مرکز منطقه ای اطلاع رساني علوم و فناوري

Abstract :

Objective: Examining the effects of body mass index (BMI), parity, method of delivery, defects inpelvic floor, diabetes mellitus on the types of incontinence in Urinary incontinence (UI) cases.Method: 230 UI cases were evaluated in this study. Questions asked to the cases to determine theage, parity and the type of incontinence. Incontinence was diagnosed with history. Additionally,gynecological examination findings, fasting and postprandial blood glucose (FBG-PPG) andhemoglobin A1c(HbA1c) levels were recorded. Results: The average age was 49.63 ± 10.68; gravida 4.21 ± 2.68; parity 3.59 ± 2.51. The average BMI was determined as 29.86 ± 4.25. In 94 (40.86%) of the patients had stress incontinence(SUI), 70 (30.43%) urge incontinence(UUI) and 66 (28.69%) mixed incontinence. Pelvic floor defects was detected at 94(40.86%) of the cases. Whereas SUI was observed more prominently in juvenile cases with low parity accompanied by anatomic pelvic deformity; the divergence disappears with the introduction of no pelvic floor defect and with 5 or more instances of gestation and delivery. In 114 (49.56%) cases obesity + morbid obesity was existent. In this group, the types of incontinence were similar; in 116 (51.44%) of the cases with normal weight, SUI was more prevalent. It was observed that there was impaired fasting glucose(IFG) in 68 (29.56%) of cases impaired glucose tolerance(IGT) in 49 (21.30%) of cases and diabetes mellitus in 35 (15.21%) of cases. In IGT cases, SUI was more prevalent. UUI was observed more frequently than MUI and SUI in diabetes cases; however the divergence didn’t bear any statistical significance (p 0.05). Conclusion: SUI is prevalent in juvenile cases with IFG and IGT, low parity and delivery, anatomic defects due to traumatic birth. The divergence disappears with advanced age, high parity and delivery. MUI is observed with advanced age more frequently. UUI is observed more frequently in advanced age patient with DM.