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Does the Amount of Urine Leakage Affect Life Quality in Women with Stress Urinary Incontinence? A Retrospective Study

Yıl 2017, Cilt: 22 Sayı: 2, 107 - 113, 27.03.2017
https://doi.org/10.21673/anadoluklin.296619

Öz

Aim: In this study, it was aimed to designate the effects
of the urine leakage amount on the perceived quality of life and dryness
sensation in women with stress urinary incontinence.

Materials and Methods: 232 women with stress urinary incontinence were
divided into 3 groups as light, moderate and intense/very intense urinary
leakage. Following the recording of the physical and socio-demographic features
and period of urinary incontinence complaints of the women, their perceived
dryness and perceived life qualities were measured by using the visual analog
scale, and their life qualities were measured by using the questionnaire of
life quality of patients with urinary incontinence.   

Results: There were no differences found between the physical
and socio-demographical features of the women with stress urinary incontinence
based on the urine leakage amounts. There were no differences between the life
qualities, perceived dryness sensation, perceived life qualities and the
periods of urinary incontinence complaints of the women with moderate and
intense/very intense urinary incontinence, and there were differences found
between the women with light urinary incontinence and these two groups.

Discussion and Conclusion: The perceived life qualities of the women with light
stress urinary incontinence were better in comparison to the other two groups,
and their perceived dryness sensation was less intense. The perception of the
quality of life and dryness of women with moderate to severe stress urinary
incontinence was similar.

