Abstract
Aim: The aim of this study is to identify the common urinary problems in Indian females, their etiology and symtomatology. Material and Methods: This is a prospective epidemiological study of 703 female patients with urinary problems, who attended the surgery and gynecology OPD (outpatient department) in our institution which is a tertiary referral centre in central India. Result: 58% of patients were middle age (31 - 55) yrs. Burning micturition was the most common urinary complain (607 patients) followed by increased frequency of micturition (309 patients). 68% females took months or even years to take first consultation after appearance of their symptoms. 14% percent of patients suffered from urinary incontinence (stress, urge and mixed). 86% of women had education level below fifth standard. About 58% of females gave birth to 3 or more than 3 issues. About 254 (36%) patients had one or more unassisted delivery at home. Thirty eight percent of patients still remained undiagnosed. More than 50% of undiagnosed females lie in middle age group. 68% of undiagnosed patients took consultation months or years after their symptoms first appeared. Irritative symptoms are the most common presenting complains of these undiagnosed patients followed by pain in abdomen. Around 60% of patients had history of either mental distress, domestic violence or any neuropschiatric disease. This study only gives us an idea about the urinary problems faced by females and their probable causative factors. Many more studies need to be done involving multidisciplinary approach in order to benefit this section of our society.
Highlights
Urinary problems affect millions of Indian, and while some of these problems aren’t a serious threat to overall health, they are distressing and can negatively affect one’s quality of life
Aim: The aim of this study is to identify the common urinary problems in Indian females, their etiology and symtomatology
More than 50% of undiagnosed females lie in middle age group. 68% of undiagnosed patients took consultation months or years after their symptoms first appeared
Summary
Urinary problems affect millions of Indian, and while some of these problems aren’t a serious threat to overall health, they are distressing and can negatively affect one’s quality of life. Prevalence of lower urinary tract symptoms including incontinence is higher in females than in males [1,2]. The second is physiological; with increasing age change in hormonal status and physiology of female uro-genital tract pre dispose to voiding dysfunctions [4]. Another utmost important and modifiable factor is the silent trauma to the pelvic supports- the utmost important structure for proper functioning of lower urinary tract, in the form of multiple vaginal deliveries (specially unattended home deliveries) and various obstetric and gynaecological surgeries (caesarean section, hysterectomy etc.) [1,2]
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