Factors Associated with the Severity of Stress Urinary Incontinence in Elderly Women
Background: Stress urinary incontinence (SUI) is prevalent and significantly impacts morbidity. While some risk factors for SUI have been identified, those specifically related to the severity of SUI have not been thoroughly investigated....
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| Format: | Article |
| Language: | English |
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IMR Press
2025-01-01
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| Series: | Clinical and Experimental Obstetrics & Gynecology |
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| Online Access: | https://www.imrpress.com/journal/CEOG/52/1/10.31083/CEOG25690 |
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| author | Suting Li Zhi Wang Lian Yang Shaoying Liu Lili Jing Li Hong |
| author_facet | Suting Li Zhi Wang Lian Yang Shaoying Liu Lili Jing Li Hong |
| author_sort | Suting Li |
| collection | DOAJ |
| description | Background: Stress urinary incontinence (SUI) is prevalent and significantly impacts morbidity. While some risk factors for SUI have been identified, those specifically related to the severity of SUI have not been thoroughly investigated. Methods: This study recruited elderly female patients with SUI, aged over 60 years old, from Wuhan, Hubei, China, between October and November 2020. Data collection encompassed demographic information, clinical features (including obstetric history, chronic diseases, Urogenital Distress Inventory-6 (UDI-6), and International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) scores), as well as physical examinations (including assessments of pelvic floor muscle strength, pelvic organ prolapse quantification (POP-Q) system, and pelvic floor ultrasound imaging). Results: Univariate analysis revealed that a history of postpartum urinary incontinence and chronic constipation significantly influenced the severity of SUI symptoms in the elderly (p < 0.05). Additionally, age, the number of vaginal deliveries, and a history of chronic cough were correlated with the severity of SUI symptoms, with p-values of 0.05, 0.08, and 0.12, respectively. Factors such as pelvic floor muscle strength, vaginal wall prolapse, uterine prolapse, and the morphology of the largest urethral opening all significantly impacted the severity of SUI symptoms in this population (p < 0.05). Multivariate logistic regression analysis identified age, the number of vaginal deliveries, chronic constipation, anterior vaginal wall prolapse, a history of postpartum urinary incontinence, and the shape of the maximum urethral opening as independent factors influencing SUI severity in older women (p < 0.05). The results of the Hosmer-Lemeshow test indicate that the model fits well (p = 0.37). Conclusions: Age, the number of vaginal deliveries, anterior vaginal wall prolapse, a history of postpartum urinary incontinence, chronic constipation, and a funnel-shaped maximum urethral opening are associated with increased severity of SUI symptoms in elderly women. The severity of SUI escalates with advancing age and an increased number of vaginal deliveries. |
| format | Article |
| id | doaj-art-bc355088fd024209848ac9aa7bd2754b |
| institution | Kabale University |
| issn | 0390-6663 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | IMR Press |
| record_format | Article |
| series | Clinical and Experimental Obstetrics & Gynecology |
| spelling | doaj-art-bc355088fd024209848ac9aa7bd2754b2025-01-25T07:14:26ZengIMR PressClinical and Experimental Obstetrics & Gynecology0390-66632025-01-015212569010.31083/CEOG25690S0390-6663(24)02515-6Factors Associated with the Severity of Stress Urinary Incontinence in Elderly WomenSuting Li0Zhi Wang1Lian Yang2Shaoying Liu3Lili Jing4Li Hong5Department of Gynecology and Obstetrics, Renmin Hospital of Wuhan University, 430060 Wuhan, Hubei, ChinaDepartment of Gynecology and Obstetrics, Renmin Hospital of Wuhan University, 430060 Wuhan, Hubei, ChinaDepartment of Gynecology and Obstetrics, Renmin Hospital of Wuhan University, 430060 Wuhan, Hubei, ChinaDepartment of Gynecology and Obstetrics, Huashan Street Community Healthcare Center, 430076 Wuhan, Hubei, ChinaDepartment of Gynecology and Obstetrics, Qingshan District Maternal and Child Health Care Hospital, 430080 Wuhan, Hubei, ChinaDepartment of Gynecology and Obstetrics, Renmin Hospital of Wuhan University, 430060 Wuhan, Hubei, ChinaBackground: Stress urinary incontinence (SUI) is prevalent and significantly impacts morbidity. While some risk factors for SUI have been identified, those specifically related to the severity of SUI have not been thoroughly investigated. Methods: This study recruited elderly female patients with SUI, aged over 60 years old, from Wuhan, Hubei, China, between October and November 2020. Data collection encompassed demographic information, clinical features (including obstetric history, chronic diseases, Urogenital Distress Inventory-6 (UDI-6), and International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) scores), as well as physical examinations (including assessments of pelvic floor muscle strength, pelvic organ prolapse quantification (POP-Q) system, and pelvic floor ultrasound imaging). Results: Univariate analysis revealed that a history of postpartum urinary incontinence and chronic constipation significantly influenced the severity of SUI symptoms in the elderly (p < 0.05). Additionally, age, the number of vaginal deliveries, and a history of chronic cough were correlated with the severity of SUI symptoms, with p-values of 0.05, 0.08, and 0.12, respectively. Factors such as pelvic floor muscle strength, vaginal wall prolapse, uterine prolapse, and the morphology of the largest urethral opening all significantly impacted the severity of SUI symptoms in this population (p < 0.05). Multivariate logistic regression analysis identified age, the number of vaginal deliveries, chronic constipation, anterior vaginal wall prolapse, a history of postpartum urinary incontinence, and the shape of the maximum urethral opening as independent factors influencing SUI severity in older women (p < 0.05). The results of the Hosmer-Lemeshow test indicate that the model fits well (p = 0.37). Conclusions: Age, the number of vaginal deliveries, anterior vaginal wall prolapse, a history of postpartum urinary incontinence, chronic constipation, and a funnel-shaped maximum urethral opening are associated with increased severity of SUI symptoms in elderly women. The severity of SUI escalates with advancing age and an increased number of vaginal deliveries.https://www.imrpress.com/journal/CEOG/52/1/10.31083/CEOG25690stress urinary incontinencerisk factorspelvic floor functionelderly women |
| spellingShingle | Suting Li Zhi Wang Lian Yang Shaoying Liu Lili Jing Li Hong Factors Associated with the Severity of Stress Urinary Incontinence in Elderly Women Clinical and Experimental Obstetrics & Gynecology stress urinary incontinence risk factors pelvic floor function elderly women |
| title | Factors Associated with the Severity of Stress Urinary Incontinence in Elderly Women |
| title_full | Factors Associated with the Severity of Stress Urinary Incontinence in Elderly Women |
| title_fullStr | Factors Associated with the Severity of Stress Urinary Incontinence in Elderly Women |
| title_full_unstemmed | Factors Associated with the Severity of Stress Urinary Incontinence in Elderly Women |
| title_short | Factors Associated with the Severity of Stress Urinary Incontinence in Elderly Women |
| title_sort | factors associated with the severity of stress urinary incontinence in elderly women |
| topic | stress urinary incontinence risk factors pelvic floor function elderly women |
| url | https://www.imrpress.com/journal/CEOG/52/1/10.31083/CEOG25690 |
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