Abstract
Urinary incontinence is a major health problem. According to various authors, it concerns 30–40% of the population and grows with age, affecting approximately 50% of women aged over 70. According to the recommendations of the International Continence Society, the treatment of urinary incontinence should commence with conservative treatment and, above all, with physiotherapy. If the conservative treatment fails or the level of urinary incontinence is too high, surgery is recommended. With regard to female patients examined at work, the TOT method was applied. The aim of this study was to assess the relationship between regular physical activity and the quality of life of women aged 65–87 who underwent surgical treatment for stress urinary incontinence (SUI) using the TOT method. The study group involved 60 postmenopausal women, patients of the Department of Gynaecology of the Hospital of Ministry of the Interior and Administration in Wroclaw, with SUI diagnosed during ultrasonography. The female patients were surveyed before and 12 months after the surgery using standardised IPAQ and WHOQOL-BREF.FL questionnaires. Significant positive relationships between quality of life and physical activity before and 12 months after the surgery were demonstrated in the somatic and social domains. Physically active postmenopausal women presented higher values in all domains and total quality of life according to the WHOQOL-BREF compared with physically inactive women, both before and 12 months after the procedure using the TOT method.
Highlights
Stress urinary incontinence (SUI) is the most common dysfunction associated with urinary incontinence, accounting for 50% of all cases of micturition [9,10]
According to the recommendations of the European Association of Urology, the treatment of urinary incontinence should commence with conservative treatment and, above all, with physiotherapy [17]
Those patients who stayed in the ward while waiting for the transobturator tape (TOT) procedure during the first phase of the project, who met the inclusion and exclusion criteria for the study, and who gave informed and written consent to participate in the study were qualified to participate in the project
Summary
It affects 30–40% of the population [2,3] and increases with age, affecting as much as 50% of women over 70 years of age [4]. This dysfunction contributes to a significant reduction in their quality of life. Since the 1970s, the literature has shown strong relationships between lifestyle and holistic health, and the prevention of chronic diseases. Research shows that regular physical activity and appropriate daily activity improve overall health [5,6,7,8]. Stress urinary incontinence (SUI) is the most common dysfunction associated with urinary incontinence, accounting for 50% of
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