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 Potential for improvement in the management and care

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

Prevalence Study on Urinary Incontinence in Asia Asia Pacific Continence Advisory Board

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

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

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

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

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

Survey Population TOTAL : 5506

Prevalence of Urinary Incontinence Among Females in Asia 14.6% ( )

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

Type of Incontinence

Type of Incontinence Asia vs. World ASIAWORLD Hampel 1997

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

Incontinence as a Problem Degree of Bother YES : 53.7%

Incontinence as a Problem Need for Leakage Protection 38.6% (328/801)

Incontinence as a Problem Rate of Seeking Help

*** * NIH Consensus Statement on Urinary Incontinence,1988 ** Holts et al, 1988

Seeking Help : Who?

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

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

Thank you