ORIGINAL ARTICLE

Prevalence of Urinary Incontinence in Women with Pelvic Organ Prolapse at Sanglah Hospital Denpasar, Bali-Indonesia

I Gede Mega Putra , I Wayan Megadhana, Ketut Suwiyoga, H. Junizaf, Budi Iman Santoso

I Gede Mega Putra
Urogynecology and Reconstruction Department of Obstetrics and Gynecology Faculty of Medicine University of Udayana/ Sanglah General Hospital Denpasar Bali. Email: gedemegaputra@yahoo.co.id

I Wayan Megadhana
Urogynecology and Reconstruction Department of Obstetrics and Gynecology Faculty of Medicine University of Udayana/ Sanglah General Hospital Denpasar Bali

Ketut Suwiyoga
Urogynecology and Reconstruction Department of Obstetrics and Gynecology Faculty of Medicine University of Udayana/ Sanglah General Hospital Denpasar Bali

H. Junizaf


Budi Iman Santoso
Obstetrics and Gynecology Faculty of Medicine, Indonesia University, Jakarta-Indonesia.
Online First: August 26, 2016 | Cite this Article
Putra, I., Megadhana, I., Suwiyoga, K., Junizaf, H., Santoso, B. 2016. Prevalence of Urinary Incontinence in Women with Pelvic Organ Prolapse at Sanglah Hospital Denpasar, Bali-Indonesia. Bali Medical Journal 5(1): 125-128. DOI:10.15562/bmj.v5i1.263


Background: Urinary incontinence is extremely common complaint in every part of the world. It causes a great deal of distress and embarrassment, as well as significant cost, to both individual and societies. Urinary incontinence and pelvic organ prolapsed commonly coexist. The prevalence of women presenting with pelvic organ prolapsed are also diagnosed with urinary incontinence was 25-35% and some studies shows higher prevalence Urinary incontinence gives significant impact on social and productivity of the women. Objective: To determine the prevalence of urinary incontinence in women with pelvic organ prolapsed. Methods: This study is a descriptive study in 67 samples in women with pelvic organ prolapsed. Samples were obtained non-randomly by using consecutive sampling. All samples were examined using Pelvic Organ Prolepses Quantification (POPQ) procedure to measure degrees of prolapsed. An interview, measurement of residual urine, stress test, bladder diary recording, and urinalysis were performed to investigate presence of urinary incontinence and its type.  The data obtained analyzed descriptively for baseline characteristic and to determine its prevalence of urinary incontinence. Results:Prevalence of urinary incontinence in women with pelvic organ prolapsed was 37,32% , consist of 31,32% stress type, 1.49% overactive bladder, and 4.47% overflow incontinence. There was no mixed urinary incontinence found in this study. Prevalence of urinary incontinence was 16.42% and 20.90% on those with I-II degrees and III- IV degrees of pelvic organ prolapsed respectively. Conclusion: Prevalence of urinary incontinence in women with pelvic organ prolapsed was 37,32%.

References

ACOG Comittee. on Practice Bulletins-Gynecology. ACOG Practice Bulletin No.85 : Pelvic organ Prolapse. Obstet Gynecol. 2007;186(6):1160-1166.

Nygaard I, Barber MD, Burgio KL, et al. ; for the Pelvic Floor Disorders Network. Prevalence of Symtomatic Pelvic Floor Disorders in US Women. JAMA. 2008; 300(11): 131-1316.

Kudish, Iglesia CB, Sokol RJ, et al. Effect of weight change on natural history of pelvic organ prolapse. Obstet Gynecol. 2009;113(1):81-88

Roovers JP, Oelke M. Clinical relevance of urodynamic investigation test prior to surgical correction of genital prolapse : a literature review. Int Urogynecol J Pelvic Floor Dysc. 2009;18(4):455-460


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