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Pang H, Yin J, Li Z, Gong J, Liu Q, Wang Y, Wang J, Xia Z, Liu J, Si M, Dang L, Fang J, Lu L, Qiao Y, Zhu L. The incidence of urinary incontinence in Chinese hypertensive women and the relationship between hypertension and urinary incontinence. Eur J Obstet Gynecol Reprod Biol 2024; 301:210-215. [PMID: 39154517 DOI: 10.1016/j.ejogrb.2024.08.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2024] [Revised: 07/19/2024] [Accepted: 08/12/2024] [Indexed: 08/20/2024]
Abstract
OBJECTIVES To determine the incidence of UI (urinary incontinence) and its subtypes in hypertensive women and examine the association between hypertension and new-onset UI. STUDY DESIGN We conducted a cohort study on women aged ≥20 years in six regions of China. This cohort study was carried out from 2014 to 2016 at baseline, with follow-up completed in 2018. Information on sociodemographic characteristics, physiological and health behaviours were collected. We calculated the standardized person-year incidence of UI in hypertensive women, and used logistic regression to evaluate the association between hypertension and UI and its subtypes. RESULTS The standardized incidence of UI, stress UI (SUI), urgency UI (UUI), and mixed UI (MUI) in hypertensive women was 32.2, 21.9, 4.1, and 6.1 per 1000 person-years. Compared with normotensive women, the unadjusted and adjusted OR (odd ratio) for UI in hypertensive women was 2.62 (95 % confidence interval [CI], 2.16-3.18) and 1.70 (95 % CI, 1.14-2.53), respectively; The unadjusted and adjusted OR for SUI in women with hypertension was 2.44 (95 % CI, 1.92-3.09) and 2.60 (95 % CI, 1.68-4.04), respectively; The unadjusted and adjusted OR for UUI in women with hypertension was 2.80 (95 % CI, 1.79-4.37) and 0.54 (95 % CI, 0.13-3.66), respectively; The unadjusted and adjusted OR for MUI in women with hypertension was 2.49 (95 % CI, 1.92-3.09) and 0.60 (95 % CI, 0.19-1.91), respectively. CONCLUSIONS The incidence of UI in hypertensive women was 32.2/1000 person-years. Hypertension was an independent risk factor for new-onset UI and SUI in Chinese adult women.
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Affiliation(s)
- Haiyu Pang
- Center for Prevention and Early Intervention, National Infrastructures for Translational Medicine, Institute of Clinical Medicine, State Key Laboratory of Common Mechanism Research for Major Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, China
| | - Jiahui Yin
- Department of Obstetrics and Gynecology, National Clinical Research Center for Obstetric & Gynecologic Diseases, State Key Laboratory of Common Mechanism Research for Major Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China; School of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Zhaoai Li
- Department of Gynecology and Obstetrics, Children's Hospital of Shanxi Province, Shanxi, China
| | - Jian Gong
- Department of Gynecology and Obstetrics, Maternal and Child Health Hospital of Wuxi, Jiangsu, China
| | - Qing Liu
- Department of Gynecology and Obstetrics, Maternal and Child Health Hospital of Gansu Province, Lanzhou, China
| | - Yuling Wang
- Department of Gynecology and Obstetrics, Maternal and Child Health Hospital of Foshan, Guangdong, China
| | - Juntao Wang
- Department of Gynecology and Obstetrics, Maternal and Child Health Hospital of Guiyang, Guizhou, China
| | - Zhijun Xia
- Department of Gynecology and Obstetrics, Sheng Jing Hospital of China Medical University, Liaoning, China
| | - Jingyi Liu
- Department of Obstetrics and Gynecology, National Clinical Research Center for Obstetric & Gynecologic Diseases, State Key Laboratory of Common Mechanism Research for Major Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China; School of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Mingyu Si
- Department of Obstetrics and Gynecology, National Clinical Research Center for Obstetric & Gynecologic Diseases, State Key Laboratory of Common Mechanism Research for Major Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China; School of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Le Dang
- Department of Obstetrics and Gynecology, National Clinical Research Center for Obstetric & Gynecologic Diseases, State Key Laboratory of Common Mechanism Research for Major Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
| | - Jiaqi Fang
- Department of Obstetrics and Gynecology, National Clinical Research Center for Obstetric & Gynecologic Diseases, State Key Laboratory of Common Mechanism Research for Major Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China; School of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Linli Lu
