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Sociodemographic and symptomatic characteristics of women undergoing stress incontinence surgery in the UK

Record type: Article

Objectives To: (ii describe the sociodemographic characteristics of women undergoing surgery for stress incontinence in the UK and the ways in which they differ from women of a similar age in the general population; (ii) the severity and impact of their symptoms and their expectations of surgery and; (iii) their general state of health.Patients and methods A prospective cohort study was carried out on 442 women undergoing surgery for stress incontinence in 18 hospitals in the North Thames region between January 1993 and Tune 1994. Sociodemographic factors, stress incontinence severity, symptom impact scores, and general health status were measured.Results Women undergoing surgery for stress incontinence were similar to their peers in the general population apart from being more likely to have smoked (61.4 against 51.1%), to have subsequently given up (39.5 and 25.3%) and to be of higher parity (greater than or equal to 4; 19.7 and 12.0%). Most women (81.6%) reported moderate to very severe stress incontinence, The impact of symptoms was correlated positively with severity (P<0.001) after accounting for its positive correlation with mental health status (P<0.005), socioeconomic status (P<0.05) and its negative correlation with age (P<0.02). Many women also suffered from other urinary symptoms including urgency (76%) and frequency (42.3%). Apart from their urinary problems, women were in good health (77% reported no or only mild coexistent conditions), However, a very high proportion (34.2%) had previously undergone a hysterectomy.Conclusions These results suggest that women undergoing stress incontinence surgery are remarkably similar to their peers, apart from their primary condition. The effect that stress incontinence has on women's lives depends not only on the severity of the problem but also on other factors. The high rate of previous hysterectomy warrants further study.

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Citation

Black, N.A., Griffiths, J.M., Pope, C., Stanley, J., Bowling, A. and Abel, P.D. (1996) Sociodemographic and symptomatic characteristics of women undergoing stress incontinence surgery in the UK BJU International, 78, (6), 847 - 855. (doi:10.1046/j.1464-410X.1996.02607.x). (PMID:9014707).

More information

Published date: December 1996
Keywords: interstitial cystitis, detrusor myopathy, enterocystoplasty, videocystometrography
Organisations: Faculty of Health Sciences

Identifiers

Local EPrints ID: 334786
URI: http://eprints.soton.ac.uk/id/eprint/334786
ISSN: 1464-410X
PURE UUID: 5239649a-9b36-4d5d-99e4-f9d82facb4ae
ORCID for C. Pope: ORCID iD orcid.org/0000-0002-8935-6702

Catalogue record

Date deposited: 20 Mar 2012 15:57
Last modified: 18 Jul 2017 06:11

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Contributors

Author: N.A. Black
Author: J.M. Griffiths
Author: C. Pope ORCID iD
Author: J. Stanley
Author: A. Bowling
Author: P.D. Abel

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