The aim of this study was to provide valid data on the demography, medical history and clinical findings among adult women presenting with urinary incontinence to general practitioners.
In a rural community in Norway, all women>20 years who consulted their general practitioner for urinary incontinence during a 3 year period were included in a prospective study.
A thorough medical history and both a general and focused clinical examination were undertaken.
Gynecological examination, stress provocation test, and 48 h frequency/volume chart and pad weighing test were also performed. 105 women were included (4.4% of women>20 years in the total population).
Mean age was 57 years, 64% were postmenopausal.
A lot of comorbidity was reported.
Duration of incontinence was>5 years in 49%. By a severity index, 64% were classified as severe, 28% as moderate and 8% as having slight incontinence. 59% were using protective pads or garments.
Mean leakage per 24 h was 31 g. 38% had significant genital prolapse.
Contractility of the pelvic floor muscles was weak in 28%. Diagnostic classification revealed 50% stress incontinence, 10% urge and 40% mixed incontinence. 42% of the patients were a great deal or much bothered by their incontinence.
Patients with stress incontinence were less bothered than others.
Women presenting with urinary incontinence at a primary care level are prevalent, and often have significant incontinence. (...)
Mots-clés Pascal : Incontinence urinaire, Cystométrie, Médecin généraliste, Norvège, Europe, Exploration, Epidémiologie, Adulte, Homme, Femelle, Appareil urinaire pathologie, Voie urinaire pathologie, Vessie pathologie, Trouble miction
Mots-clés Pascal anglais : Urinary incontinence, Cystometry, General practitioner, Norway, Europe, Exploration, Epidemiology, Adult, 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 : 97-0136769
Code Inist : 002B14E02. Création : 21/05/1997.