- Department of Obstetrics and Gynecology, National Clinical Research Center for Obstetric & Gynecologic Diseases, State Key Laboratory of Common Mechanism Research for Major Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China; School of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Youlin Qiao
- School of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Lan Zhu
- Department of Obstetrics and Gynecology, National Clinical Research Center for Obstetric & Gynecologic Diseases, State Key Laboratory of Common Mechanism Research for Major Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
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Okui N. Innovative decision making tools using discrete mathematics for stress urinary incontinence treatment. Sci Rep 2024; 14:9900. [PMID: 38688938 PMCID: PMC11061106 DOI: 10.1038/s41598-024-60407-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2024] [Accepted: 04/23/2024] [Indexed: 05/02/2024] Open
Abstract
In this study, we applied graph theory to clinical decision-making for Stress Urinary Incontinence (SUI) treatment. Utilizing discrete mathematics, we developed a system to visually understand the shortest path to the desired treatment outcomes by considering various patient variables. Focusing on women aged 35-50, we examined the effectiveness of Tension-free Vaginal Tape (TVT) surgery and Vaginal Erbium Laser (VEL) treatment for over 15 years. The TVT group consisted of 102 patients who underwent surgery using either the Advantage Fit mid-urethral sling system (Boston Scientific Co., MA, USA) or the GYNECARE TVT retropubic system (Ethicon Inc., NJ, USA). The VEL group included 113 patients treated with a non-ablative Erbium: YAG laser (FotonaSmooth™ XS; Fotona d.o.o., Ljubljana, Slovenia), and there were 112 patients in the control group. We constructed a network diagram analyzing the correlations between health, demographic factors, treatment methods, and patient outcomes. By calculating the shortest path using heuristic functions, we identified significant correlations and treatment effects. This approach supports patient decision making by choosing between TVT and VEL treatments based on individual objectives. Our findings provide new insights into SUI treatment, highlighting the value of a data-driven personalized approach for clinical decision-making. This interdisciplinary study bridges the gap between mathematics and medicine, demonstrating the importance of a data-centric approach in clinical decisions.
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Affiliation(s)
- Nobuo Okui
- Kanagawa Dental University, 82 Inaka Cho, Yokosuka, Kanagawa, 238-8580, Japan.
- Yokosuka Urogynecology and Urology Clinic, 2-6 Ootaki, Yokosuka, Kanagawa, 238-0008, Japan.
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Tian Z, Wang X, Hu X, Sun Z. Effect of Surgically Induced Weight Loss on Pelvic Organ Prolapse: A Meta-analysis. Obes Surg 2023; 33:3402-3410. [PMID: 37804469 PMCID: PMC10602998 DOI: 10.1007/s11695-023-06867-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2023] [Revised: 09/19/2023] [Accepted: 09/25/2023] [Indexed: 10/09/2023]
Abstract
INTRODUCTION Bariatric surgery alleviates certain aspects of pelvic floor disorder, but the effect on pelvic organ prolapse (POP) is unclear. To assess the effect of bariatric surgery on POP we conducted the present meta-analysis and firstly performed a subgroup analysis based on the duration of follow-up. METHODS Four databases including PubMed, The Cochrane Library, Web of Science, and Embase were searched to identify relevant studies published before February 24, 2023. The main outcome was the prevalence and severity of POP symptoms before and after bariatric surgery. Then we assessed the heterogeneity, publication bias and performed subgroup analyses based on follow-up time, study quality and region. RESULTS Eleven studies with a total of 696 participants met the inclusion criteria. The results showed that the prevalence of POP decreased after bariatric surgery (odds ratio[OR] = 2.29, 95% confidence interval[CI]: 1.05, 5.01; P = 0.04, I2 = 78%), with significant differences observed both at 3-6 months (OR = 2.24, 95% CI: 1.25, 4.01; P = 0.007, I2 = 59%) and 12 months (OR = 4.64, 95% CI: 2.83, 7.58; P < 0.0001, I2 = 0%) of follow-up compared with pre-surgery. Pelvic Organ Prolapse Distress Inventory scores 6-item also decreased after bariatric surgery (mean difference [MD] = 2.11, 95% CI: 0.32, 3.89; P = 0.02, I2 = 55%) with significant differences observed both at 3-6 months (MD = 3.72; 95% CI: [0.10, 7.34], P = 0.04, I2 = 70%) and ≥ 12 months (MD = 3.24; 95% CI: [0.56, 5.91], P = 0.02, I2 = 56%) of follow-up. CONCLUSION Bariatric surgery alleviated POP symptoms in women with obesity both during short-term (3-6 months) and long-term (≥ 12 months) follow-up.
