OBJECTIVE: The aim of this study was to identify factors associated with urinary incontinence severity at baseline in women undergoing surgery for stress incontinence. STUDY DESIGN: Baseline data were obtained from 650 women (age 28 to 81 years) with stress incontinence participating in a randomized surgical trial. Severity of incontinence was defined by the mean number of incontinence episodes per day recorded in a 3-day bladder diary. The relationships between severity and several baseline variables were examined, including demographics, medical, obstetric, and gynecologic history, body mass index, smoking status, Q-tip displacement, and Pelvic Organ Prolapse Quantification stage (POP-Q). RESULTS: In a multivariable model, severity of incontinence was positively associated with body mass index (P = .0003) and current smoking (P = .01), and negatively associated with prolapse stage (P < .0001) and Q-tip displacement (P = .042). CONCLUSION:Incontinence severity in a surgical population was independently associated with 2 modifiable factors, obesity and tobacco use, as well as pelvic support.
RCT Entities:
OBJECTIVE: The aim of this study was to identify factors associated with urinary incontinence severity at baseline in women undergoing surgery for stress incontinence. STUDY DESIGN: Baseline data were obtained from 650 women (age 28 to 81 years) with stress incontinence participating in a randomized surgical trial. Severity of incontinence was defined by the mean number of incontinence episodes per day recorded in a 3-day bladder diary. The relationships between severity and several baseline variables were examined, including demographics, medical, obstetric, and gynecologic history, body mass index, smoking status, Q-tip displacement, and Pelvic Organ Prolapse Quantification stage (POP-Q). RESULTS: In a multivariable model, severity of incontinence was positively associated with body mass index (P = .0003) and current smoking (P = .01), and negatively associated with prolapse stage (P < .0001) and Q-tip displacement (P = .042). CONCLUSION:Incontinence severity in a surgical population was independently associated with 2 modifiable factors, obesity and tobacco use, as well as pelvic support.
Authors: Leslee L Subak; Patricia S Goode; Linda Brubaker; John W Kusek; Michael Schembri; Emily S Lukacz; Stephen R Kraus; Toby C Chai; Peggy Norton; Sharon L Tennstedt Journal: Am J Obstet Gynecol Date: 2014-03-11 Impact factor: 8.661
Authors: Badereddinn Mohamad Al-Ali; Georg C Hutterer; Erika Puchwein; Karl Pummer; Giacomo Novara; Günter Primus Journal: World J Urol Date: 2011-12-04 Impact factor: 4.226
Authors: David Sheyn; Rebecca L James; Aisha K Taylor; Anne G Sammarco; Penny Benchek; Sangeeta T Mahajan Journal: Int Urogynecol J Date: 2015-06-13 Impact factor: 2.894
Authors: Holly E Richter; Kimberly Kenton; Liyuan Huang; Ingrid Nygaard; Stephen Kraus; Emily Whitcomb; Toby C Chai; Gary Lemack; Larry Sirls; Kimberly J Dandreo; Anne Stoddard Journal: J Urol Date: 2009-12-16 Impact factor: 7.450