Online first
Current issue
Archive
Special Issues
About the Journal
Publication Ethics
Anti-Plagiarism system
Instructions for Authors
Instructions for Reviewers
Editorial Board
Editorial Office
Contact
Reviewers
All Reviewers
2023
2022
2021
2020
2019
2018
2017
2016
General Data Protection Regulation (RODO)
RESEARCH PAPER
Three most important etiological factors of occurrence of stress urinary incontinence in nulliparous pre-and postmenopausal Polish women
1
Department of Mother’s and Child’s Health, University of Medical Sciences, Poznan, Poland
2
Chair and Department of Computer Science and Statistics, University of Medical Sciences, Poznan, Poland
3
Clinic of Surgical Gynaecology, University of Medical Sciences, Poznan, Poland
Corresponding author
Karolina Chmaj-Wierzchowska
Department of Mother’s and Child’s Health, University of Medical Sciences, Poznan, Poland
Department of Mother’s and Child’s Health, University of Medical Sciences, Poznan, Poland
Ann Agric Environ Med. 2012;19(3):581-585
KEYWORDS
ABSTRACT
Introduction:
Stress urinary incontinence (SUI) is a chronic disease which occurs in 50% of women with urinary incontinence. It is estimated that in association with a longer life span and ageing of the population, this disorder will become even more prevalent and will exert an increasingly stronger effect on the deterioration of the quality of life.
Objective:
The objective of the study is analysis of the factors affecting the occurrence of SUI.
Methodology:
The analysis covered 260 patients aged 27-82. The criterion of enrolment into the study was: diagnosis of SUI without disorders of pelvi-genital statics, and negative obstetric history (nulliparous and non-pregnant women). The investigations covered, among other things, the effect surgeries in the area of the lesser pelvis, body mass index (BMI), cigarette smoking, concomitant internal diseases, and hormonal therapy, with consideration of the division into two groups: women before and after menopause. Statistical analysis was performed by means of chi 2 Pearson, t-Student test, and Fisher-Freeman-Halton test for p<0.05.
Results:
The results of the analysis unequivocally indicate that the age of patients (p=0.0001), body mass index (BMI) (p=0.0001), and surgical procedure for the removal of the uterus by laparotomy (p=0.0001) exert the greatest effect on the occurrence of SUI in pre- and postmenopausal women. The effect of the remaining etiologic factors is rather controversial.
Conclusions:
A comprehensive analysis of risk factors may contribute to the improvement of the results of treatment and quality of life of pre- and postmenopausal patients.
Stress urinary incontinence (SUI) is a chronic disease which occurs in 50% of women with urinary incontinence. It is estimated that in association with a longer life span and ageing of the population, this disorder will become even more prevalent and will exert an increasingly stronger effect on the deterioration of the quality of life.
Objective:
The objective of the study is analysis of the factors affecting the occurrence of SUI.
Methodology:
The analysis covered 260 patients aged 27-82. The criterion of enrolment into the study was: diagnosis of SUI without disorders of pelvi-genital statics, and negative obstetric history (nulliparous and non-pregnant women). The investigations covered, among other things, the effect surgeries in the area of the lesser pelvis, body mass index (BMI), cigarette smoking, concomitant internal diseases, and hormonal therapy, with consideration of the division into two groups: women before and after menopause. Statistical analysis was performed by means of chi 2 Pearson, t-Student test, and Fisher-Freeman-Halton test for p<0.05.
Results:
The results of the analysis unequivocally indicate that the age of patients (p=0.0001), body mass index (BMI) (p=0.0001), and surgical procedure for the removal of the uterus by laparotomy (p=0.0001) exert the greatest effect on the occurrence of SUI in pre- and postmenopausal women. The effect of the remaining etiologic factors is rather controversial.
Conclusions:
A comprehensive analysis of risk factors may contribute to the improvement of the results of treatment and quality of life of pre- and postmenopausal patients.
REFERENCES (23)
1.
Kwias Z. Wysiłkowe nietrzymanie moczu u kobiet jako problem kliniczny, leczniczy i społeczny. (Stress urinary incontinence as a clinical therapeutic and social problem) Przew Lek. 2000; 10: 32-37 (in Polish).
2.
Rechberger T. Nowości w diagnostyce i leczeniu zabiegowym nietrzymania moczu u kobiet. (Developments in diagnostics and treatment of urinary incontinence in women) Przew Lek. 2007; 2: 94-100 (in Polish).
3.
Contreras Ortiz O. Stress urinary incontinence in the gynecological practice. Int J Gynaecol Obstet. 2004; 86 Suppl 1: S6-16.
4.
Wang XR, Shi JX, Zhai GR, Zhang WY. Postpartum stress urinary incontinence and associated obstetric factors. Zhonghua Fu Chan Ke Za Zhi. 2010; 45(2): 104-8.
5.
Torrisi G, Sampugnaro EG, Pappalardo EM, D’Urso E, Vecchio M, Mazza A. Postpartum urinary stress incontinence: analysis of the associated risk factors and neurophysiological tests. Minerva Ginecol. 2007; 59(5): 491-8.
6.
