Prevalence and Knowledge of Urinary Incontinence and Awareness about Physical Therapy Treatment among Young Females of Lahore
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Abstract
Background: Urinary incontinence (UI), defined as involuntary urinary dribble at rest or under slight stress, is prevalent among women, particularly those who are pregnant or have had vaginal deliveries. While various treatments, including medical and physical therapy, are available for UI, awareness and knowledge about these treatments among young females remain unclear. This study aims to evaluate the prevalence of UI and the knowledge of physical therapy treatment options among young females in Lahore.
Objective: To determine the prevalence and knowledge of urinary incontinence and the awareness of physical therapy treatment among young females in Lahore.
Methods: This cross-sectional study included 250 young females aged 16-35 years from Jinnah Hospital Lahore, Sheikh Zayed Hospital Lahore, Ittefaq Hospital Lahore, and General Hospital Lahore. Data were collected using a self-reported quantitative questionnaire, the "International Consultation on Incontinence Questionnaire – Short Form" (ICIQ-SF), which assessed awareness about UI and knowledge of treatment options. Participants were briefed on the questions to ensure accurate responses. Data were analyzed using IBM SPSS Statistics version 25, with results presented as frequencies and percentages.
Results: The study involved 250 females with an age range of 16-35 years, of whom 156 (62.4%) were single, and 94 (37.6%) were married. Obstetric data revealed that 16 (6.4%) were nulliparous, 81 (32.4%) were multiparous, 53 (21.2%) had normal labor deliveries, 49 (19.6%) had cesarean section deliveries, and 5 (2.0%) had experienced episiotomy. UI prevalence was found in 83 (34%) participants, with 63 (25%) affected moderately and 24 (10%) severely. Regarding health knowledge, 121 (48.4%) had never heard of UI, and 142 (56.8%) did not know about the presence of medical treatment. Moreover, 196 (78.4%) were unaware of the availability of physiotherapy treatment for UI.
Conclusion: The prevalence of UI among young females in Lahore was significant, but the knowledge about UI and its medical treatment was relatively low. Awareness of physiotherapy treatment options was particularly lacking. These findings highlight the need for enhanced educational efforts to improve the understanding and management of UI among this population.
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References
Imran Z, Kiran Q, Aslam J, Shahid A, Shahzad A, Shafiq M. Knowledge and Experiences of Pregnant Females Towards Physiotherapy in Lahore. Rehabilitation. 2023;35:25-93.
Pizzol D, Demurtas J, Celotto S, Maggi S, Smith L, Angiolelli G, et al. Urinary Incontinence and Quality of Life: A Systematic Review and Meta-Analysis. Aging Clin Exp Res. 2021;33:25-35.
Weledji EP, Eyongeta D, Ngounou E. The Anatomy of Urination: What Every Physician Should Know. Clin Anat. 2019;32(1):60-7.
Brunzel NA. Fundamentals of Urine and Body Fluid Analysis-E-Book. Elsevier Health Sciences; 2021.
Wyndaele M, Hashim H. Pathophysiology of Urinary Incontinence. Surgery (Oxford). 2020;38(4):185-90.
Milsom I, Gyhagen M. The Prevalence of Urinary Incontinence. Climacteric. 2019;22(3):217-22.
Zhang RQ, Xia MC, Cui F, Chen JW, Bian XD, Xie HJ, et al. Epidemiological Survey of Adult Female Stress Urinary Incontinence. BMC Womens Health. 2021;21:1-10.
Patel UJ, Godecker AL, Giles DL, Brown HW. Updated Prevalence of Urinary Incontinence in Women: 2015–2018 National Population-Based Survey Data. Female Pelvic Med Reconstr Surg. 2022;28(4):181-7.
Harland N, Walz S, Eberli D, Schmid FA, Aicher WK, Stenzl A, et al. Stress Urinary Incontinence: An Unsolved Clinical Challenge. Biomedicines. 2023;11(9):2486.
Wu JM. Stress Incontinence in Women. N Engl J Med. 2021;384(25):2428-36.
Jadoon AK, Sohail F, Qabulio SN, Jadoon A. Perception and Awareness of Menopause Among Premenopausal Women of Different Socioeconomic Backgrounds. J South Asian Fed Menopause Soc. 2019;7(1):9.
Nightingale G. Management of Urinary Incontinence. Post Reprod Health. 2020;26(2):63-70.
Begum S. Attitudes and Associated Factors to Antenatal Physiotherapy in Pregnant Women at Selected Hospitals in Bangladesh. Bangladesh Health Professions Institute, Faculty of Medicine, University of Dhaka; 2022.
McAuley JA, Mahoney AT, Austin MM. Clinical Practice Guidelines: Rehabilitation Interventions for Urgency Urinary Incontinence, Urinary Urgency, and/or Urinary Frequency in Adult Women. J Womens Pelvic Health Phys Ther. 2023;47(4):217-36.
Hembrom I. Prevalence and Characteristics of Urinary Incontinence Among Pregnant Women Attended at a Private Hospital in Savar. Bangladesh Health Professions Institute, Faculty of Medicine, University of Dhaka; 2016.
Berghmans B, Seleme M, Bernards A. Physiotherapy Assessment for Female Urinary Incontinence. Int Urogynecol J. 2020;31:917-31.
Fatima A, Amjad F, Mustansar A, Mahmood S, Latif W. Impact of Urinary Incontinence on Quality of Life Among Females Receiving Pelvic Floor Muscles Strengthening Exercises for Urinary Incontinence. Pak J Med Health Sci. 2022;16(09):84.
Kashif F, Gulzar K, Islam F, Seemab Z. Knowledge, Attitude and Practice Regarding Antenatal and Postnatal Kegel Exercises Among Parous Women. NeuroQuantology. 2023;21(6):1700.
Shehzad A, Parveen K, Afzal M. Knowledge, Attitude, Practices and Obstacles to Provide Urinary Incontinence Care Among Nurses. Int J Health Med Nurs Pract. 2021;3(1):65-73.
Nadeem N, Shahid S, Naseer R, Hayee S. Prevalence and Impact of Urinary Incontinence in Female Athletes. Pak J Phys Ther. 2019:09-13.