Kaynakça

  • 1. Hunskaar S, Arnold E, Burgio K, Diokno A, Herzog A, Mallett V. Epidemiology and natural history of urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 2000;11(5):301-19.
  • 2. Cheater FM, Castleden CM. Epidemiology and classification of urinary incontinence. Baillieres Best Pract Res Clin Obstet Gynaecol. 2000;14(2):183-205.
  • 3. Hunskaar S, Burgio K, Diokno A, Herzog AR, Hjälmås K, Lapitan MC. Epidemiology and natural history of urinary incontinence in women. Urology. 2003;62(4):16-23.
  • 4. Hannestad YS, Rortveit G, Sandvik H, Hunskaar S. A community-based epidemiological survey of female urinary incontinence:: The Norwegian EPINCONT Study. J Clin Epidemiol. 2000;53(11):1150-7.
  • 5. Andersen JT, Blaivas JG, Cardozo L, Thüroff J. Seventh report on the standardisation of terminology of lower urinary tract function: lower urinary tract rehabilitation techniques. Scand J Urol Nephrol. 1992;26(2):99-106.
  • 6. Abrams P CL, Fall M et al. The standardisation of terminology of lower urinary tract function: report from the standardisation sub-committee of the International Continence Society. Neurourol Urodyn. 2002;21:167-78.
  • 7. Haylen BT, De Ridder D, Freeman RM, Swift SE, Berghmans B, Lee J, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Int Urogynecol J. 2010;21(1):5-26.
  • 8. Kaya S, Akbayrak T, Orhan C, Beksaç S. Kadınlarda farklı üriner inkontinans tiplerinde hasta özelliklerinin ve üriner parametrelerin karşılaştırılması: retrospektif bir çalışma. J Exerc Ther Rehabil. 2015;2(3):93-101.
  • 9. Luber KM. The definition, prevalence, and risk factors for stress urinary incontinence. Rev Urol. 2004;6:S3.
  • 10. Kaya S, Akbayrak T, Demirtaş N, Bakar Y, Tosun ÖÇ, Özengin N, et al. Kanıt derlemesi In: Akbayrak T, Kaya S, editors. KNGF Kılavuzu, stres üriner inkontiontinansı olan hastalarda fizyoterapi. Ankara: Pelikan Kitabevi 2015. p. 9-97.
  • 11. Robinson D, Pearce KF, Preisser JS, Dugan E, Suggs PK, Cohen SJ. Relationship between patient reports of urinary incontinence symptoms and quality of life measures. Obstet Gynecol. 1998;91(2):224-8.
  • 12. Kobelt G. Economic considerations and outcome measurement in urge incontinence. Urology. 1997;50(6):100-7.
  • 13. Knight R, Procter S. Implementation of clinical guidelines for female urinary incontinence: a comparative analysis of organizational structures and service delivery. Health Soc Care Community. 1999;7(4):280-90.
  • 14. Williams K. Stress urinary incontinence: treatment and support. Nurs Stand. 2004;18(31):45-52.
  • 15. Bates F. Assessment of the female patient with urinary incontinence. Urol Nurs. 2002;22(5):305.
  • 16. Karan A, Aksaç B, Ayyıldız H, Işıkoğlu M, Yalçın O, Eskiyurt N. Üriner inkontinanslı hastalarda yaşam kalitesi ve objektif değerlendirme parametreleri ile ilişkisi. Geriatri. 2000;3(3):102-6.
  • 17. Brittain KR, Perry S, Williams KS. Triggers that prompt people with urinary symptoms to seek help. Br J Nurs. 2001;10(2):74-86.
  • 18. Milsom I, Ekelund P, Molander U, Arvidsson L, Areskoug B. The influence of age, parity, oral contraception, hysterectomy and menopause on the prevalence of urinary incontinence in women. J Urol. 1993;149(6):1459-62.
  • 19. Melville JL, Walker E, Katon W, Lentz G, Miller J, Fenner D. Prevalence of comorbid psychiatric illness and its impact on symptom perception, quality of life, and functional status in women with urinary incontinence. Am J Obstet Gynecol. 2002;187(1):80-7.
  • 20. Fultz NH, Burgio K, Diokno AC, Kinchen KS, Obenchain R, Bump RC. Burden of stress urinary incontinence for community-dwelling women. Am J Obstet Gynecol. 2003;189(5):1275-82.
  • 21. Hampel C, Wienhold D, Benken N, Eggersmann C, Thüroff J. Definition of overactive bladder and epidemiology of urinary incontinence. Urology. 1997;50(6):4-14.
  • 22. Norton PA, MacDonald L, Sedgwick P, Stanton S. Distress and delay associated with urinary incontinence, frequency, and urgency in women. BMJ. 1988;297(6657):1187.
  • 23. Fultz NH, Herzog A. Self‐Reported Social and Emotional Impact of Urinary Incontinence. J Am Geriatr Soc. 2001;49(7):892-9.
  • 24. Bradley CS, Rovner ES, Morgan MA, Berlin M, Novi JM, Shea JA, et al. A new questionnaire for urinary incontinence diagnosis in women: development and testing. . Am J Obstet Gynecol. 2005;192(1):66-73.
  • 25. JØrgensen L, Lose G, Andersen JT. One-hour pad-weighing test for objective assessment of female urinary incontinence. Obstet Gynecol. 1987;69(1):39-42.
  • 26. Lukacz ES, Lawrence JM, Burchette RJ, Luber KM, Nager CW, Buckwalter JG. The use of Visual Analog Scale in urogynecologic research: a psychometric evaluation. Am J Obstet Gynecol. 2004;191(1):165-70.
  • 27. Trutnovsky G, Ulrich D, Rojas RG, Mann K, Aigmueller T, Dietz HP. The “bother” of urinary incontinence. Int Urogynecol J. 2014;25(7):947-51.
  • 28. Brazell HD, O’Sullivan DM, LaSala CA. Does the impact of urinary incontinence on quality of life differ based on age? Int Urogynecol J. 2013;24(12):2077-80.
  • 29. Vaart Cvd, Bom Jvd, Leeuw J, Roovers J, Heintz A. The contribution of hysterectomy to the occurrence of urge and stress urinary incontinence symptoms. BJOG. 2002;109(2):149-54.
  • 30. Utomo E, Groen J, Vroom IH, van Mastrigt R, Blok BF. Urodynamic effects of volume-adjustable balloons for treatment of postprostatectomy urinary incontinence. Urology. 2013;81(6):1308-14.
  • 31. Sinclair AJ, Ramsay IN. The psychosocial impact of urinary incontinence in women. The Obstetrician & Gynaecologist. 2011;13(3):143-8.
  • 32. Hilton P. Trials of surgery for stress incontinence—thoughts on the ‘Humpty Dumpty principle’. BJOG. 2002;109(10):1081-8.
  • 33. Ekici G. Yaşam Kalitesi In: Karaduman A, Yılmaz ÖT, editors. Fizyoterapi ve Rehabilitasyon. Ankara: Hipokrat Kitabevi, Pelikan Kitabevi, Nisan Kitabevi; 2016. p. 367-72.
  • 34. Barentsen JA, Visser E, Hofstetter H, Maris AM, Dekker JH, de Bock GH. Severity, not type, is the main predictor of decreased quality of life in elderly women with urinary incontinence: a population-based study as part of a randomized controlled trial in primary care. Health Qual Life Outcomes. 2012;10(1):153.
  • 35. Paick JS, Cho MC, Oh SJ, Kim SW, Ku JH. Influence of self‐perceived incontinence severity on quality of life and sexual function in women with urinary incontinence. Neurourol Urodyn. 2007;26(6):828-35.
  • 36. Stach-Lempinen B, Kirkinen P, Laippala P, Metsänoja R, Kujansuu E. Do objective urodynamic or clinical findings determine impact of urinary incontinence or its treatment on quality of life? Urology. 2004;63(1):67-71.
  • 37. Aguilar-Navarro S, Navarrete-Reyes AP, Grados-Chavarría BH, García-Lara JMA, Amieva H, Ávila-Funes JA. The severity of urinary incontinence decreases health-related quality of life among community-dwelling elderly. J Gerontol A Biol Sci Med Sci. 2012;67(11):1266-71.
  • 38. Klovning A, Avery K, Sandvik H, Hunskaar S. Comparison of two questionnaires for assessing the severity of urinary incontinence: The ICIQ‐UI SF versus the incontinence severity index. Neurourol Urodyn. 2009;28(5):411-5.
  • 39. Chaliha C, Stanton S. The ethnic cultural and social aspects of incontinence–a pilot study. Int Urogynecol J. 1999;10(3):166-70.

