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Sunday, 24 November 2013

Urinary Incontinence - The Complications

Urinary Incontinence, a medical, psychological, social, economic, and hygienic problem, is defined as a condition of loss of the bladder to control that can lead to mild or severe form of involuntary leakage of urine. Involuntary urine leakage or urinary incontinence is frequent among elderly women, adult women, even among adolescent women.
III. Complications
1. Dermatitis 
Urinary incontinence are associated with with increased risk of dermatitis. Dr. Beldon P. at the Epsom & St Helier University Hospitals NHS, indicated that Older people's skin is subject to dehydration internally and environmental factors externally. If, in addition, the individual suffers continence problems, he or she is at risk of painful incontinence-associated dermatitis, or even formation of a moisture lesion(15).
2. Urinary tract infections. Risk of urinary tract infections with untreated urinary incontinence. In the study of Twenty-nine percent complained of daytime urinary incontinence and 34% of nighttime urinary incontinence. Urinary tract infection was present in 11% and was more commonly present in girls than in boys (33% vs 3%). Vesicoureteral reflux was present in four and megacystis in four of the 25 children who had a voiding cystourethrogram because of urinary tract infection(16).
3. Impaired quality of life
 Urinary Incontinence can interfere with patient's quality of life. In the study of quality of life in women with urinary incontinence is impaired and comparable to women with chronic diseases, Scientists at the The Chinese University of Hong Kong showed that women with urinary incontinence had impaired quality of life and it was comparable to other chronic medical diseases. Women with detrusor overactivity have more impaired quality of life than women with urodynamic stress incontinence. Severity of urodynamic stress incontinence did not correlate with quality of life. Women who opted for continence surgery had poorer quality of life(17). Other study indicated that women in mixed, USI and IDO categories had significantly worse QoL scores in the domain Severity Measures than women in sensory or normal categories (P < 0.0001). Incontinence Impact was significantly worse in mixed and IDO categories compared with normal (P = 0.006) but not compared with women with USI. Sleep/Energy scores were significantly worse for women in mixed and IDO categories compared with women with USI (P = 0.003)(18).
6. Etc.

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Sources
(15) http://www.ncbi.nlm.nih.gov/pubmed/22585017 
(16) http://www.ncbi.nlm.nih.gov/pubmed/9240804
(17) http://www.ncbi.nlm.nih.gov/pubmed/22665685
(18) http://www.ncbi.nlm.nih.gov/pubmed/21810086