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Affiliation(s)
- Zhao Tian
- Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, National Clinical Research Center for Obstetric & Gynecologic Diseases, Beijing, China
| | - Xiuqi Wang
- Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, National Clinical Research Center for Obstetric & Gynecologic Diseases, Beijing, China
| | - Xiaopeng Hu
- Department of Structural Heart Disease, National Center for Cardiovascular Disease, China & Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
| | - Zhijing Sun
- Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, National Clinical Research Center for Obstetric & Gynecologic Diseases, Beijing, China.
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Okui N, Miyazaki H, Takahashi W, Miyauchi T, Ito C, Okui M, Shigemori K, Miyazaki Y, Vizintin Z, Lukac M. Comparison of urethral sling surgery and non-ablative vaginal Erbium:YAG laser treatment in 327 patients with stress urinary incontinence: a case-matching analysis. Lasers Med Sci 2022; 37:655-663. [PMID: 33886071 PMCID: PMC8803680 DOI: 10.1007/s10103-021-03317-x] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2020] [Accepted: 04/05/2021] [Indexed: 02/06/2023]
Abstract
Stress urinary incontinence (SUI) occurs when abdominal pressure, such as from coughing or sneezing, causes urine leakage. We retrospectively compared tension-free vaginal tape (TVT) and non-ablative vaginal Erbium:YAG laser treatment (VEL) by propensity score (PS) analysis in women with SUI. No PS analysis studies have investigated urethral sling surgery using polypropylene TVT and VEL for SUI. Data from patients aged 35-50 years who were treated for SUI and registered at several institutions were selected. Patients with medical records covering 1 year for the 1-h pad test, who completed the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) and the Overactive Bladder Symptom Score (OABSS), were included. We analyzed 102, 113, and 112 patients in the TVT, VEL, and control groups, respectively. Compared with the control group, the TVT and VEL groups exhibited significant improvement in the 1-h pad test and ICIQ-SF. In the PS analysis, the TVT and VEL groups similarly improved in the 1-h pad test and ICIQ-SF. As for the OABSS, the VEL group showed significantly greater improvement than the TVT group. In the odds ratio analysis for the 1-h pad test, no differences in any of the parameters were observed between TVT and VEL. VEL may be considered an alternative to TVT for SUI treatment.
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Affiliation(s)
- Nobuo Okui
- Urology, Kanagawa Dental University, Yokosuka, Kanagawa, Japan.
- Urology, Dr Okui's Urogynecology and Urology, Yokosuka, Kanagawa, Japan.
- Urology, Teikyo University, Tokyo, Tokyo, Japan.
- Urology, Koshigawa Hospital, Dokkyo University, Saitama, Saitama, Japan.
