Effect Of Urinary Incontinence Research Articles

Effect Of Urinary Incontinence On Women's Physical Condition

Effect Of Urinary Incontinence On Women's Physical Condition

Cumulative Effects of Comorbid Burden and Overactive Bladder Symptoms on Fall Risk Among Older Women Seeking Treatment for Urogynecologic Conditions

(Abstracted from Urogynecology 2023;29:763–769) Beyond impaired quality of life, the effects of urinary incontinence (UI) and overactive bladder (OAB) put older adults with this condition as at risk of social isolation, institutionalization, loss of independence, and injurious falls. Although the prevalence of older women with these conditions is reported as more than 30%, it is also believed that fewer than half of affected persons report bladder control problems to their health care providers.

Analysis of Factors Influencing the Incidence of Urinary Incontinence in Elderly Women in Medan

Urinary incontinence is a serious health problem that is very vulnerable to be experienced by the elderly caused by urinary disorders, especially women who can increase the risk of postpartum infection. This study used an observational analytic study with astudy design case control with aapproach. A retrospective approach was used to see how many factors were diabetes mellitus, hypertension, parity, mode of delivery, history of hysterectomy surgery, history of gynecological surgery, menopause, body mass index (BMI) and education towards the effect of urinary incontinence in the case group and control group in elderly women in Medan. The results of the study based on the results of statistical tests obtained p value > 0.05 indicating that there was no effect of increasing body weight on the incidence of urinary incontinence. In the blood sugar level variable, the p value <0.05 showed that there was an effect of blood sugar levels on the incidence of urinary incontinence with an OR = 4.375 (95% Cl; 1.320-14.504). blood pressure on the incidence of urinary incontinence with a value of OR = 4.250 (95% Cl; 0.507-9.993), the variable history of delivery obtained p value <0.05 there is an effect of mode of delivery on the incidence of urinary incontinence with an OR value of 4.190 (Cl 95%; 0.716-6.698), the parity variable obtained p value > 0.05, there was no effect of the number of parity on the incidence of urinary incontinence, the variable length of menopause obtained p value > 0.05 indicating that there was no effect of the length of menopause on the incidence of urinary incontinence, on the history of hysterectomy variable obtained p value <0.05, there is an influence between the history of hysterectomy surgery on the incidence of urinary incontinence with OR = 2.740 (95% Cl; 0.252-2.175), on the variable r gynecological history Statistical test results obtained p value > 0.05 indicating that there is no effect between the history of geniculate surgery on the incidence of urinary incontinence

Psychosocial consequences of urinary incontinence - tabooed and undertreated: a systematic review

Urinary incontinence is a significant health problem that can affect both women and men of all ages. It is not a life-threatening condition, but symptoms can have a strong impact on the physical, psychological and social well-being of those affected. Existing literature mainly reports on incontinent patients over 65 years of age. Studies about stress and effects of incontinence in younger patients are limited. Incontinence is a social taboo subject, with few sufferers seeking professional help for reasons of shame. Some incontinent individuals seek support when symptoms worsen and further reduce their quality of life. This study aims to explain which psychosocial stresses and effects of urinary incontinence in adults are described in the literature and how those affected experience these. A systematic literature search was performed for the years 2007 to 2022 in the databases CINAHL, Cochrane Database of Systematic Reviews via OvidSP, PsycINFO via OvidSP and PubMed. In addition to the research in the databases, a hand search was carried out on the internet and via the reference lists of the included and critically evaluated articles. Incontinence affects the entire life of those affected. Incontinent patients suffer from low self-esteem and shame. They reduce physical activities, have fewer social contacts and experience problems in working life. The condition often leads to impairments in partnership and sexuality. Younger patients have a higher level of suffering than older patients. In order to contribute to removing the taboo on urinary incontinence, health professionals should be made aware of the living situation of incontinent patients. Patient education is given high priority and strategies need to be developed to help those affected to cope.

Urinary incontinence in the postpartum 1-year period: Its prevalence and effect on psychosocial status of women.