Stres Üriner İnkontinanslı Kadınlarda Kaçırılan İdrar Miktarı Yaşam Kalitesini Etkiler mi? Retrospektif Bir Çalışma

Yıl 2017, Cilt: 22 Sayı: 2, 107 - 113, 27.03.2017
https://doi.org/10.21673/anadoluklin.296619

Öz

Amaç: Bu
çalışmada stres üriner inkontinanslı kadınlarda kaçırılan idrar miktarının
algılanan yaşam kalitesi ve algılanan kuruluk hissine etkisini belirlemek
amaçlandı. 











Gereç-Yöntemler:
Stres
üriner inkontinanslı 232 kadın ped testi sonuçlarına göre hafif, orta ve
şiddetli/çok şiddetli idrar kaçıran olmak üzere 3 gruba ayrıldı. Kadınların
fiziksel özellikleri, sosyo-demografik
özellikleri ve üriner inkontinans şikayet süreleri kaydedildikten sonra,
algılanan kuruluk ve algılanan yaşam kaliteleri vizüel analog skalası ile,
yaşam kaliteleri ise üriner inkontinanslı hasta yaşam kalitesi anketi ile
ölçüldü.

Bulgular:
Stres
üriner inkontinanslı kadınların idrar kaçırma miktarına göre, fiziksel ve
sosyo-demografik özellikleri arasında fark olmadığı bulundu. Orta ile
şiddetli/çok şiddetli idrar kaçıran kadınların yaşam kaliteleri, algılanan
kuruluk hissi, algılanan yaşam kalitesi ve üriner inkontinans şikayet süreleri
arasında fark olmadığı, hafif idrar kaçıran kadınlar ile bu iki grup arasında
fark olduğu saptandı.











Tartışma
ve Sonuç:
Hafif derece stres üriner inkontinanslı kadınların diğer iki
gruba göre, algıladıkları yaşam kalitesinin daha iyi  ve algıladıkları kuruluk hissinin daha az
olduğu bulundu. Orta ile şiddetli/çok şiddetli stres üriner inkontinanslı
kadınların yaşam kalitelerini ve kuruluk hissini algılamalarının benzer olduğu
görüldü.

