Urinary Incontinence in Pakistani Women: Impact on Quality of Life and Treatment-Seeking Behavior
Fouzia Fahim*, Waleed Bin Fahim, Gul Lakhta and Fahad Raja Khan
Methods: This study was carried out at consultant clinics of tertiary care hospital. The study design was cross-sectional, and 560 women over the age of 18 were interviewed. We used the “short form of the international consultation on incontinence questionnaire.” The effect of urine leakage on their life was evaluated, and their attitude toward obtaining treatment.
Results: UI was prevalent in 32.5% (n=182) and showed an increasing trend with age, BMI, and parity. The distributions of urge UI, stress UI and mixed UI were 40.11% (n=75), 35.71% (n=62) and 24.73% (n=45) respectively. A total of 69.23% of patients experienced negative effects of UI, affecting their QoL; this effect was moderate to severe. Around 77 (42.3%) women (total n=182) seeked medical help; most approached gynaecologists (P <0.001). Urge UI caused women to seek medical help more frequently, whereas stress UI severely impacted their QoL.
Conclusion: One of three women had UI. There was an increasing trend with age, BMI and parity. UI affected QoL in more than half of the women; only patients with moderate to severe symptoms sought medical help.