In this study, it was aimed to determine the prevalence and effect of urinary incontinence in the postpartum 1 year period on psychosocial status of women. This study with a cross-sectional and descriptive design was conducted between 01.10.2021 and 01.04.2022. There were 406 women in the postpartum 8 weeks to 1 year period who participated in the study. The data were collected through Identifying Information Form, Edinburgh Postnatal Depression Scale, and Nottingham Health Profile. In the study, it was determined that 21.9% of the women in the postpartum period experienced urinary incontinence problems, and that the most common type of incontinence experienced was stress incontinence (62.9%). Edinburgh Postnatal Depression Scale mean score of the women who experienced urinary incontinence problems in the postpartum period was found to be significantly higher compared to those who did not experience this problem (P < .05), but no significant difference was found between the rates of those with depression risk according to the cutoff point of the scale (≥13 points). As a result of the regression analysis, it was determined that the increase in depression risk resulted not from urinary incontinence but from age and parity. It was also determined that the mean scores of the women who experienced incontinence problems from the subscales of Nottingham Health profile was significantly high (P < .05). In conclusion, urinary incontinence in the postpartum period is a prevalent problem affecting approximately one-fifth of women. In addition, this problem negatively affects the psychological and social dimensions of women's health.

The Knowledge Levels of Female Patients Applying to the Urology Outpatient Clinic about Urinary Incontinence and the Effects of Urinary Incontinence on Daily Life

Amaç: Üriner inkontinans (Üİ), hastaların günlük yaşamını etkileyen ciddi ve çözülmesi gereken bir sorundur. Kadın hastaların Üİ hakkındakini bilgi düzeyini, ne sıklıkla bu sebeple poliklinik başvurusu yaptıklarını, hangi polikliniğe başvurduklarını, hangi tedaviyi aldıklarını, tedaviden yarar görüp görmediklerini, Üİ’nin sosyal hayatlarına olan etkilerini bu çalışma ile göstermeyi amaçladık.&#x0D; Yöntem: Üroloji Polikliniği’ne herhangi bir şikayetle başvuran 18 yaş üstü kadın hastalara anket formları verildi. Anket formunda hastaların idrar kaçırma ile ilgili bilgi düzeyi, şikayet durumu, şikayeti varsa günlük hayatına olan etkisi, poliklinik başvuruları ve nasıl bir tedavi aldıkları sorgulandı. 1 Ocak 2021-31 Temmuz 2022 tarihleri arasında anketleri doldurmaya rıza gösteren hastalar arasından tam olarak yanıtlanmış 260 anket formu değerlendirmeye alındı.&#x0D; Bulgular: Üİ’nin en sık eşlik ettiği başvuru nedenleri sırasıyla, sıkışma (87,7%), noktüri (82,8%) ve dizüri (53,4%) idi. Üİ’nin hastaların en çok sosyal hayatını (52,4%), daha sonra ibadet etmesini etkilediği görüldü (25,3%). Hastaların %83,5’i idrar kaçırması olduğunda üroloji uzmanına gideceğini, %11,2’si ise kadın hastalıkları uzmanına başvuracağını belirtti. İdrar kaçırma hakkında hastaların %39,2’si sağlık çalışanından, %24,2’si internetten bilgi aldığını söyledi. Hayatının herhangi bir zamanında idrar kaçırması olan hastaların %43,2’sinin bir sağlık kuruluşuna başvurduğu görüldü. &#x0D; Sonuç: İdrar kaçırma şikayeti toplumda oldukça yaygın görülmesine ve hastaların sosyal hayatını olumsuz etkilemesine rağmen, birçok hasta şikayetini dile getirmekten çekinmektedir. Hastalar bu konuda doğru bilgiye ulaşmak ve gerekli tedaviyi almak için mutlaka sağlık kuruluşlarına başvurmaları hususunda bilinçlendirilmelidir. Şikayetini belirten hastaların çoğunun tedavilerden fayda sağladığı görülmektedir. &#x0D; Amaç: Üriner inkontinans (Üİ), hastaların günlük yaşamını etkileyen ciddi ve çözülmesi gereken bir sorundur. Kadın hastaların Üİ hakkındakini bilgi düzeyini, ne sıklıkla bu sebeple poliklinik başvurusu yaptıklarını, hangi polikliniğe başvurduklarını, hangi tedaviyi aldıklarını, tedaviden yarar görüp görmediklerini, Üİ’nin sosyal hayatlarına olan etkilerini bu çalışma ile göstermeyi amaçladık.&#x0D; Yöntem: Üroloji Polikliniği’ne herhangi bir şikayetle başvuran 18 yaş üstü kadın hastalara anket formları verildi. Anket formunda hastaların idrar kaçırma ile ilgili bilgi düzeyi, şikayet durumu, şikayeti varsa günlük hayatına olan etkisi, poliklinik başvuruları ve nasıl bir tedavi aldıkları sorgulandı. 1 Ocak 2021-31 Temmuz 2022 tarihleri arasında anketleri doldurmaya rıza gösteren hastalar arasından tam olarak yanıtlanmış 260 anket formu değerlendirmeye alındı.&#x0D; Bulgular: Üİ’nin en sık eşlik ettiği başvuru nedenleri sırasıyla, sıkışma (87,7%), noktüri (82,8%) ve dizüri (53,4%) idi. Üİ’nin hastaların en çok sosyal hayatını (52,4%), daha sonra ibadet etmesini etkilediği görüldü (25,3%). Hastaların %83,5’i idrar kaçırması olduğunda üroloji uzmanına gideceğini, %11,2’si ise kadın hastalıkları uzmanına başvuracağını belirtti. İdrar kaçırma hakkında hastaların %39,2’si sağlık çalışanından, %24,2’si internetten bilgi aldığını söyledi. Hayatının herhangi bir zamanında idrar kaçırması olan hastaların %43,2’sinin bir sağlık kuruluşuna başvurduğu görüldü. &#x0D; Sonuç: İdrar kaçırma şikayeti toplumda oldukça yaygın görülmesine ve hastaların sosyal hayatını olumsuz etkilemesine rağmen, birçok hasta şikayetini dile getirmekten çekinmektedir. Hastalar bu konuda doğru bilgiye ulaşmak ve gerekli tedaviyi almak için mutlaka sağlık kuruluşlarına başvurmaları hususunda bilinçlendirilmelidir. Şikayetini belirten hastaların çoğunun tedavilerden fayda sağladığı görülmektedir.

