Transcript EPIDEMIOLOGY OF URINARY INCONTINENCE AMONG …

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
Have you ever leaked urine inappropriately
before reaching the toilet
in the past 6 months?
YES
URINARY INCONTINENCE
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
Korea
8%
HK China
4%
8%
Thailand
17%
Philippines
13%
Taiwan
12%
Pakistan
11%
India
12%
Malaysia
6%
Indonesia
Singapore 5%
4%
Prevalence of Urinary Incontinence
Among Females in Asia
14.6%
(5.8-24.0)
30
25
20
15
10
24
22.6
20.3
13.9
13.1
5.8
12
11.8
6.2
7.4
14.6
11.6
5
C
hi
O
na
V
ER
A
LL
H
K
Th
ai
l
P h and
ili
pp
in
M es
al
ay
In sia
do
ne
sia
Si
ng
ap
or
e
In
d
P a ia
ki
st
an
Ta
iw
an
K
or
ea
0
Prevalence of Urinary Incontinence
among Females
50
45
37 **
40
32 *
35
26 **
30
25
20
14.6
15
10
5
0
Asia (APCAB)
* Fukui, 1986
** Hampel, et al. 1997
Japan
United States
Europe
Type of Incontinence
Stress
13.1%
Urge
23.1%
Mixed
63.8%
Type of Incontinence
Asia vs. World
Stress
13.1%
Mixed
29%
Stress
50%
Urge
23.1%
Mixed
63.8%
Urge
22%
ASIA
WORLD
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%
4 - severe
3.6%
5 - very
severe
5.2% not indicated
7%
0 - none
36.1%
3 - moderate
7.6%
2 - mild
16.5%
1- very mild
24.3%
Incontinence as a Problem
Need for Leakage Protection
38.6%
(328/801)
Incontinence as a Problem
Rate of Seeking Help
Not
indicated
4.6%
Yes
41%
No
54.4%
Incontinence as a Problem
Rate of Seeking Help
70
60
50
50
41
Rate of 40
Seeking
Help 30
25
20
10
0
Asia
USA*
Europe **
* NIH Consensus Statement on Urinary Incontinence,1988
** Holts et al, 1988
Seeking Help : Who?
Others
17.1%
Nurse
1.2%
Not indicated
2.7%
Specialist
24.7%
Primary Care
7.6%
Traditional
Medicine
15.9%
General
Practitioner
30.8%
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