Main risk factors symptoms of manifestation of urinary incontinence in childbearing age women with overactive bladder syndrome
Since many factors can affect the manifestation of urinary disorders in a particular woman at different periods of life, some of them can cause urinary incontinence, affect the choice of method and the success of treatment. Syndrome of a hyperactive bladder is, in addition to medical, a serious socio-economic problem and leads to social disadaptation of the individual. The aim of research was to identify predictors (provoking, contributing factors or risk factors) of hyperactive urinary bladder syndrome in pregnant women of different age groups in early stages of pregnancy. A total of 75 pregnant women with a hyperactive bladder syndrome (the main group) and 60 practically healthy pregnant women with no incontinence (control group) at the gestation period of 12 weeks were examined. It was determined that in the general group of women with hyperactive urinary bladder the working, with satisfactory and unsatisfactory economic conditions prevailed. Among occupational hazards, 61,3% of pregnant women noted permanent physical activity, forced delay in urination (44%), prolonged orthostatic body position (20,0%), and significant physical activity (29,3 %). It was found that among pregnant women more extragenital pathology, almost all women smoke (93,3%) and drink alcohol often enough (89,3 %), besides the length of smoking is much larger, compared with the swearing smokers of practically healthy women. It was found that in the hyperactive bladder group, unsatisfactory family relationships (58,7%) predominate, resulting in more single women. The overwhelming majority of women with hyperactive urinary bladder begin their sexual life up to 14 years old and have more than 4 sexual partners, which, in combination with contraception in the form of interrupted sexual intercourse, leads to an increase in the third and fourth degree of vaginal purity, as well as the appearance of more bacterial vaginosis and diseases in women with hyperactive urinary bladder, sexually transmitted infections. It was established that in the main group all the indicators of anesthetic history prevail in comparison with the main group. In the general group, the majority of pregnant women associated with the emergence of hyperactive bladder with pregnancy and childbirth (40%), a large weight of the fetus (18,3%); 14,7% of women were considered to be the reason for motility disorders, which were postponed during the lunar and gestational periods; 13.7% of urinary incontinence appeared after a change in sexual partner, and also after sexual intercourse (13,3%). The results of the research indicate that a survey of diseases such as hyperactive bladder syndrome requires a comprehensive approach by carefully collecting the socioeconomic status, style and quality of life, extragenital diseases, family, obstetric-gynecological and hereditary history, as well as sexual function women in the reproductive period.
2. Nejmark, A. I., Nejmark, B. A. & Kondrat'eva, Ju. S. (2010). Dizuricheskij sindrom u zhenshhin. Diagnostika i lechenie: rukovodstvo. [Dysuric syndrome in women. Diagnosis and treatment: a guide]. Moskva: GJeOTAR-Media – Moscow: GEOTAR-Media.
3. Abrams, P., Cardozo, L., Fall, M., Griffiths, D., Rosier, P., Ulmsten, U. … Wein, A. (2002). The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society. Neurourological Urodyninamic, 21 (2), 167–178. https://doi.org/10.1002/nau.10052
4. Abrams, Р., Blaivas, J. G., Stanton, S. L. & Andersen, J. T. (1990). The standardisation of terminology of lower urinary tract function recommended by International Continence Society. International Urogynecologyсаl Journal, 1, 45.
5. Andersson, K. E. & Wein, A. J. (2004). Pharmacology of the urinary tract: basis for current and future treatments of urinary incontinence. Pharmacology review, 56, 581–631. DOI: 10.1124/pr.56.4.4.
6. Khasriya, R. K., Ismail, S., Wilson, M. & Malonee-Lee, J. (2011). A new aethiology for OAB: intracellular bacterial colonization of urothelial cells. International Journal of Urogynecology, 22 (1), 141–142. Retrieved from https://webcache.googleusercontent.com/search?q=cache:RH1XAsQ81qEJ:https://www.ics.org/Abstracts/Publish/106/000438.pdf+&cd=3&hl=ru&ct=clnk&gl=ua&client=firefox-b-ab.
7. Xiaolin, Y., Tianwen, H. & Ying, L. (2012). Association of Toll-like receptor 4 gene polymorphism and expression with urinary tract infection types in adults. PLoS ONE, 5 (12). https://doi.org/10.1371/journal.pone.0014223.
8. Coyne, K. S., Margolis, M. K., Brewster-Jordan, J. Sutherland, S. E., Bavendam, T. & Rogers, R. G. (2007). Evaluation the impact of overactive bladder on sexual health in women: what is relevant? The Journal of Sexual Medicine, 4 (1), 124–136. doi: 10.1111/j.1743-6109.2006.00315.x.
9. Felde, G., Bjelland, I. & Hunskaar, S. (2012). Anxiety and depression associated with incontinence in middle – aged women: a large Norwegian cross – sectional study. International Urogynecology Journal, 23 (3), 299–306. doi: 10.1007/s00192-011-1564-3.
10. Hopkins, W. J., Uehling, D. T. & Wargovski, D. S. (1999). Evaluation of a familial predisposition to recurrent urinary tract infections in women. American Journal of Medical Genetics, 83, 422–424. Retrieved from https://doi.org/10.1002/(SICI)1096-8628(19990423)83:5<422::AID-AJMG16>3.0.CO;2-1.
11. Sako, T., Inoue, M., Watanabe, T., Ishii, A., Yokoyama, T. & Kumon, H. (2011). Impact of overactive bladder and lower urinary tract symptoms on sexual health in Japanese women. International Journal of Urogynecology, 22 (2), 165–9. doi: 10.1007/s00192-010-1250-x.
12. Melville, J. L., Delaney, K., Newton, K. & Katon, W (2005). Incontinence severity and major depression in incontinent women. Obstetrics and gynecology, 106 (3), 585–592. DOI: 10.1097/01.AOG.0000173985.39533.37.
13. Teleman, P. M., Lidfeldt, J., Nerbrand, C., Samsioe, G. & Mattiasson, A. (2004). Overactive bladder: prevalence, risk factors and relation to stress incontinence in middle-aged women. BJOG, 111 (6), 600–4. DOI: 10.1111/j.1471-0528.2004.00137.x.
This work is licensed under a Creative Commons Attribution 4.0 International License.