Kaynakça

  • 1. Hunskaar S, Arnold E, Burgio K, Diokno A, Herzog A, Mallett V. Epidemiology and natural history of urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 2000;11(5):301-19.
  • 2. Cheater FM, Castleden CM. Epidemiology and classification of urinary incontinence. Baillieres Best Pract Res Clin Obstet Gynaecol. 2000;14(2):183-205.
  • 3. Hunskaar S, Burgio K, Diokno A, Herzog AR, Hjälmås K, Lapitan MC. Epidemiology and natural history of urinary incontinence in women. Urology. 2003;62(4):16-23.
  • 4. Hannestad YS, Rortveit G, Sandvik H, Hunskaar S. A community-based epidemiological survey of female urinary incontinence:: The Norwegian EPINCONT Study. J Clin Epidemiol. 2000;53(11):1150-7.
  • 5. Andersen JT, Blaivas JG, Cardozo L, Thüroff J. Seventh report on the standardisation of terminology of lower urinary tract function: lower urinary tract rehabilitation techniques. Scand J Urol Nephrol. 1992;26(2):99-106.
  • 6. Abrams P CL, Fall M et al. The standardisation of terminology of lower urinary tract function: report from the standardisation sub-committee of the International Continence Society. Neurourol Urodyn. 2002;21:167-78.
  • 7. Haylen BT, De Ridder D, Freeman RM, Swift SE, Berghmans B, Lee J, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Int Urogynecol J. 2010;21(1):5-26.
  • 8. Kaya S, Akbayrak T, Orhan C, Beksaç S. Kadınlarda farklı üriner inkontinans tiplerinde hasta özelliklerinin ve üriner parametrelerin karşılaştırılması: retrospektif bir çalışma. J Exerc Ther Rehabil. 2015;2(3):93-101.
  • 9. Luber KM. The definition, prevalence, and risk factors for stress urinary incontinence. Rev Urol. 2004;6:S3.
  • 10. Kaya S, Akbayrak T, Demirtaş N, Bakar Y, Tosun ÖÇ, Özengin N, et al. Kanıt derlemesi In: Akbayrak T, Kaya S, editors. KNGF Kılavuzu, stres üriner inkontiontinansı olan hastalarda fizyoterapi. Ankara: Pelikan Kitabevi 2015. p. 9-97.
  • 11. Robinson D, Pearce KF, Preisser JS, Dugan E, Suggs PK, Cohen SJ. Relationship between patient reports of urinary incontinence symptoms and quality of life measures. Obstet Gynecol. 1998;91(2):224-8.
  • 12. Kobelt G. Economic considerations and outcome measurement in urge incontinence. Urology. 1997;50(6):100-7.
  • 13. Knight R, Procter S. Implementation of clinical guidelines for female urinary incontinence: a comparative analysis of organizational structures and service delivery. Health Soc Care Community. 1999;7(4):280-90.
  • 14. Williams K. Stress urinary incontinence: treatment and support. Nurs Stand. 2004;18(31):45-52.
  • 15. Bates F. Assessment of the female patient with urinary incontinence. Urol Nurs. 2002;22(5):305.
  • 16. Karan A, Aksaç B, Ayyıldız H, Işıkoğlu M, Yalçın O, Eskiyurt N. Üriner inkontinanslı hastalarda yaşam kalitesi ve objektif değerlendirme parametreleri ile ilişkisi. Geriatri. 2000;3(3):102-6.
  • 17. Brittain KR, Perry S, Williams KS. Triggers that prompt people with urinary symptoms to seek help. Br J Nurs. 2001;10(2):74-86.
  • 18. Milsom I, Ekelund P, Molander U, Arvidsson L, Areskoug B. The influence of age, parity, oral contraception, hysterectomy and menopause on the prevalence of urinary incontinence in women. J Urol. 1993;149(6):1459-62.
  • 19. Melville JL, Walker E, Katon W, Lentz G, Miller J, Fenner D. Prevalence of comorbid psychiatric illness and its impact on symptom perception, quality of life, and functional status in women with urinary incontinence. Am J Obstet Gynecol. 2002;187(1):80-7.
  • 20. Fultz NH, Burgio K, Diokno AC, Kinchen KS, Obenchain R, Bump RC. Burden of stress urinary incontinence for community-dwelling women. Am J Obstet Gynecol. 2003;189(5):1275-82.
  • 21. Hampel C, Wienhold D, Benken N, Eggersmann C, Thüroff J. Definition of overactive bladder and epidemiology of urinary incontinence. Urology. 1997;50(6):4-14.
  • 22. Norton PA, MacDonald L, Sedgwick P, Stanton S. Distress and delay associated with urinary incontinence, frequency, and urgency in women. BMJ. 1988;297(6657):1187.
