Urinary incontinence has a high prevalence and a significant impact on quality of life, especially for women. Surgery is possible after failure of lifestyle changes, physiotherapy. Analyzing the care pathway of women under 75 years of age who have undergone surgery for urinary incontinence in link with recommendation and suggest possible improvements.
Quantitative, multicentric, retrospective survey carried out between 10/09/2019 and 25/11/2019, based on anonymous self-report questionnaire, among women aged between 32 and 75 and operated in different hospitals in Loire (France).
93 answers were exploited out of 204. 49.5% of the women had stress, 50.5% mixed incontinence. Before the intervention, it had evolved for 5 years on average and caused discomfort evaluated at an average 7.5/10. 80% frequently used protective pads and bladder training. Lifestyle changes and the voiding diary were not used much. 86% of women felt comfortable to speak to a physician. 73% had performed a urodynamic test, 47% an abdominal ultrasound and 40% a urinalysis. 77% performed physiotherapy, 39% self-administered physiotherapy, 7% used medication. The postoperative quality of life was evaluated at 7.8/10; 58% felt healed and 69% considered their sex life had improved.
The care pathway could be improved through systematic screening for urinary incontinence and its impact. The development of a care plan to coordinate and propose quick care could help patients to improve their life.
Gynecologie, obstetrique, fertilite & senologie. 2021 Jan 09 [Epub ahead of print]
Mona Mahfoudi, Angélique Savall, Béatrice Trombert Paviot, Josette Vallée, Céline Chauleur
Département de médecine générale, Faculté de médecine de Saint-Étienne, 10, rue de Marandière, 42270 Saint-Priest en Jarez, France., Service de santé publique, CHU Saint-Étienne, Avenue Albert Raimond, 42270 Saint-Priest-en-Jarez, France., Service de gynécologie-obstétrique, CHU de Saint-Etienne, Hôpital Nord, avenue Albert-Raymond, 42270 Saint-Priest-en-Jarez, France INSERM, SAINBIOSE, U1059, Vascular Dysfunction and Hemostasis, Jean-Monnet University of Saint-Etienne, CIC1408, 42055 Saint-Etienne, France. Electronic address: .