The Norwegian Epincont study Epidemiology of Incontinence in the County of Nord-Trondelag. A community-based epidemiological survey of female urinary incontinence: the Norwegian EPINCONT study. Epidemiology of Incontinence in the County of Nord-Trondelag. J Clin Epidemiol. 2000;53(11):1150–7.

Hunskaar S, Burgio K, Diokno AC, et al: Epidemiology and natural history of urinary incontinence, in Abrams P, Cardozo L, Khoury S, et al (eds). Incontinence: 2nd International Consultation on Incontinence. 2nd edition. Plymouth, UK: Health Publication Ltd; 2002: 165–201.

Milsom I, Ekelund P, Molander U, Arvidsson 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(6):1459-62.

Andrades M, Paul R, Ambreen A, Dodani S, Dhanani RH, et al. Distribution of lower urinary tract symptoms (LUTS) in adult women. J Coll Physicians Surg Pak. 2004;14(3):132-5.

Moller LA, Lose G, Jorgensen T. The prevalence and bothersomeness of lower urinary tract symptoms in women 40-60 years of age. Acta Obstet Gynecol Scand. 2012;79(4):298-305.

Hunskaar S, Lose G, Sykes D, Voss S. The prevalence of urinary incontinence in women in four European countries. BJU Int. 2004;93:324–30.

Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, et al. Standardization Sub-Committee of the International Continence Society. Urology. 2003;61(1):37-49.

Nazli S, Nurhan D, Burcu O, Leyla K. Urinary incontinence in women: prevalence rates, risk factors and impact on quality of life. Pak J Med Sci. 2013;29(3):818–22.

Zhu L, Lang J, Wang H, Han S, Huang J. The prevalence of and potential risk factors for female urinary incontinence in Beijing, China. Menopause. 2008;15(3):566-9.

Cetinel B, Ozkan B, Can G. The validation study of ICIQ-SF Turkish version. Turkish J Urol. 2004;30(3):332–8.

Bodhare TN, Valsangkar S, Bele SD. An epidemiological study of urinary incontinence and its impact on quality of life among women aged 35 years and above in a rural area. Indian J Urol. 2010;26(3):353-8.

Isikli B, Yenilmez A, Kalyoncu C. Prevalance, risk factors and effects on life quality of urinary incontinence among 18 years or older women living in Alpu district of Eskisehir: a population based study. Nobel Med. 2011;7(2):34–9.