Objectives To :
(i) describe the sociodemographic characteristics of women undergoing surgery for stress incontinence in the UK and the ways in which they differ from women of a similar age in the general population ; (ii) the severity and impact of their symptoms and their expectations of surgery and ; (iii) their general state of health.
Patients and methods A prospective cohort study was carried out on 442 women undergoing surgery for stress incontinence in 18 hospitals in the North Thames region between January 1993 and June 1994.
Sociodemographic factors, stress incontinence severity, symptom impact scores, and general health status were measured.
Results Women undergoing surgery for stress incontinence were similar to their peers in the general population apart from being more likely to have smoked (61.4 against 51.1%), to have subsequently given up (39.5 and 25.3%) and to be of higher parity (=4 ; 19.7 and 12.0%). Most women (81.6%) reported moderate to very severe stress incontinence.
The impact of symptoms was correlated positively with severity (P<0.001) after accounting for its positive correlation with mental health status (P<0.005), socioeconomic status (P<0.05) and its negative correlation with age (P<0.02).
Many women also suffered from other urinary symptoms including urgency (76%) and frequency (42.3%). Apart from their urinary problems, women were in good health (77% reported no or only mild coexistent conditions).
However. a very high proportion (34. (...)
Mots-clés Pascal : Incontinence urinaire effort, Incidence, Environnement social, Symptomatologie, Facteur expansion, Parité, Hystérectomie, Traitement, Chirurgie, Etude comparative, Homme, Femelle, Appareil urinaire pathologie, Voie urinaire pathologie, Vessie pathologie, Trouble miction
Mots-clés Pascal anglais : Urinary stress incontinence, Incidence, Social environment, Symptomatology, Expansion factor, Parity, Hysterectomy, Treatment, Surgery, Comparative study, Human, Female, Urinary system disease, Urinary tract disease, Bladder disease, Voiding dysfunction
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0036146
Code Inist : 002B14E02. Création : 21/05/1997.