Jindal Preeti¹*, Gupta Madhu², Kundal Isha³, Muskan Mittal⁴, Gulati Ridhi⁵, Malhi Cherry⁵ and Akanksha Nigam⁵

¹Consultant Fortis Hospital and Director, The Touch clinic - Advanced IVF and Gyne Centre, Mohali, India
²Professor, Department of Community Medicine and School of Public Health, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
³Medical Officer, The Touch Clinic, Mohali, Punjab, India
⁴RMO, The Touch Clinic, Mohali, Punjab, India
⁵Consultant, The Touch Clinic, Mohali, Punjab, India

*Corresponding Author: Jindal Preeti, Consultant Fortis Hospital and Director, The Touch clinic - Advanced IVF and Gyne Centre, Mohali, India.

Received: July 08, 2021 ; Published: August 12, 2021

Abstract

Objectives: As postmenopausal life span is increasing, urinary incontinence is one of the problems that has emerged as leading issues affecting quality of life of these women. Despite its prevalence this problem is often neglected and ridiculed as a condition which most women have to live with. It is important that we relook into this problem and not brush it under the carpet. This study was conducted to estimate the prevalence of urinary incontinence in women of all age groups (more than 18 years) and its impact on their quality of life which was studied so that true gravity of this problem in Indian scenario can be understood. Also now days several new non invasive methods like laser, radiofrequency, carboxytherapy, PRP, HIFEM are available with very satisfactory results and can be offered to these women [1]. Their role is also discussed in this article.

Methods: A cross-sectional study was conducted from September 2019 to February 2020 among women of age 18 years and above. The Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI-SF) questionnaire was used to estimate the prevalence and WHOQOL- Age tool used to assess quality of life.

Results: The prevalence of urinary incontinence was observed to be 25.8%. It was significantly (p < 0.05) higher in age group of 66 - 75 years (33.6%) and 76 - 85 years (46.7%) as compared to other groups. Nearly 14.8% women in the age group of 15 - 25 years were affected. Social quality of life was affected significantly (38.4%) in these women though they were able to carry on daily life activity with UI (p = 0.022). Urinary incontinence decreased their self confidence and increased hesitancy to go to social events.

Conclusion: A significant prevalence of urinary incontinence affecting one in every fourth women with increasing age was observed. Also significant differences were observed in quality of life index parameters in those who were affected with urinary incontinence problems. Now a days several new modalities of treatment which are painless, non invasive and out patient based are available to treat urinary incontinence.

Keywords: Urinary Incontinence (UI); SUI Prevalence in North India; Quality of Life in SUI; Postmenopausal Women

References

1. Jindal P., et al. “Non Surgical Management of Stress Urinary Incontinence (SUI)”. Acta Scientific Women's Health 2 (2020): 51-54.
2. Irwin DE., et al. “Population-based survey of urinary incontinence, overactive bladder, and other lower urinary tract symptoms in five countries: results of the EPIC study”. European Urology6 (2006): 1306-1314; discussion 1314-1315.
3. Thom D. “Variation in estimates of urinary incontinence prevalence in the community: effects of differences in definition, population characteristics, and study type”. Journal of the American Geriatrics Society 4 (2006): 473-480.
4. Melville JL., et al. “Women's perceptions about the etiology of urinary incontinence”. Journal of Womens Health (Larchmt)7 (2008): 1093-1098.
5. Haylen BT., et al. “An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction”. International Urogynecology Journal 1 (2010): 5-26.
6. Cundiff GW. “The pathophysiology of stress urinary incontinence: a historical perspective”. Review on Urology 6 (2004): S10-S18.
7. Guin Gita., et al. “Prevalence of stress urinary incontinence and its associated risk factors amongst females attending tertiary referral centre”. International Journal of Reproduction, Contraception, Obstetrics and Gynecology6 (2018): 2115-2119.
8. Aoki Y., et al. “Urinary incontinence in women”. Nature Reviews Disease Primers 3 (2017): 17042.
9. Singh U., et al. “Prevalence and risk factors of urinary incontinence in Indian women: A hospital-based survey”. Indian Journal of Urology 29 (2013): 31-36.
10. Timmermans L., et al. “Validation of use of the International Consultation on Incontinence Questionnaire-Urinary Incontinence-Short Form (ICIQ-UI-SF) for impairment rating: a transversal retrospective study of 120 patients”. Neurourology and Urodynamics 7 (2013): 974-979.
11. Caballero FF., et al. “Validation of an instrument to evaluate quality of life in the aging population: WHOQOL-AGE”. Health Qual Life Outcomes 11 (2013): 177.
12. Prabhu SA and Shanbhag SS. “Prevalence and risk factors of urinary incontinence in womenresiding in a tribal area in Maharashtra, India”. Journal of Research in Health Sciences 13 (2013): 125-130.
13. Biswas B., et al. “Urinary Incontinence, Its Risk Factors, and Quality of Life: A Study among Women Aged 50 Years and above in a Rural Health Facility of West Bengal”. Journal of Midlife Health3 (2017): 130-136.
14. Hannestad YS., et al. “Epidemiology of Incontinence in the County of Nord-Trøndelag. A community-based epidemiological survey of female urinary incontinence: the Norwegian EPINCONT study. Epidemiology of Incontinence in the County of Nord-Trøndelag”. Journal of Clinical Epidemiology 11 (2000): 1150-1157.
15. Ebbesen MH., et al. “Prevalence, incidence and remission of urinary incontinence in women: longitudinal data from the Norwegian HUNT study (EPINCONT)”. BMC Urology 13 (2013): 27.
16. Minassian VA., et al. “Urinary incontinence as a worldwide problem”. International Journal of Gynecology and Obstetrics 3 (2003): 327-338.
17. Serati M and Ghezzi F. The epidemiology of urinary incontinence: a case still open”. Annals of Translational Medicine's 6 (2016): 123.
18. Hampel C., et al. “Definition of overactive bladder and epidemiology of urinary incontinence”. Urology 50 (1997): 4-14.
19. Glazener CM., et al. “New postnatal urinary incontinence: obstetric and other risk factors in primiparae”. BJOG2 (2006): 208-217.
20. Lordelo P., et al. “New concept for treating female stress urinary incontinence with radiofrequency”. International Brazilian Journal of Urology 5 (2017): 896-902.

Citation

Citation: Jindal Preeti., et al. “Female Urinary Incontinence - A Revisit on Prevalence of this Problem in Today’s Society, which is Increasing due to Increase in Average Life Span”. Acta Scientific Women's Health 3.9 (2021): 27-33.

Copyright

Copyright: © 2021 Jindal Preeti.,et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.