Linde, J.M. (2016) Urine-incontinentie in de Nederlandse populatie. thesis, Medicine.
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Abstract
Introduction Urinary incontinence (UI) is a common condition with a great influence on the quality of life. Up until now only a few studies on the prevalence of UI have been performed in the Netherlands. In these studies only women or elderly men were included. The aim of this study was to determine the prevalence and risk factors associated with UI among adults in the Netherlands. Methods To determine this we performed a cross-sectional study in which we included 1257 respondents aged ≥ 18 years, thus creating a representative cohort that was equally distributed regarding age, gender, region, and education level according to the population pyramid from Statistics Netherlands. The participants completed the validated Groningen Defecation and Fecal Continence Questionnaire. UI was defined as any involuntary leakage of urine during the past six months. Results The prevalence of UI in the total group was 36.8%. Women experienced UI significantly more often than men (49.0% versus 22.6%, respectively, P < 0.001). We found that in both men and women the prevalence of UI increased with aging (P = 0.003 and P < 0.001, respectively). Remarkably, multivariate analysis revealed that age did not influence UI in men. Men and women aged 18 to 39 also experienced UI (17.0% and 36.1%, respectively). We established that diabetes mellitus, fecal incontinence, and constipation were risk factors for UI. In women, obesity, vaginal hysterectomies, and vaginal parturition were also risk factors for UI, as was prostate surgery in men. Conclusion We can conclude that the prevalence of UI in the Netherlands is high. Medical practitioners should therefore not underestimate this problem, especially among young people. Because the multivariate analysis revealed that in men age did not correlate significantly with UI, we believe that the risk of developing UI increases with age because of diseases that are known to lead to UI and not because of aging itself.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Facultair begeleider: and Nijman, Prof. dr. J.M. and Tweede begeleider: and Broens, Dr. P.M.A. and Universitair Medisch Centrum Groningen and Afdeling Urologie i.s.m. het and Anorectaal Functie Centrum |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 10:58 |
| Last Modified: | 25 Jun 2020 10:58 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/1814 |
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