- Urology, Yokosuka City Hospital, Yokosuka, Kanagawa, Japan.
| | - Hironari Miyazaki
- Urology, Dr Okui's Urogynecology and Urology, Yokosuka, Kanagawa, Japan
- Urology, Yakuin Urogenital Clinic, Fukuoka, Fukuoka, Japan
| | - Wataru Takahashi
- Urology, Dr Okui's Urogynecology and Urology, Yokosuka, Kanagawa, Japan
- Urology, Kengun Kumamoto Urology, Kumamoto, Kumamoto, Japan
- Urology, Kumamoto University, Kumamoto, Kumamoto, Japan
| | - Toshihide Miyauchi
- Urology, Dr Okui's Urogynecology and Urology, Yokosuka, Kanagawa, Japan
- Urology, Ooita Urology Hospital, Ooita, Ooita, Japan
| | - Chikako Ito
- Urology, Dr Okui's Urogynecology and Urology, Yokosuka, Kanagawa, Japan
- Urology and Gynecology, Saint Sofia Clinic, Nagoya, Aichi, Japan
| | - Machiko Okui
- Urology, Dr Okui's Urogynecology and Urology, Yokosuka, Kanagawa, Japan
- Urology, Yokosuka City Hospital, Yokosuka, Kanagawa, Japan
| | | | | | | | - Matjaž Lukac
- Fotona d.o.o., Stegne 7, 1000, Ljubljana, EU, Slovenia
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Suchithra BS, Rajeev TP, Dsilva F. Risk Factors of Urogenital Problems among Perimenopausal Women. JOURNAL OF HEALTH AND ALLIED SCIENCES NU 2021. [DOI: 10.1055/s-0041-1731913] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
Abstract
Introduction Menopause is a natural event that results from cessation of the menstrual cycle. It usually occurs in midlife, marking the end of women’s reproductive life. Perimenopause refers to the time at which our body makes the natural transition to the menopause and may last for 4 to 8 years. A lot of urogenital problems start appearing after the age of 40 in women. The aim of the study is to identify the risk factors of the urogenital problems in perimenopausal women.
Materials and Methods An explorative survey design with a purposive sampling method was used to collect the data from 200 women and older than 40 years admitted to the tertiary care hospital and a community under Natekal Primary Health Center were selected for the study.
Results A total of 200 women were enrolled; 85 (42.5%) had urinary tract infections, 49 (24.5%) had urinary retention, 35 (17.5%) had vaginal dryness, 17 (8.5%) had urinary incontinence, 14 (7%) had a loss of libido. The majority, 76 (38%), had this problem for 1 to 2 years. There was association between selected demographic variables with risk factors like occupation (0.023; p < 0.05), number of children (0.023; p < 0.05), and mode of delivery (0.023; p < 0.05).
Conclusion The study result concludes that there was a significant association between urogenital problems and risk factors.
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Affiliation(s)
- B. S. Suchithra
- Department of Community Health Nursing, Nitte Usha Institute of Nursing Sciences, Nitte (deemed to be University), Mangaluru, Karnataka, India
| | - T. P. Rajeev
- Department of Urology, K.S. Hegde Charitable Hospital, Mangaluru, Karnataka, India
| | - Fatima Dsilva
- Faculty of Nursing Sciences, Nitte Usha Institute of Nursing Sciences, Nitte (deemed to be University), Mangaluru, Karnataka, India
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Xue K, Palmer MH, Zhou F. Prevalence and associated factors of urinary incontinence in women living in China: a literature review. BMC Urol 2020; 20:159. [PMID: 33054777 PMCID: PMC7559450 DOI: 10.1186/s12894-020-00735-x] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2019] [Accepted: 10/05/2020] [Indexed: 12/15/2022] Open
Abstract
Background This review of studies on urinary incontinence (UI) was focused primarily on UI prevalence rates and associated factors across the adult lifecourse of Chinese women. UI is a urologic symptom that can have a significant impact on women's physical and mental health and quality of life. In addition, women with UI may experience socioeconomic burdens due to UI’s effect on their ability to work and function in society. Although researchers from many countries have reported prevalence rates and associated factors for UI, little is known about the prevalence of UI in China’s large female population. Language may act as a barrier to the inclusion of published studies in English-language