Comparison of Postural Control of Females with and without Urinary Incontinence: A Case-Control Study.

Background: So far, there is much less information about the effects of urinary incontinence on postural control. Therefore the aim of this study is to investigate the differences in postural control using linear and non-linear analyses of the center of pressure (COP) time-series in anteroposterior (AP) and mediolateral (ML) directions between females with and without stress urinary incontinence (SUI). Methods: This case-control study included 22 continent females and 22 SUI females. In this study, static postural control during four different postural tasks was evaluated using a force plate. All participants performed separate 60-sec standing trials with eyes open in the empty bladder and full bladder conditions. Mean, range, velocity, area circle of COP displacements, and approximate entropy (ApEn) of COP time-series were calculated from the 60-sec standing trials for all participants. The independent sample t-test was also used to compare COP variables between the two groups and paired sample t-test was used to assess changes between the full bladder and empty bladder conditions within each group. The effect size of Cohen's d was used to assess the magnitude of the differences between the two groups. Results: The findings revealed a significant group × task interaction for the mean of ML displacement and ApEn of COP. SUI females showed more AP displacement range in the full bladder (pvalue= 0.020, effect size=0.74) and a higher velocity (empty bladder: p=0.040, effect size=0.63) (full bladder: p=0.020, effect size=0.75) than the continent group. Generally, the SUI females had lower ApEn than the continent females, although the differences were not significant. While the variables of COP were unaffected by bladder fullness in the continent group, the SUI group in full bladder condition experienced more AP range (p=0.030), and area circle (p=0.007) of COP sway in quiet standing. Conclusion: These results provide more support for the hypothesis that postural control can be impaired following SUI, although future investigations on this topic are recommended.

