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

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 Incontinence Asia vs. World ASIAWORLD 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 Problem Degree of Bother YES : 53.7%

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

19. Incontinence as a Problem Rate of Seeking Help

20. *** * 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