journals. To overcome this barrier and to add to the global knowledge base about UI in women, the authors reviewed and discussed findings from epidemiological studies published in China and in Chinese language. Methods The authors retrieved research studies from the Wanfang database using the following search terms: "Subject: (Female) × Subject: (Urinary incontinence) × Subject: (Prevalence) × Date: 2013 to 2019". Searches employed the China National Knowledge Infrastructure Database, VIP Database for Chinese Technical Periodicals and China Biology Medicine Database. The authors also used PubMed to search English-language studies published in Chinese journals on UI in Chinese women. Results This literature review includes 48 articles published between January 2013 and December 2019. The overall UI prevalence rates reported in adult Chinese women ranged from 8.7 to 69.8%, representing 43–349 million women, respectively. For women aged 17–40 years, 41–59 years, and 60 years and older, prevalence rates ranged from 2.6–30.0, 8.7–47.7, to 16.9–61.6%, respectively. Significant associated factors for overall UI included age, body mass index, constipation, parity, and menopause. Despite the 17–40 age range being peak reproductive years, the literature revealed little focus on UI prevalence rates. For women aged 41–59 years, the main associated factors included those related to pregnancy and gynecologic diseases. For women 60 years and older, chronic diseases represented most of the associated factors. Conclusions About 43–349 million Chinese women may experience UI. Many of the identified associated factors could be mitigated to reduce UI incidence and prevalence rates. Little is known about the prevalence rates and associated factors for UI among young (aged 17–40) Chinese women. Future research should investigate UI in young women to improve bladder health across their lifecourse.
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Affiliation(s)
- Kaikai Xue
- School of Nursing, Xuzhou Medical University, Xuzhou, China.,School of Nursing and Midwifery, Jiangsu College of Nursing, Huai'an, China
| | - Mary H Palmer
- School of Nursing, University of North Carolina at Chapel Hill, CB 7460, Chapel Hill, USA
| | - Fang Zhou
- School of Nursing, Xuzhou Medical University, Xuzhou, China.
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John G. Urinary incontinence and cardiovascular disease: a narrative review. Int Urogynecol J 2019; 31:857-863. [DOI: 10.1007/s00192-019-04058-w] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2019] [Accepted: 07/16/2019] [Indexed: 11/29/2022]
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Feitosa PDS, Colaço NHB, Barros CR, Gollop TR, Marchesini AC. The association between personal history and the outcomes of transobturator sling surgery. ACTA ACUST UNITED AC 2019; 65:864-869. [PMID: 31340318 DOI: 10.1590/1806-9282.65.6.864] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2019] [Accepted: 04/19/2019] [Indexed: 11/22/2022]
Abstract
OBJECTIVE This study aims to verify the association between risk factors for the onset of SUI and transobturator suburethral sling surgical treatment outcomes. PATIENTS AND METHODS A retrospective study was conducted with 57 patients operated by the Pelvic Floor Surgery Service. Demographic data were compiled from the sample, the body mass index (BMI) was calculated, and the patients were divided according to the response to the surgical treatment. RESULTS A total of 77.2% of the sample was cured or improved after surgical treatment. Out of the total sample, 75.4% of the women were postmenopausal, and 73.7% denied current or past smoking. The median age was 61 years, the median number of births was 4.0, the median BMI was 28.6 kg/m2, and 50.9% of the sample was classified as pre-obese. BMI, menopausal status, age, smoking, and sexual activity were not factors associated with the surgical outcome. However, parity equal to or greater than 5 was associated with worse postoperative results (p = 0.004). CONCLUSIONS among risk factors associated with the emergence of SUI, only parity greater than 4 showed a negative impact on transobturator sling surgery outcomes.
