Altintas Ramazan, Beytur Ali, Oguz Fatih, Tasdemir Cemal, Kati Bulent, Cimen Serhan, Colak Cemil, Gunes Ali
Department of Urology, Medical Faculty, Inonu University, 44280, Malatya, Turkey,
Int Urogynecol J. 2013 Nov;24(11):1977-82. doi: 10.1007/s00192-013-2137-4. Epub 2013 Jun 6.
The aims of the present study were to determine the types of UI among women visiting the urology department, to identify the potential risk factors associated with each type of UI, and to identify healthcare-seeking behaviors of affected women in our region.
The data of 617 community-dwelling women, who were at least 18 years of age or older and who presented with a complaint of UI ongoing over a year, and those without UI, who were admitted for any other reason, from June 2010 to April 2012, were evaluated.
Mean age was 51.29 years (range 18-110 years); median parity was 3.54 (range 0-11) and 88.2% of the women were married. Mean BMI was 28.01 kg/m(2). Very few women (18.5%) accepted UI as a disease and searched for medical help by themselves; however, the remaining women (81.5%) were brought or directed for evaluation by someone else. Stress UI was reported by 43 women (10.5%), urge UI and mixed UI were noted by 153 (37.5%) and 212 (52%) women respectively.
The most frequent type of UI was mixed UI in our region. Age, BMI, multiparity, and hypertension were identified to have a different importance for each type of UI, but diabetes mellitus, birth trauma, gynecological surgery, lumbar disc hernia (LDH), and multiple sclerosis (MS) were the other important related factors. However, a small number of patients accepted UI as a disease and searched for therapy. This reveals that the public should be informed in detail about female UI in developing countries.
本研究的目的是确定泌尿外科就诊女性中尿失禁的类型，识别与每种尿失禁类型相关的潜在风险因素，并确定本地区受影响女性的就医行为。
对2010年6月至2012年4月期间617名社区居住女性的数据进行评估，这些女性年龄至少18岁及以上，有持续一年以上的尿失禁主诉，以及因其他任何原因入院且无尿失禁的女性。
平均年龄为51.29岁（范围18 - 110岁）；中位产次为3.54（范围0 - 11），88.2%的女性已婚。平均体重指数为28.01kg/m²。很少有女性（18.5%）将尿失禁视为一种疾病并自行寻求医疗帮助；然而，其余女性（81.5%）是由他人带来或引导前来评估的。43名女性（10.5%）报告有压力性尿失禁，153名（37.5%）和212名（52%）女性分别被诊断为急迫性尿失禁和混合性尿失禁。
在我们地区，最常见的尿失禁类型是混合性尿失禁。年龄、体重指数、多产和高血压对每种尿失禁类型具有不同的重要性，但糖尿病、分娩创伤、妇科手术、腰椎间盘疝（LDH）和多发性硬化症（MS）是其他重要的相关因素。然而，少数患者将尿失禁视为一种疾病并寻求治疗。这表明在发展中国家应向公众详细宣传女性尿失禁相关知识。
