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. 2020 Mar-Apr;34(2):923-928.
doi: 10.21873/invivo.11859.

The Onset of Urinary Incontinence in Different Subgroups and its Relation to Menopausal Status: A Hospital-based Study

Fabinshy Thangarajah #  1 , Jessica Hartmann-Wobbe #  1 , Dominik Ratiu  1 , Caroline Pahmeyer  1 , Julia Caroline Radosa  2 , Peter Mallmann  1 , Sebastian Ludwig  3
Affiliations

The Onset of Urinary Incontinence in Different Subgroups and its Relation to Menopausal Status: A Hospital-based Study

Fabinshy Thangarajah et al. In Vivo. 2020 Mar-Apr.

Abstract

Background/aim: Numerous risk factors have been reported to influence the development of urinary incontinence (UI). In this study, we took a closer look on the different forms of UI and tried to identify differences in regard to potential risk factors. Of special interest was the onset of UI symptoms and its relation to menopausal status.

Patients and methods: This was a hospital-based analysis of patients who presented with urinary incontinence in the outpatient ward of a tertiary hospital. The diagnosis of urinary incontinence was based on the subjective complaints of patients. Data concerning menopausal status, hormone replacement therapy, prior hysterectomy were assessed.

Results: The mean age was 53.8 years in the SUI group, 62.7 years in the MUI group and 66.1 years in the UUI group, respectively (p<0.001). The proportion of patients with UUI was higher in the postmenopausal group, whereas the proportion of SUI was higher in the premenopausal group (p<0.001). The mean age in which complaints occurred was significantly lower in the SUI group (45.4 years) compared to the MUI (51.0 years) and UUI groups (54.7 years) (p<0.001). There was no correlation between menopausal status and onset of urinary incontinence (p=0.143).

Conclusion: Additional anamnestic information help further characterize the different types of urinary incontinence that can lead to an optimization of treatment options. Younger age and premenopausal status were accompanied by milder forms of UI while menopausal status itself had no influence on the onset of UI symptoms indicating that age-related changes may lead to different types of incontinence.

Keywords: Mixed urinary incontinence; hormonal therapy; menopause; stress urinary incontinence; urgency urinary incontinence.

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Conflict of interest statement

The Authors declare that they have no conflicts of interest.

Figures

Figure 1
Figure 1. Onset of symptoms in patients presenting with stress urinary incontinence.
Figure 2
Figure 2. Onset of symptoms in patients presenting with mixed urinary incontinence.
Figure 3
Figure 3. Onset of symptoms in patients presenting with urge urinary incontinence.
Figure 4
Figure 4. Onset of urinary incontinence in relation to postmenopausal status.
See this image and copyright information in PMC

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