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Affiliation(s)
- Paula da Silva Feitosa
- Undergraduate students of the fourth year of the medical program of the Jundiaí Medical Faculty; Jundiaí, SP, Brasil
| | | | - Cristiane Regina Barros
- Graduate in physical therapy and masters student at the Jundiaí Medical Faculty; Jundiaí, SP, Brasil
| | - Thomaz Rafael Gollop
- Associate professor of the gynecology course of the obstetrics and gynecology department of the Jundiaí Medical Faculty; Jundiaí, SP, Brasil
| | - Ana Carolina Marchesini
- Adjunct professor of the gynecology course of the obstetrics and gynecology department of the Jundiaí Medical Faculty; Jundiaí, SP, Brasil
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Yang E, Lisha NE, Walter L, Obedin-Maliver J, Huang AJ. Urinary Incontinence in a National Cohort of Older Women: Implications for Caregiving and Care Dependence. J Womens Health (Larchmt) 2018; 27:1097-1103. [PMID: 29902123 DOI: 10.1089/jwh.2017.6891] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Urinary incontinence (UI) can interfere with older women's ability to perform activities of daily living (ADLs), but little is known about factors that predispose incontinent women to become functionally dependent or compromise their ability to serve as caregivers to others. STUDY DESIGN UI, caregiving, and care-receiving behaviors were assessed by questionnaire in a national sample of community-dwelling older women. Multivariable models evaluated associations between incontinence and care dependence, assessed factors associated with care dependence among incontinent women, and compared health among female caregivers with and without incontinence. RESULTS Of the 1703 women, 27% reported weekly or more incontinence and 13% monthly incontinence. Women with weekly or more incontinence were more likely than women without incontinence to report receiving care for ADLs (AOR = 2.39, CI = 1.61-3.56) or instrumental ADLs (AOR = 1.94, CI = 1.42-2.63). Compared to 46% of women without incontinence, 60% of women with monthly or weekly incontinence reported unmet care needs (p = 0.0002). Factors associated with care dependence included more frequent incontinence, older age, marital status, and fair/poor health (p < 0.05 for all). Overall, 15% of women served as a caregiver for another adult, which did not differ by incontinence status (p = 0.84), but female caregivers with incontinence reported worse health than those without incontinence (p = 0.0004). CONCLUSIONS In this national cohort, older women with incontinence were more likely to be functionally dependent and have unmet care needs than those without incontinence, after adjustment for other factors. At least one in ten incontinent women served as caregivers, despite having worse health than female caregivers without incontinence.
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Affiliation(s)
- Emmy Yang
- 1 Icahn School of Medicine at Mount Sinai , New York, New York
| | - Nadra E Lisha
- 2 Department of Medicine, University of California San Francisco , San Francisco, California
| | - Louise Walter
- 2 Department of Medicine, University of California San Francisco , San Francisco, California.,3 Division of Geriatrics, Veterans Affairs Medical Center , San Francisco, California
| | - Juno Obedin-Maliver
- 4 Department of Obstetrics, Gynecology, & Reproductive Sciences, University of California San Francisco , San Francisco, California.,5 Division of Gynecology, Veterans Affairs Medical Center , San Francisco, California
| | - Alison J Huang
- 2 Department of Medicine, University of California San Francisco , San Francisco, California
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Effects of bariatric surgery on pelvic floor disorders in obese women: a meta-analysis. Arch Gynecol Obstet 2017. [DOI: 10.1007/s00404-017-4415-8] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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Yang TH, Wu LY, Chuang FC, Kung FT, Huang KH. Comparing the midterm outcome of single incision vaginal mesh and transobturator vaginal mesh in treating severe pelvic organ prolapse. Taiwan J Obstet Gynecol 2017; 56:81-86. [DOI: 10.1016/j.tjog.2016.12.001] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/01/2016] [Indexed: 11/29/2022] Open
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Chang CP, Chang WH, Hsu YM, Chen YJ, Wen KC, Chao KC, Yen MS, Horng HC, Wang PH, Chuang CM, Chang YH, Wu HH, Lau HY, Tseng JY, Tsai HW, Twu NF, Chao HT. Comparison of single-incision mini-slings (Ajust) and standard transobturator midurethral slings (Align) in the management of female stress urinary incontinence: A 1-year follow-up. Taiwan J Obstet Gynecol 2015; 54:726-30. [DOI: 10.1016/j.tjog.2015.10.007] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/08/2015] [Indexed: 01/15/2023] Open
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