Diabetes and vaginal surgery are associated with mixed urinary incontinence in patients treated in a tertiary unit of Rio de Janeiro public healthcare system
Introduction: Urinary incontinence (UI) is prevalent in women, and the frequency of its clinical subtypes varies according to the population studied and the choice of diagnostic criteria. The aim of this study was to evaluate the distribution of the most common subtypes – stress urinary incontinence...
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| Format: | Article |
| Language: | English |
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Hospital de Clinicas de Porto Alegre ; Universidade Federal do Rio Grande do Sul (UFRGS)
2017-09-01
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| Series: | Clinical and Biomedical Research |
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| Online Access: | http://seer.ufrgs.br/hcpa/article/view/73264 |
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| author | Carlos Augusto Faria Juliana Branco Dias Maria Luiza Garcia Rosa Sandra Costa Fonseca |
| author_facet | Carlos Augusto Faria Juliana Branco Dias Maria Luiza Garcia Rosa Sandra Costa Fonseca |
| author_sort | Carlos Augusto Faria |
| collection | DOAJ |
| description | Introduction: Urinary incontinence (UI) is prevalent in women, and the frequency of its clinical subtypes varies according to the population studied and the choice of diagnostic criteria. The aim of this study was to evaluate the distribution of the most common subtypes – stress urinary incontinence (SUI) and mixed urinary incontinence (MUI) – and their correlation with demographic, clinical and reproductive factors of patients seen at the university hospital of Universidade Federal do Rio de Janeiro.
Methods: This cross-sectional study was conducted in a referral service of a tertiary care center. A retrospective analysis of records of 770 women referred to the urogynecologic outpatient clinic was performed. The clinical diagnosis of UI subtype was established in accordance with international standardization. Women presenting with SUI and MUI were compared in terms of age, reproductive history, comorbidities, medications used and gynecological surgeries. The effect of independent variables was assessed through multiple regression analyses.
Results: The frequency of the clinical diagnosis of MUI and SUI was, respectively, 54.6% and 31.8%. Factors associated with MUI when compared with SUI were diabetes mellitus (odds ratio, OR = 1.75; 95% confidence interval, 95% CI = 1.08; 2.85) and perineoplasty (OR = 1.79; 95% CI = 1.18; 2.72). Age showed a borderline significance (p = 0.05).
Conclusion: The distribution of UI subtypes was different from the distribution found in populational studies, which shows the specific aspects of women referred for specialized care. MUI was the most common subtype and was associated with previous vaginal surgery and diabetes mellitus when compared with SUI.
Keywords: Urinary incontinence; Urge; urinary incontinence; stress; women’s health; epidemiology |
| first_indexed | 2024-12-22T02:58:47Z |
| format | Article |
| id | doaj.art-4ffc61518842476aa67c6795c9ea14de |
| institution | Directory Open Access Journal |
| issn | 0101-5575 2357-9730 |
| language | English |
| last_indexed | 2024-12-22T02:58:47Z |
| publishDate | 2017-09-01 |
| publisher | Hospital de Clinicas de Porto Alegre ; Universidade Federal do Rio Grande do Sul (UFRGS) |
| record_format | Article |
| series | Clinical and Biomedical Research |
| spelling | doaj.art-4ffc61518842476aa67c6795c9ea14de2022-12-21T18:41:12ZengHospital de Clinicas de Porto Alegre ; Universidade Federal do Rio Grande do Sul (UFRGS)Clinical and Biomedical Research0101-55752357-97302017-09-0137334160Diabetes and vaginal surgery are associated with mixed urinary incontinence in patients treated in a tertiary unit of Rio de Janeiro public healthcare systemCarlos Augusto Faria0Juliana Branco Dias1Maria Luiza Garcia Rosa2Sandra Costa Fonseca3Department of Maternal and Child Health, School of Medicine, Universidade Federal Fluminense (UFF). Niterói, RJ, Brazil.Department of Gynecology, Universidade Federal do Rio de Janeiro (UFRJ). Rio de Janeiro, RJ, Brazil.Department of Epidemiology and Biostatistics, School of Medicine, Universidade Federal Fluminense (UFF). Niterói, RJ, Brazil.Department of Epidemiology and Biostatistics, School of Medicine, Universidade Federal Fluminense (UFF). Niterói, RJ, Brazil.Introduction: Urinary incontinence (UI) is prevalent in women, and the frequency of its clinical subtypes varies according to the population studied and the choice of diagnostic criteria. The aim of this study was to evaluate the distribution of the most common subtypes – stress urinary incontinence (SUI) and mixed urinary incontinence (MUI) – and their correlation with demographic, clinical and reproductive factors of patients seen at the university hospital of Universidade Federal do Rio de Janeiro. Methods: This cross-sectional study was conducted in a referral service of a tertiary care center. A retrospective analysis of records of 770 women referred to the urogynecologic outpatient clinic was performed. The clinical diagnosis of UI subtype was established in accordance with international standardization. Women presenting with SUI and MUI were compared in terms of age, reproductive history, comorbidities, medications used and gynecological surgeries. The effect of independent variables was assessed through multiple regression analyses. Results: The frequency of the clinical diagnosis of MUI and SUI was, respectively, 54.6% and 31.8%. Factors associated with MUI when compared with SUI were diabetes mellitus (odds ratio, OR = 1.75; 95% confidence interval, 95% CI = 1.08; 2.85) and perineoplasty (OR = 1.79; 95% CI = 1.18; 2.72). Age showed a borderline significance (p = 0.05). Conclusion: The distribution of UI subtypes was different from the distribution found in populational studies, which shows the specific aspects of women referred for specialized care. MUI was the most common subtype and was associated with previous vaginal surgery and diabetes mellitus when compared with SUI. Keywords: Urinary incontinence; Urge; urinary incontinence; stress; women’s health; epidemiologyhttp://seer.ufrgs.br/hcpa/article/view/73264Urinary incontinenceUrgeurinary incontinencestresswomen’s healthepidemiology |
| spellingShingle | Carlos Augusto Faria Juliana Branco Dias Maria Luiza Garcia Rosa Sandra Costa Fonseca Diabetes and vaginal surgery are associated with mixed urinary incontinence in patients treated in a tertiary unit of Rio de Janeiro public healthcare system Clinical and Biomedical Research Urinary incontinence Urge urinary incontinence stress women’s health epidemiology |
| title | Diabetes and vaginal surgery are associated with mixed urinary incontinence in patients treated in a tertiary unit of Rio de Janeiro public healthcare system |
| title_full | Diabetes and vaginal surgery are associated with mixed urinary incontinence in patients treated in a tertiary unit of Rio de Janeiro public healthcare system |
| title_fullStr | Diabetes and vaginal surgery are associated with mixed urinary incontinence in patients treated in a tertiary unit of Rio de Janeiro public healthcare system |
| title_full_unstemmed | Diabetes and vaginal surgery are associated with mixed urinary incontinence in patients treated in a tertiary unit of Rio de Janeiro public healthcare system |
| title_short | Diabetes and vaginal surgery are associated with mixed urinary incontinence in patients treated in a tertiary unit of Rio de Janeiro public healthcare system |
| title_sort | diabetes and vaginal surgery are associated with mixed urinary incontinence in patients treated in a tertiary unit of rio de janeiro public healthcare system |
| topic | Urinary incontinence Urge urinary incontinence stress women’s health epidemiology |
| url | http://seer.ufrgs.br/hcpa/article/view/73264 |
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