The effects of urinary incontinence on quality of life and sexual function in women of reproductive age

The effects of urinary incontinence on quality of life and sexual function in women of reproductive age

Pengaruh Kegel Exercise Terhadap Inkontinensia Urine Pada Lansia

Lansia adalah seseorang yang telah memasuki usia 60 tahun ke atas. Pada kelompok yang dikategorikan lansia akan terjadi suatu proses yang disebut Aging Process. Perubahan fisik yang terjadi pada lanjut usia salah satunya pada sistem perkemihan yaitu penurunan tonus otot vagina dan otot pintu saluran kemih. Kajian Literatur ini bertujuan untuk mengetahui pengaruh keggel exercise terhadap inkontinensia urine pada lansia. Metode berupa analisis deskriptif dengan metode analisis data menggunakan Literature review. Semua jurnal temuan tersebut membahas tentang pengaruh keggel exercise terhadap inkontinensia urin pada lansia. Hasil kajian literature review dari 20 jurnal menunjukan bahwa hanya satu jurnal yang memaparkan bahwa kegel exercise ini tidak memiliki perubahan yang signifikan pada lansia dengan inkontinensia urine. Sedangkan 19 jurnal lainnya mengatakan hal sebaliknya. keggel exercise ini terbukti dapat memperkuat otot – otot panggul atau pelvis sehingga dapat melatih dan memperkuat sfingter eksternal pada kandung kemih. Kesimpulannya adalah terdapat pengaruh inkontinensia urine sebelum dan sesudah dilakukan latihan keggel exercise pada lansia. Latihan keggel dapat mengurangi inkontinensia urine. Saran untuk peneliti selanjutnya diharapkan dapat menggunakan desain penelitian yang berbeda untuk membandingkan subjek penelitian pada variabel keggel exercise terhadap inkontinensia urine pada lansia.

Effect of Urinary Incontinence on the Quality of Life of Older Adults in Riyadh: Medical and Sociocultural Perspectives.

ObjectivesThe objective of the study is to determine the impact of urinary incontinence (UI) on the quality of life (QoL) of the Saudi elderly population. Besides, we investigated individuals’ help-seeking behaviors and the religious and cultural aspects of UI among the Saudi elderly. MethodsWe conducted a cross-sectional study using a random sample of 150 Saudi older adults of both genders. The participants were outpatient clinics of government and private hospitals in Riyadh from January-March 2019. Volunteer medical students interviewed and distributed a standard questionnaire form (Arabic version of the ICIQ-SF [International Consultation on Incontinence Questionnaire] with 33 additional questions, four of which came from them from the King's Health Questionnaire (KHQ) to the targeted population. ResultsIn this study, there were 124 elderly participants (response rate 83%), of whom 62.9% were women. The mean age was 71.9 (±7.8). The "moderate" and "severe" ICIQ scores account for 78 (62.9%) and 32 (25.8%), respectively. There was a significant association between the ICIQ scores severity of UI and increasing BMI, nocturnal diuresis, urinary tract infection, and lung diseases. However, 36.3% of participants did not seek help due to misconceptions about UI and aging, unavailability of treatment, and embarrassment of sharing such symptoms with others. The participants suffered from limitations of social life (36.3%), a negative impact on their physical activity (18.5%), personal hygiene (21.8%), and their self-esteem (32.3%). About 17% and 33.1% of participants repeat ablution and prayers of participants, respectively. ConclusionsUrinary incontinence (UI) is a common and distressing problem in the elderly. A large proportion of the participants had a detrimental effect on their quality of life. A substantial percentage of older adults did not seek help. As a result, we recommended raising awareness about UI, QoL, the misconceptions, and encourage them to overcome the stigma of embarrassment and seek medical help.

Is There a Correlation Between Behçet Disease and Lower Urinary Tract Symptoms?

