Alonezy Mohammad F, Metwally Ahmed S, Alhazmi Osama A, Alrehaili Albaraa O, Almohammadi Abdullah A, Aljuhani Abdulaziz S, Alharthi Faisal M, Aloufi Nawaf A
Family and Community Medicine, Taibah University, Medina, SAU.
Family Medicine, Suez Canal University, Ismailia, EGY.
Cureus. 2024 Jul 20;16(7):e64966. doi: 10.7759/cureus.64966. eCollection 2024 Jul.
Introduction Urinary incontinence (UI) is a common clinical problem. It has an impact on an individual's social, professional, psychological, and physical elements of life. The present study aimed to identify the prevalence of UI and associated risk factors among Saudi women in Al Medina Al Munawara, Saudi Arabia. Methods A cross-sectional study was conducted using an online questionnaire among 430 women aged 18-60 in Al Medina Al Munawara. The participants completed the validated Arabic version of the International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF) to assess the prevalence of UI and its associated factors. Results Among the participants, 64.8% did not experience urine incontinence, while 17.8% reported slight, 14.0% reported moderate, and 3.3% reported severe incontinence. Stress incontinence caused by coughing or sneezing was the most common cause (48.6%), followed by before reaching the toilet (urge incontinence) (34.5%) and after urination (15.5%). Significant associations were found between age, marital status, number of children, diabetes mellitus, urinary tract diseases, previous abdominal or pelvic surgery, obesity, constipation, and menopausal symptoms. However, no significant association was found between pregnancy and urine incontinence. Conclusions This study reveals a moderate prevalence of UI among Saudi women in Al Medina Al Munawara. The findings highlight the importance of early detection, treatment, and education on pelvic floor exercises to address UI. Factors such as age, marital status, number of children, and various medical conditions are associated with this condition, emphasizing the need for comprehensive management strategies.
引言
尿失禁(UI)是一个常见的临床问题。它会对个人生活的社会、职业、心理和身体方面产生影响。本研究旨在确定沙特阿拉伯麦地那穆纳瓦拉市沙特女性中尿失禁的患病率及相关危险因素。
方法
采用在线问卷对麦地那穆纳瓦拉市430名年龄在18至60岁之间的女性进行横断面研究。参与者完成了经过验证的阿拉伯语版国际尿失禁咨询问卷简表(ICIQ-SF),以评估尿失禁的患病率及其相关因素。
结果
在参与者中,64.8%没有经历过尿失禁,而17.8%报告有轻度尿失禁,14.0%报告有中度尿失禁,3.3%报告有重度尿失禁。咳嗽或打喷嚏引起的压力性尿失禁是最常见的原因(48.6%),其次是在到达厕所之前(急迫性尿失禁)(34.5%)和排尿后(15.5%)。研究发现年龄、婚姻状况、子女数量、糖尿病、泌尿系统疾病、既往腹部或盆腔手术、肥胖、便秘和更年期症状之间存在显著关联。然而,未发现怀孕与尿失禁之间存在显著关联。
结论
本研究揭示了麦地那穆纳瓦拉市沙特女性中尿失禁的患病率处于中等水平。研究结果强调了早期检测、治疗以及盆底肌锻炼教育对于解决尿失禁问题的重要性。年龄、婚姻状况、子女数量和各种医疗状况等因素与这种情况相关,这凸显了制定综合管理策略的必要性。