The prevalence of urinary incontinence in women in four European countries. BJU Int

Section for General Practice, Department of Public Health and Primary Health Care, University of Bergen, Norway.
BJU International (Impact Factor: 3.53). 03/2004; 93(3):324-30. DOI: 10.1111/j.1464-410X.2003.04609.x
Source: PubMed


To determine the prevalence, type and treatment behaviour of women with urinary incontinence in four European countries.
Data were collected using a postal survey which was sent to 29,500 community-dwelling women aged > or = 18 years in France, Germany, Spain and the UK. Subjects were asked about the type of urinary incontinence they had experienced and their treatment behaviour.
Of the women who responded, 35% reported involuntary loss of urine in the preceding 30 days; stress urinary incontinence was the most prevalent type. The lowest prevalence was in Spain (23%), while the prevalence was 44%, 41% and 42% for France, Germany and the UK, respectively. About a quarter of women with urinary incontinence in Spain (24%) and the UK (25%) had consulted a doctor about it; in France (33%) and Germany (40%) the percentages were higher. Overall, <5% of the women had ever undergone surgery for their condition. While pads were used by half of the women, there were some differences among the countries.
Millions of women in Europe have urinary incontinence; the consultation and treatment rates were low in the European countries included in this study.

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Available from: Gunnar Lose, Nov 17, 2015
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    • "Crist et al. ont estimé la prévalence à 31 % dans une population de 796 femmes nullipares [6]. En France, Hunskaar et al. ont retrouvé une prévalence chez les 18—24 ans de 27 % en rapport avec la prévalence retrouvée dans la population de notre étude [7]. Dans notre population, les patientes incontinentes présentaient un IMC plus élevé que les patientes continentes, l'obésité étant un facteur de risque reconnu de l'IU [16]. "
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    ABSTRACT: Aims To assess the prevalence of urinary incontinence (UI) in a population of young nulliparous women and the effectiveness of self-perineal exercises in symptomatic women. Material Three hundred and fifteen nulliparous students from French secondary establishments answered through a secure website, created for the study, an anonymous questionnaire about UI. The questionnaire included validated symptom scores (International Consultation on Incontinence Questionnaire-Short Form, ICIQ-UI SF) and quality of life (Contilife). Women who reported UI were asked to perform a self-perineal rehabilitation program for 8 weeks. A second questionnaire was completed after reeducation to assess the evolution of their UI. Results Among the 315 respondents, 92 women (29.2%) reported UI. The mean age was 23.0 (± 4.4) years in the continent group and 22.9 (± 3.6) years in the incontinent group. Only 24 of the 92 women with UI (26.1%) completed the reeducation program with a significant improvement in UI and quality of life (QoL). Conclusion UI is a common disorder in young nulliparous women. Perineal self-exercises without the intervention of a professional could help to improve the disorders. Level of evidence 5.
    Progrès en Urologie 09/2014; 24(10). DOI:10.1016/j.purol.2014.03.007 · 0.66 Impact Factor
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    • "This was the highest proportion reported; in the Middle East the previous highest proportion was 30% in Saudi Arabia [3]. In Europe, studies report different proportions of women seeking medical advice among different countries , from <15% in Turkey [9] to 40% in Germany [8]. "
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    ABSTRACT: Objective To study the prevalence of and risk factors for urinary incontinence (UI) in Qatar, and its impact on quality of life (QoL). Patients and methods This study was conducted in two phases, as phase 1 from 2010 to 2011 and phase 2 from 2011 to 2012. In phase 1 we calculated the prevalence of UI in Qatar and its risk factors. In phase 2 we determined the frequency and severity of different types of UI and its impact on QoL, by using the International Consultation Incontinence Questionnaire – Short Form (ICIQ-SF). Results The total of women included in phase 1 was 521, among whom 108 (20.7%) confirmed that they had experienced UI during the previous 4 weeks, whilst 413 (79.3%) denied any type of UI. Women with UI were older and less educated. Bronchial asthma was the only statistically significant factor affecting UI. In phase 2, 1085 patients with UI were enrolled, of whom 454 (41.9%) had urge UI (UUI), 484 (44.5%) had stress UI (SUI) and 148 (13.6%) had mixed UI (MUI). This phase also showed a distribution of the type of UI according to the age of the patients. UUI was predominant in women aged <40 years, SUI in those aged <70 years and MUI in those aged 40–70 years. Of these women, 86% had a small amount of urinary leakage (requiring 1–2 pads per day) but this had a significant effect on their QoL. Conclusion In Qatar, 21% of women have UI, but bronchial asthma was a significant risk factor influencing the occurrence of UI. Social and religious factors have a significant effect on the QoL of incontinent women. A well-designed national health programme for both women in general and for those with UI, and for physicians and nurses in primary health centres, is highly recommended.
    Arab Journal of Urology 09/2014; 12(4). DOI:10.1016/j.aju.2014.08.002
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    • "LUTS are recognized as a common condition in men aged ≥40 years, and its prevalence increases with age [2,3,4]. Several epidemiologic studies have focused on LUTS in Korea [5,6,7,8,9,10], as well as in other Asian [11,12,13] and Western countries [14,15,16,17,18]. However, the true prevalence of LUTS is difficult to determine because most studies have examined specific symptoms related to benign prostatic hyperplasia [8,13], urinary incontinence [7,9,10,14], or overactive bladder [5,6,12,15,17,18] rather than LUTS in general. "
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    ABSTRACT: Purpose The aim of this study was to evaluate the prevalence of lower urinary tract symptoms (LUTS) among Korean men aged ≥40 years. Methods We performed a population-based, cross-sectional door-to-door survey on a geographically stratified random sample of men aged ≥40 years. All respondents were asked about the presence of individual LUTS using a questionnaire based on 2002 International Continence Society definitions. For comparison, we also defined nocturia as two or more nocturnal micturitions per night. The International Prostate Symptom Score (IPSS) questionnaire was used to assess LUTS severity. Results Responses from 1,842 subjects were analyzed. The overall prevalence of LUTS was 83.4%. Storage LUTS (70.1%) were more prevalent than voiding (60.4%) or postmicturition LUTS (38.3%). When nocturia was defined as two or more nocturnal micturitions per night, voiding symptoms became most prevalent (storage, 39.7%; voiding, 60.4%; and postmicturition, 38.3%). More than 90% of our population described the severity of their urinary symptoms as moderate (8-19) or severe (20-35). The prevalence and severity of LUTS increased with age. Conclusions LUTS are highly prevalent among Korean men, and its prevalence increases with age. Increased public awareness and a larger number of treatment options are needed to appropriately manage symptoms and their consequences.
    International neurourology journal 09/2014; 18(3):126-32. DOI:10.5213/inj.2014.18.3.126 · 1.06 Impact Factor
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