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FEMALE UROLOGY URINARY INCONTINENCE

FEMALE UROLOGY URINARY INCONTINENCE. WHY do we need to learn something about incontinence? When is a condition “IMPORTANT” ?. “IMPORTANT” Diseases. Life - threatening Common, afflicts many Debilitating, affects quality of life Financially straining, costly

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FEMALE UROLOGY URINARY INCONTINENCE

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  1. FEMALE UROLOGYURINARY INCONTINENCE

  2. WHY do we need to learn something about incontinence?When is a condition “IMPORTANT”?

  3. “IMPORTANT” Diseases • Life - threatening • Common, afflicts many • Debilitating, affects quality of life • Financially straining, costly • Potential for improvement in the management and care

  4. There remains a paucity of information regarding urinary incontinence in non-caucasian women worldwide.- Hunskaar, et al. Epidemiology and Natural History of Urinary Incontinence.Incontinence. Ed. Abrams, Khoury and Wein. 1999

  5. Prevalence Study on Urinary Incontinence in AsiaAsia Pacific Continence Advisory Board

  6. Objectives • Determine the prevalence of urinary incontinence in Asia • Determine the status of urinary incontinence as a problem • Determine the demographic factors related to the occurrence of urinary incontinence

  7. Methodology • Questionnaire survey • Created by an expert panel • Translated into the local dialect, validated • Multiple-choice type of queries • Self-administered under supervision of a medically-trained personnel

  8. URINARY INCONTINENCE Have you ever leaked urine inappropriately before reaching the toilet in the past 6 months? YES

  9. Types of Incontinence STRESS Leakage of urine with coughing, sneezing, etc. URGE Leakage of urine associated with a strong sensation to void MIXED combination

  10. TOTAL : 7875 Males : 2369 Females : 5506 Participating countries : Philippines Indonesia Malaysia Singapore Thailand China Hong Kong Taiwan Korea India Pakistan Survey Population

  11. Survey Population TOTAL : 5506

  12. Prevalence of Urinary Incontinence Among Females in Asia 14.6% (5.8-24.0)

  13. Prevalence of Urinary Incontinence among Females ** * ** * Fukui, 1986 ** Hampel, et al. 1997

  14. Type of Incontinence

  15. Type of IncontinenceAsia vs. World ASIA WORLD Hampel 1997

  16. Incontinence as a Problem • Degree of Bother • Scoring from 0 to 5 0 – no bother, 5 – severe • Need for Leakage Protection • Seeking Help

  17. Incontinence as a ProblemDegree of Bother YES : 53.7%

  18. Incontinence as a ProblemNeed for Leakage Protection 38.6% (328/801)

  19. Incontinence as a ProblemRate of Seeking Help

  20. Incontinence as a ProblemRate of Seeking Help * ** * NIH Consensus Statement on Urinary Incontinence,1988 ** Holts et al, 1988

  21. Seeking Help : Who?

  22. Demographic Factors Associated with a Higher Prevalence of Urinary Incontinence • Older age • Multiparity • Manual labor • Positive family history for voiding dysfunction • Use of a sitting toilet • Higher income

  23. Urinary Incontinence is an “IMPORTANT” disease • Common, afflicts many • 14.6% of the female population suffer from it • Debilitating, affects quality of life • majority (53%) are bothered to a certain degree • 16% are bothered significantly • 55% will need to seek help • Financially straining, costly • 38% need protection = need for pads / diapers

  24. Thank you

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