PurposeIn this study, we aimed to determine the prevalence of lower urinary tract symptoms (LUTS) in patients with Behçet disease (BD) and to investigate the relationship between the severity of BD and LUTS.MethodsFifty-five patients with BD were included in this study from January to December 2018. All patients received a detailed urological evaluation. Additionally, BD activity was investigated using the Behçet Disease Current Activation Form. The International Prostate Symptom Score (IPSS), International Consultation on Incontinence Questionnaire Short Form, 8-item overactive bladder questionnaire forms, uroflowmetry, and postvoid residual urine volume were evaluated.ResultsThe mean age of the patients was 42.6 years. The mean activity score of BD was 4.6±3.2 and the mean IPSS score was 7.3±7.3. Sex had no significant effect on the BD activity score. The BD activity score was significantly correlated with the IPSS score, frequency of daytime urination, nocturia, and urgency. It was also correlated with the presence and the severity of urinary incontinence and the effect of urinary incontinence on daily life. Peak flow rate, voided volume, and the postvoid residual urine volume were not correlated with the BD activity score.ConclusionsLUTS were highly prevalent in patients with BD, and the severity and current activity of BD were correlated with frequency, nocturia, urgency, and urinary incontinence. Therefore, a urological evaluation of patients with BD in whom the activity and severity of the disease is elevated should be carried out comprehensively and patients should be managed accordingly.

Italian versions of the Urogenital Distress Inventory-6 and Incontinence Impact Questionnaire-7: translation and validation in women with urinary incontinence

Purpose To culturally adapt and validate the Urogenital Distress Inventory-6 and Incontinence Impact Questionnaire-7 (short forms) for use in Italian-speaking women with urinary incontinence. Methods We developed Italian versions of the two questionnaires through forward-backward translation, expert review and cognitive interviews. We then administered them to 100 women with urinary incontinence (mean age 58.02 ± 11.9 years) to assess the internal consistency (Cronbach’s alpha), test–retest reliability (intraclass correlation coefficient), standard error of measurement, minimum detectable change, and construct validity by hypothesis testing. Results No difficulties in acceptability emerged. Internal consistency was 0.61 for Urogenital Distress Inventory-6 and 0.88 for Incontinence Impact Questionnaire-7. Test–retest reliability was respectively 0.79 and 0.91. The minimum detectable change was respectively 22.9 and 18.1 points (on a 0–100 scale). Nine out of 10 a priori hypotheses regarding construct validity were confirmed. Conclusions The Italian versions of the Urogenital Distress Inventory-6 and Incontinence Impact Questionnaire-7 showed reliability levels in line with the literature and good construct validity. Thus, we think that the present study extends the evidence for both questionnaires as useful tools for assessing women with urinary incontinence. Implications for rehabilitation The Italian versions of the short forms of the Urogenital Distress Inventory and the Incontinence Impact Questionnaire have never been validated in Italian-speaking women with urinary incontinence. After translation and cross-cultural adaptation, the Italian versions of these two questionnaires showed reliability levels in line with the literature and good construct validity. The Urogenital Distress Inventory-6 produces a summary index of overall symptom distress, whereas the Incontinence Impact Questionnaire-7 is a unidimensional questionnaire measuring the adverse effects of urinary incontinence on health-related quality of life.

Effects of Urinary Incontinence on QOL of Daily Life in iddle-aged and Elderly Women

Effects of Urinary Incontinence on QOL of Daily Life in iddle-aged and Elderly Women

Experiences Related to Urinary Incontinence of Stroke Patients: A Qualitative Descriptive Study.

Poststroke urinary incontinence is a common problem, with a prevalence ranging from 32% to 79%. Urinary incontinence after stroke has negative physiological, psychological, and economic effects, which lead to lifestyle changes for both patients and caregivers. Nurses play an important role in preventing and improving incontinence, understanding the experiences of individuals experiencing incontinence, providing healthcare for them, and implementing behavioral therapy methods. The aim of this study was to determine the experience related to urinary incontinence of stroke patients. In this qualitative descriptive study, using semistructured interviews, 15 participants with urinary incontinence after stroke selected through purposeful sampling were interviewed. Data were collected with a semistructured interview form prepared within the framework of the Health Belief Model. All data were analyzed using content analysis. Three main themes were identified: "perception of urinary incontinence," "effects of urinary incontinence," and "management of urinary incontinence." The respondents explained that urinary incontinence also adversely affected their caregivers. They experienced many daily life and psychological problems because of urinary incontinence. In addition, they made several changes to management urinary incontinence such as limiting fluid intake, changing underwear frequently, using waterproof mattress protectors, applying traditional practice, and taking medicine. This study revealed that stroke patients needed help and support for urinary incontinence management. Nurses should provide information about management and urinary incontinence after stroke.