  • 23. Fultz NH, Herzog A. Self‐Reported Social and Emotional Impact of Urinary Incontinence. J Am Geriatr Soc. 2001;49(7):892-9.
  • 24. Bradley CS, Rovner ES, Morgan MA, Berlin M, Novi JM, Shea JA, et al. A new questionnaire for urinary incontinence diagnosis in women: development and testing. . Am J Obstet Gynecol. 2005;192(1):66-73.
  • 25. JØrgensen L, Lose G, Andersen JT. One-hour pad-weighing test for objective assessment of female urinary incontinence. Obstet Gynecol. 1987;69(1):39-42.
  • 26. Lukacz ES, Lawrence JM, Burchette RJ, Luber KM, Nager CW, Buckwalter JG. The use of Visual Analog Scale in urogynecologic research: a psychometric evaluation. Am J Obstet Gynecol. 2004;191(1):165-70.
  • 27. Trutnovsky G, Ulrich D, Rojas RG, Mann K, Aigmueller T, Dietz HP. The “bother” of urinary incontinence. Int Urogynecol J. 2014;25(7):947-51.
  • 28. Brazell HD, O’Sullivan DM, LaSala CA. Does the impact of urinary incontinence on quality of life differ based on age? Int Urogynecol J. 2013;24(12):2077-80.
  • 29. Vaart Cvd, Bom Jvd, Leeuw J, Roovers J, Heintz A. The contribution of hysterectomy to the occurrence of urge and stress urinary incontinence symptoms. BJOG. 2002;109(2):149-54.
  • 30. Utomo E, Groen J, Vroom IH, van Mastrigt R, Blok BF. Urodynamic effects of volume-adjustable balloons for treatment of postprostatectomy urinary incontinence. Urology. 2013;81(6):1308-14.
  • 31. Sinclair AJ, Ramsay IN. The psychosocial impact of urinary incontinence in women. The Obstetrician & Gynaecologist. 2011;13(3):143-8.
  • 32. Hilton P. Trials of surgery for stress incontinence—thoughts on the ‘Humpty Dumpty principle’. BJOG. 2002;109(10):1081-8.
  • 33. Ekici G. Yaşam Kalitesi In: Karaduman A, Yılmaz ÖT, editors. Fizyoterapi ve Rehabilitasyon. Ankara: Hipokrat Kitabevi, Pelikan Kitabevi, Nisan Kitabevi; 2016. p. 367-72.
  • 34. Barentsen JA, Visser E, Hofstetter H, Maris AM, Dekker JH, de Bock GH. Severity, not type, is the main predictor of decreased quality of life in elderly women with urinary incontinence: a population-based study as part of a randomized controlled trial in primary care. Health Qual Life Outcomes. 2012;10(1):153.
  • 35. Paick JS, Cho MC, Oh SJ, Kim SW, Ku JH. Influence of self‐perceived incontinence severity on quality of life and sexual function in women with urinary incontinence. Neurourol Urodyn. 2007;26(6):828-35.
  • 36. Stach-Lempinen B, Kirkinen P, Laippala P, Metsänoja R, Kujansuu E. Do objective urodynamic or clinical findings determine impact of urinary incontinence or its treatment on quality of life? Urology. 2004;63(1):67-71.
  • 37. Aguilar-Navarro S, Navarrete-Reyes AP, Grados-Chavarría BH, García-Lara JMA, Amieva H, Ávila-Funes JA. The severity of urinary incontinence decreases health-related quality of life among community-dwelling elderly. J Gerontol A Biol Sci Med Sci. 2012;67(11):1266-71.
  • 38. Klovning A, Avery K, Sandvik H, Hunskaar S. Comparison of two questionnaires for assessing the severity of urinary incontinence: The ICIQ‐UI SF versus the incontinence severity index. Neurourol Urodyn. 2009;28(5):411-5.
  • 39. Chaliha C, Stanton S. The ethnic cultural and social aspects of incontinence–a pilot study. Int Urogynecol J. 1999;10(3):166-70.
Toplam 39 adet kaynakça vardır.

Ayrıntılar

Konular Sağlık Kurumları Yönetimi
Bölüm ORJİNAL MAKALE
Yazarlar

Nuriye Özengin

Büşra İnal Bu kişi benim

Hatice Çankaya Bu kişi benim

Yeşim Bakar

Yayımlanma Tarihi 27 Mart 2017
Kabul Tarihi 27 Mart 2017
Yayımlandığı Sayı Yıl 2017 Cilt: 22 Sayı: 2

Kaynak Göster

Vancouver Özengin N, İnal B, Çankaya H, Bakar Y. Does the Amount of Urine Leakage Affect Life Quality in Women with Stress Urinary Incontinence? A Retrospective Study. Anadolu Klin. 2017;22(2):107-13.

13151 This Journal licensed under a CC BY-NC (Creative Commons Attribution-NonCommercial 4.0) International License.