Poor level of information for young athletes regarding stress urinary incontinence: Reference to a survey conducted on the Internet

Abstract

Physical exercise performed intensively is a serious risk factor of stress urinary incontinence. Despite a better knowledge of the risks factors and the existence of available therapeutics measures, urinary incontinence remains taboo. The major purpose of this study was to assess the knowledge and expectations of athletes regarding stress urinary incontinence. We have released an anonymous questionnaire using “Google Form”. This questionnaire was developed by experts. The release took place on social networks and on sports women forums from 5 to 20 May 2016. We have obtained 178 answers and 163 were selected for the study. Then, we have accomplished a global statistical study as well as a statistical study in groups of the achieved outcomes. The average age of the athletes was 29 years old of which 77% were nulliparous. They practiced an average of 3.9 hours of sport per week. Eighty-three percent practiced sports as a hobby and 17% took part in competitions. The prevalence of stress incontinence was up to 45% of which 66% had an inconvenience in their everyday life. Sixty percent had never been informed of urinary incontinence. Eighty percent had no idea that this phenomenon may occur at a young age. Eighty-six percent had no knowledge of the physiopathology of the urinary incontinence. Sixty-seven percent knew that reeducation could help athletes to prevent stress urinary incontinence and only 34% thought they could improve it once it is established. Among the athletes affected by stress urinary incontinence, 67% had never dared speaking of it and only 19% benefited from rehabilitation. The results of our study confirmed a high prevalence of stress urinary incontinence among athletes with a real impact on their well-being. However, knowledge of the subject remains very poor due to a clear lack of information. This subject is taboo, partially explained by the lack of education of athletes.