Advances in Clinical and Experimental Medicine

Title abbreviation: Adv Clin Exp Med
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ISSN 1899–5276 (print)
ISSN 2451-2680 (online)
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Advances in Clinical and Experimental Medicine

2012, vol. 21, nr 2, March-April, p. 207–213

Publication type: original article

Language: English

Urinary Incontinence in Women and Its Relation with Pregnancy, Mode of Delivery, Connective Tissue Disease and Other Factors

Nietrzymanie moczu u kobiet i jego związek z ciążą, rodzajem porodu, chorobą tkanki łącznej i innymi czynnikami

Rahime Bedir Findik1,, Ayse Nurcan Unluer2,, Erhan Şahin3,, Ömer Faruk Bozkurt3,, Jale Karakaya4,, Ali Ünsal3,

1 Kecioren Education and Research Hospital, Department of Obstetrics and Gynecology, Ankara, Turkey

2 Bilecik Central Hospital, Department of Obstetrics and Gynecology, Bilecik, Turkey

3 Kecioren Education and Research Hospital, Department of Urology, Ankara, Turkey

4 Hacettepe University, Department of Biostatistics, Ankara, Turkey

Abstract

Objectives. The aim of this study was to determine the relationship between urinary incontinence (UI) and parameters such as pregnancy, mode of delivery and other factors.
Material and Methods. The study was based on a questionnaire administered to 761 patients. After their age, menopausal status, number of pregnancies, number of deliveries and history of connective tissue disease (CTD) were recorded, the data were analyzed using a χ2 test.
Results. In patients who are post-menopausal and over 40, both stress incontinence (SI) and urge incontinence (URI) were found to be significantly higher. It was also established that both SI and URI increased with the number of pregnancies. As the number of normal vaginal deliveries increased, the rate of both SI and URI increased, while increases in the number of cesarean sections affected neither SI nor URI. Among women who had had abortions, the rate of SI was higher, and it increased as the number of abortions increase. Neither the occurrence of abortions nor increased numbers of abortions influenced the rate of URI. In patients with CTD, both SI and URI increase.
Conclusion. Urinary incontinence in women seems to be influenced by the mode of delivery, menopause, age and CTD.

Streszczenie

Cel pracy. Określenie związków między nietrzymaniem moczu (n.m.) a wskaźnikami, takimi jak ciąża, rodzaj porodu i inne.
Materiał i metody. Badanie zostało oparte na kwestionariuszu, który wypełniło 761 pacjentek. Po odnotowaniu ich wieku, stanu menopauzalnego, liczby ciąż, liczby porodów i chorób tkanki łącznej (CTD) w wywiadzie, dane analizowano za pomocą testu χ2.
Wyniki. U pacjentek, które są po menopauzie i powyżej 40 lat zarówno wysiłkowe nietrzymanie moczu (w.n.m.), jak i nietrzymanie moczu spowodowane naglącymi parciami (n.m.) okazały się znacznie częstsze. Ustalono również, że częstotliwość w.n.m. i n.m. wzrasta wraz z liczbą ciąż. Wraz ze wzrostem liczby porodów siłami natury zwiększa się częstotliwość w.n.m. i n.m., podczas gdy wzrost liczby cięć cesarskich nie wpływa na częstotliwość w.n.m. i n.m. Wśród kobiet, które dokonały aborcji częstotliwość n.m. była większa; tym większa, im większa była liczba aborcji. Ani występowanie aborcji, ani ich większa liczba nie miały wpływu na częstotliwość n.m. U chorych na CTD częstotliwość w.n.m. i n.m. były większe.
Wnioski. Na występowanie nietrzymania moczu u kobiet wpływa rodzaj porodu, menopauza, wiek i CTD.

Key words

urge incontinence, stress incontinence, urinary incontinence

Słowa kluczowe

nietrzymanie moczu spowodowane naglącymi parciami, wysiłkowe nietrzymanie moczu, nietrzymanie moczu

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