ANALYSIS OF RISK FACTORS OF THE STRESS URINARY INCONTINENCE IN WOMEN
Abstract
Objective. Identification and analysis of risk factors for stress urinary incontinence in women, assessing the relationship of stress urinary incontinence and undifferentiated connective tissue dysplasia. Subjects and methods. The study group included 85 women with a confirmed diagnosis of stress urinary incontinence, in the control group - 105 women without disease, comparable to the main features of the study group. We used clinical-anamnestic method of investigation, questioning (ICIQ-SF), a comprehensive urodynamic study. Evaluation of genital prolapse was conducted to quantity the classification of pelvic organ prolaps (POP-Q), assessment of severity of the connective tissue dysplasia was carried out on a scale of severity of the clinical criteria for connective tissue dysplasia, modified by Buyanova and Smolnova. Results. We established elevated risk of stress urinary incontinence in women with a BMI value of 30 kg/m 2, RR = 2,45 (95% Cl 1,21-4,94, p<0,05), as well as in the group of patients, with a history of major birth fetus through the birth canal, RR = 3,67 (95% Cl 1,39-9,69, p<0,005) and with a history of hysterectomy without adnexa (RR = 11,01, 95% Cl 1,42-85,2, p<0,05 ) Genetic predisposition, hard physical labor, hypertensive disease with regular intake of antihypertensive drugs drugs with a diuretic effect, osteoporosis and obesity play an important role in the development of stress urinary incontinence. A statistically significant increased risk of stress urinary incontinence were detected in the group with an average weight of connective tissue dysplasia (RR = 11,62, 95% CI 4,32-31,27, p<0,002), the most important features of wich were hypermotility of joints and the tendency to dislocation, varicose veins and hemorrhoids, hernia, prolapse and visceroptosia genatalia in close relatives. Conclusion. We found a clear association between stress urinary incontinence and connective tissue dysplasia, identified major risk factors for the disease.
About the Authors
D. M. Abdeeva
Academician V. I. Kulakov Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health and Social Development of the Russian Federation, Moscow
Russian Federation
Russian Federation
V. E. Balan
Academician V. I. Kulakov Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health and Social Development of the Russian Federation, Moscow
Russian Federation
Russian Federation
A. E. Donnikov
Academician V. I. Kulakov Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health and Social Development of the Russian Federation, Moscow
Russian Federation
Russian Federation
D. Y. Trofimov
Academician V. I. Kulakov Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health and Social Development of the Russian Federation, Moscow
Russian Federation
Russian Federation
References
1. Аполихина И.А., Константинов В.В., Деев А.Д. Распространенность и социальные аспекты недержания мочи у женщин. Акуш. и гин. 2005; 5: 32-6.
2. Ковалева Л.А., Балан В.Е., Гончаревская З.Л. Оценка нарушений мочеиспускания у беременных женщин. Акушерство и гинекология, 2009; 3: стр. 55-58
3. Лоран О.Б. Эпидемиология, этиология, патогенез, диагностика недержания мочи: Матер. Пленума Правления Рос. общества урологов. М. 2001; 21-41.
4. Altaweel W., Alharbi M. Urinary incontinence: Prevalence, risk factors, and impact on health related quality of life in Saudi women. Neurourol Urodyn. 2012 Mar 13 DOI: 10.1002/nau.22201
5. Duru C., Jha S., Lashen H. Urodynamic outcomes after hysterectomy for benign conditions: A systematic review and metaanalysis. Obstet Gynecol Surv. 2012 Jan; 67(1): 45-54.
6. Hannestad Y.S., Rortveit G., Sandvik H., Hunskaar S. Epidemiology of Incontinence in the County of Nord-Trndelag. A community-based epidemiological survey of female urinary incontinence: the Norwegian EPINCONT study. J. Clin Epidemiol. 2000 Nov; 53(11): 1150-7.
7. Kondo A., Narushima M., Yoshikawa Y., Hayashi H. Pelvic fascia strength in women with stress urinary incontinence in comparison with those who are continent. Neurourol Urodyn. 2005 Oct DOI: DOI: 10.1002/nau.1930130502
8. Stothers L., Friedman B. Risk factors for the development of stress urinary incontinence in women. Curr Urol Rep. 2011 Oct; 12(5): 363-9.
9. Sykes D., Castro R., Pons M.E., Hampel C. Characteristics of female outpatients with urinary incontinence participating in a 6-month observational study in 14 European countries. Maturitas. 2005 Nov 30; 52.
10. Tennstedt S.L., Fitzgerald M.P. et al. Quality of life in women with stress urinary incontinence. Int Urogynecol J. Pelvic Floor Dysfunct. 2007 May; 18(5): 543-9.
11. Thibault, Bart S., Ciangura C., Cardot V., Richard F., Basdevant A., Chartier-Kastler E.F. Stress urinary incontinence and obesity. Prog Urol. 2008 Sep; 18(8): 493-8.
12. Ulmsten U., Falconer C. Connective tissue in female urinary incontinence. Curr Opin Obstet Gynecol. 1999 Oct; 11(5): 509-15.
13. Waetjen L.E., Ye J., Feng W.Y., Johnson W.O., Greendale G.A., Sampselle C.M., Sternfield B., Harlow S.D., Gold E.B.; Study of Women’s Health Across the Nation (SWAN). Association between menopausal transition stages and developing urinary incontinence. Obstet Gynecol. 2009 Nov; 114(5): 989-98.
For citation:
Abdeeva D.M., Balan V.E., Donnikov A.E., Trofimov D.Y. ANALYSIS OF RISK FACTORS OF THE STRESS URINARY INCONTINENCE IN WOMEN. Obstetrics, Gynecology and Reproduction. 2012;6(2):41-47. (In Russ.)
Views: 96
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Email this article 