The effect of Kegel Exercise toward urinary in continence on the elderlies

&lt;p&gt;&lt;em&gt;Because of the increasing age, it causes the changes of anatomy and function of the urinary organs caused by weakening of the pelvic muscles. About 12 million people, 34% occurred in men and 60% in women. Indonesia 32.2% in the Elderlies suffers urinary incontinence. The aims of this study was to determine the effect of Kegel Exercise toward urinary in continence on the elderlies.The design of this study is Quasy experiment with design of one group pretest-posttest. This research was conducted in January-August 2015. The population in this research was 110 Elderlies, based on inclusion criteria were 12 people taken by total sampling techniques. The Data was collected by using questionaire and checklist sheets. Data were analyzed by using univariate and bivariate statistical dependent T-test with Shapiro Wilk normality test. The result showed that the frequency of urinary incontinence in the elderlies before doing Kegel exercises had the average about 10.58 with deviation 2,065. Freqency of urinary incontinence in the elderlies after doing Kegel exercises had the average about 8.00 with standard deviation 2,796. After doing the statistical, there is the effect of urinary incontinence before and after doing Kegel exercises in the elderlies. Kegel exercises can reduce urinary incontinence. It can be applied as the daily activities at social institution every day. &lt;/em&gt;&lt;/p&gt;

Psychological resilience aspects that mediate the depressive effects of urinary incontinence in prostate cancer survivors 10 years after treatment with radiation and hormone ablation

ABSTRACTRepeated surveys of prostate cancer (PCa) patients indicate that their prevalence of depression is well above that for their non-PCa peers. Although standard first-line treatments for depression are only about 35% effective, some recent comments have suggested that a focus upon the possible correlates (factors that aggravate or mediate depression) might help improve treatment efficacy. To investigate this issue, 144 10 year PCa survivors were asked about the frequency of urinary incontinence, a common side effect of some PCa treatments. The 53 patients who suffered urinary incontinence had significantly higher depression scores on the Zung Self-rating Depression Scale than those patients who did not report urinary incontinence. Using mediation analysis, patients' psychological resilience (PR) significantly mediated the depressive effects of urinary incontinence, but those effects were confined to just one of the five components of PR—a sense of control over the things that happen to oneself. Implications for treatment models of psychosocial oncology support for PCa survivors are discussed.

198: THE EFFECT OF INSTRUCTING PELVIC FLOOR MUSCLE TRAINING FOR CONTROLLING URINARY INCONTINENCE AND ITS RESULTING STRESS, ANXIETY AND DEPRESSION IN PATIENTS WITH MULTIPLE SCLEROSIS

Background and aims:Urinary disorders are common problems in patients with multiple sclerosis (MS). Urinary incontinence largely affects the physical, social, and emotional characteristics and activities of these patients. The aim...