Viktrup L, Lose G. The risk of stress incontinence 5 years after first delivery. Am J Obstet Gynecol 2001;185:82.
7.
Viktrup L, Rortveit G, Lose G. Risk of stress urinary incontinence twelve years after the first pregnancy and delivery. Obstet Gynecol. 2006; 108(2): 248-54.
8.
Menezes M, Pereira M, Hextall A. Predictors of female urinary incontinence at mdlife and beyond. Maturitas 2010; 65: 167-171.
9.
Ahn KH, Kim T, Hur JY, Kim SH, Lee KW, Kim YT. Relationship between serum estradiol and follicle-stimulating hormone levels and urodynamic results in women with stress urinary incontinence. Int Urogynecol J. 2011; 22(6): 731-7.
10.
Stothers L, Friedman B. Risk factors for the development of stress urinary incontinence in women. Curr Urol Rep. 2011; 12(5): 363-9.
11.
Hannestad YS, Rortveit G, Daltveit AK, Hunskaar S. Are smoking and other lifestyle factors associated with female urinary incontinence? The Norwegian EPINCONT Study. BJOG. 2003; 110(3): 247-54.
12.
Bart S, Ciangura C, Thibault F, Cardot V, Richard F, Basdevant A, Chartier-Kastler E. Stress urinary incontinence and obesity. Prog Urol. 2008; 18(8): 493-8.
13.
Bai SW, Kang JY, Rha KH, Lee MS, Kim JY, Park KH. Relationship of urodynamic parameters and obesity in women with stress urinary incontinence. J Reprod Med. 2002; 47(7): 559-63.
14.
Whitcomb EL, Horgan S, Donohue MC, Lukacz ES. Impact of surgically induced weight loss on pelvic floor disorders. Int Urogynecol J. 2012 Apr 12. [Epub ahead of print].
15.
Contreras Ortiz O. Stress urinary incontinence in the gynecological practice. Int J Gynaecol Obstet. 2004; 86 Suppl 1: S6-1.
16.
Chmaj-Wierzchowska K, Wierzchowski M, Pięta B, Buks J, Opala T. What Do We Know About Hysterectomy?. In: Al.-Hendy A, Sabary M. Hysterectomy. InTech, Croatia. 2012: 393-408.
17.
Duru C, Jha S, Lashen H. Urodynamic outcomes after hysterectomy for benign conditions: a systematic review and meta-analysis. Obstet Gynecol Surv. 2012; 67(1): 45-54.
18.
Jędrzejczyk S, Lau K, Rutkowska B, Rżanek A, Bobeff Artur, Wieczorek M. Nietrzymanie moczu po operacjach ginekologiczno-położniczych w świetle badań urodynamicznych. (Urinary incontinence after gynaecological-obstetric surgeries in the light of urodynamic studies) Ginekol Pol. 2010; 81: 370-373 (in Polish).
19.
Rutkowska B, Lau K, Wieczorek M, Rżanek A, Bobeff A, Jędrzejczyk S. Ocena wpływu operacji korygującej wypadanie przedniej ściany pochwy na funkcję dolnych dróg moczowych u pacjentek bez objawów wysiłkowego nietrzymania moczu przed operacją. (Evaluation of the effect of surgical correction of the prolapse of anterior vaginal wall on the function of lower urinary tract in patients without symptoms of stress urinary incontinence before surgery) Prz Menopauz. 2009; 5: 278-283 (in Polish).
20.
Wall LL, Hewitt JK. Urodynamic characteristics of women with complete posthysterectomy vaginal vault prolapse. Urology. 1994; 44(3): 336-41; discussion 341-2.
21.
Stadnicka G, Iwanowicz-Palus G, Mazurek A, Pięta B. The feeling of life satisfaction in patients after hysterectomy. Ginekol Pol. 2012; 83: 347-352.
22.
Stangel-Wójcikiewicz K, Majka M, Basta A, Stec M, Pabian W, Piwowar M, Chancellor M. Adult stem cells therapy for urine incontinence in women. Ginekol Pol. 2010; 81: 378-381.
23.
Skorupski P, Miotła P, Jankiewicz K, Rechberger T. MMP-1 and MMp-3 gene encoding polymorphism and the risk of the development of pelvic organ prolapse and stress urinary incontinence. Ginekol Pol. 2010; 81: 594-599.
Share
RELATED ARTICLE
| eISSN: | 1898-2263 |
| ISSN: | 1232-1966 |
Improvement of visual identification of the journal - task financed under the agreement No. 618/P-DUN/2019 by the Minister of Science and Higher Education allocated to the activities of disseminating science.
Generation of the DOI (Digital Object Identifier) - task financed under the agreement No. 618/P-DUN/2019 by the Minister of Science and Higher
© 2006-2024 Journal hosting platform by Bentus
We process personal data collected when visiting the website. The function of obtaining information about users and their behavior is carried out by voluntarily entered information in forms and saving cookies in end devices. Data, including cookies, are used to provide services, improve the user experience and to analyze the traffic in accordance with the Privacy policy. Data are also collected and processed by Google Analytics tool (more).
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
