Nzinga Andy-Müller Luzolo, Mbaki Inès Bilo, Ilunga Pompon Kazadi, Kapend François Njimbu, Diyasilua Nadine Mbanzulu, Mbungu Roger Mwimba, Loposso Mathieu Nkumu, Mabenza Betty Miangindula, Kipula Augustin Mboko, Bikuku Honoré Nkakudulu
Unité de Rééducation Uro-Gynécologique, Département de Médecine Physique et de Réadaptation, Cliniques Universitaires de Kinshasa, Faculté de Médecine, Université de Kinshasa, Kinshasa, République Démocratique du Congo.
Ecole de Santé Publique, Faculté de Médecine, Université de Kinshasa, Kinshasa, République Démocratique du Congo.
Pan Afr Med J. 2020 Dec 30;37:386. doi: 10.11604/pamj.2020.37.386.18036. eCollection 2020.
Urinary Incontinence (UI) in women is a very common disease. Given the shortage of epidemiological and clinical data in our environment, we here provide an update on the status of this disease and its management at the University Clinics of Kinshasa. We conducted a descriptive study in the University Clinics of Kinshasa from January 2015 to December 2016. The annual rate of IU was 1.3% (23/1813 patients). We included 15 cases whose medical files were usable and whose average age was 49.2±20.5 years, ranging between 15 and 98 years. IU affected multiparous women (53.4%), pauciparous women (26.7%), primiparous women (6.7%) and nulliparous women (13.3%) and the median date of onset of IU was 3 months. Urge incontinence affected 33.3% of patients and effort incontinence 13.3%. Among diagnoses associated with UI, the most common were urogenital infections (46.7%), cystocele (20%) and chronic pelvic pain (20%). These patients received antibiotic therapy (60%), anticholinergics drugs (20%), and pelviperineal rehabilitation (20%) as well as surgical treatment. UI is underestimated at the University Clinics of Kinshasa. The most commonly diagnosed IUs are effort and urge incontinence. Patient´s management is based on multidisciplinary approach.
女性尿失禁是一种非常常见的疾病。鉴于我们所在地区流行病学和临床数据的匮乏,我们在此提供关于金沙萨大学诊所该疾病的现状及其管理的最新情况。我们于2015年1月至2016年12月在金沙萨大学诊所进行了一项描述性研究。尿失禁的年发生率为1.3%(23/1813例患者)。我们纳入了15例病历可用的病例,其平均年龄为49.2±20.5岁,年龄范围在15岁至98岁之间。尿失禁患者包括经产妇(53.4%)、少产妇(26.7%)、初产妇(6.7%)和未产妇(13.3%),尿失禁的中位发病时间为3个月。急迫性尿失禁患者占33.3%,压力性尿失禁患者占13.3%。在与尿失禁相关的诊断中,最常见的是泌尿生殖系统感染(46.7%)、膀胱膨出(20%)和慢性盆腔疼痛(20%)。这些患者接受了抗生素治疗(60%)、抗胆碱能药物治疗(20%)、盆腔会阴康复治疗(20%)以及手术治疗。在金沙萨大学诊所,尿失禁被低估了。最常诊断出的尿失禁类型是压力性和急迫性尿失禁。对患者的管理基于多学科方法。