Effects of urinary incontinence on psychosocial outcomes in adolescence

To examine whether daytime wetting and bedwetting urinary incontinence (UI) in childhood and adolescence are associated with psychosocial problems in adolescence. We used data from the Avon Longitudinal Study of Parents and Children to examine the association between trajectories of UI from 4 to 9 years and self-reported psychosocial problems in adolescence (13–14 years) including depressive symptoms, peer victimisation, poor self-image and school experiences (negative perception of school and teachers, problems with peer relationships). Sample sizes ranged from 5162 (perception of teachers) to 5887 (self-image). We also examined associations between self-reported UI at 14 years and psychosocial problems. Relative to normative development, adolescents who experienced delayed development of bladder control had poorer self-image [standardised mean difference = 0.18 (95% CI 0.04, 0.32)], more negative perceptions of school [0.18 (0.02, 0.34)] and more problems with peer relationships at school [0.25 (0.10, 0.40)]. Persistent wetting (bedwetting with daytime wetting) in childhood was associated with increased problems with peer relationships in adolescence [0.19 (0.03, 0.34)]. The strongest associations between adolescent UI and psychosocial problems were found for daytime wetting (reference = no UI at 14 years): depressive symptoms [OR = 3.04 (95% CI 1.91–4.84)], peer victimisation [2.14 (1.48–3.10)], poor self-image (t = −8.49, p < 0.001) and problems with peer relationships (t = −4.69, p < 0.001). Children with delayed development of bladder control and persistent wetting have increased psychosocial problems in adolescence. Adolescents with UI reported a range of psychosocial problems and clinicians should be aware that they might require support from psychological services.

Pelvic Floor Muscle Training Instruction to Control Urinary Incontinence and its Resulting Stress, Anxiety and Depression in Patients with Multiple Sclerosis

Background: Urinary disorders are common problems in patients with multiple sclerosis (MS). Urinary incontinence largely affects the physical, social and emotional characteristics and activities of such patients. Objectives: The current study aimed to identify the effect of pelvic floor muscle training on urinary incontinence and its resulting stress, anxiety and depression in patients with MS. Methods: The present clinical trial with a pre-post design was conducted on 50 patients with MS referring to the MS clinic of Imam Khomeini hospital in Tehran, Iran, selected by convenience sampling method. Participants received instructions on pelvic floor muscle exercises and then practiced for three consecutive months. The international consultation on incontinence questionnaire-urinary incontinence short form (ICIQ-UI-SF) was used to measure participants' urinary incontinence, and the 21-item depression, anxiety and stress scale (DASS-21) to measure their depression, anxiety and stress, both before the intervention and at the end of the third month of exercising. The obtained data were analyzed by SPSS16 using descriptive statistics and the dependent t test. Results: About 45 (90%) participants practiced pelvic floor muscle exercises until the end of the third month. The frequency and amount of urine leakage and the effect of urinary incontinence on the quality of life differed significantly in the patients after the instructions compared to the status before the intervention (P < 0.001). The mean score of stress (P < 0.001), anxiety (P = 0.04) and depression (P = 0.003) decreased significantly after the intervention. Conclusions: According to the findings, instructing pelvic floor muscle exercises was effective in reducing urinary incontinence and its resulting stress, anxiety and depression in patients with MS. These exercises were recommended as a non-pharmacological, non-invasive and cost-effective method to control urinary incontinence in patients with MS.

The Effect of Urinary Incontinence on Sexual Quality of Life in Women with Chronic Physical Diseases

This study was conducted in order to determine the effect of the presence of urinary incontinence on sexual quality of life in women diagnosed with chronic physical diseases. The sample of the cross sectional and comparative study consisted of 67.5 % (n = 191) female inpatients with and 32.5 % (n = 92) female inpatients without urinary incontinence complaints being treated for chronic physical diseases in the internal diseases clinic of a public hospital. Data was collected using the patient identification form, the International Incontinence Consultation Questionnaire-Short Form and the Sexual Quality of Life Scale for Women. The average score that women with urinary incontinence took from the sexual quality of life scale (61.50 ± 19.10) was lower than the average score of women without urinary incontinence (77.19 ± 18.75) (p < 0.01). There was a negative meaningful relationship between the frequency, amount, and effect of urinary incontinence and sexual quality of life (p < 0.05). The sexual quality of life of women who were 50 years of age and above, who had respiratory system diseases, had a duration of illness between 6 and 10 years, perceived their general health as bad, parity and gave normal birth, were in their menopausal period, and had hysterectomies was significantly lower (p < 0.05). As a result, in women with chronic physical diseases and urinary incontinence, the sexual quality of life is affected in a worse level compared to those who do not have urinary incontinence.