Urinary Incontinence in Amphur Maung Buriram Province
Siripong Aegukkatajit MD.
Abstract
Surveyed of urinary incontinence was done in the villages of 3Tambol in Amphur Maung
,Buriram province during 25-28 January 1999 .The finding were:
There were total 291 persons were interviewed which were 102 males and 189
females . 20 persons had urinary incontinence symptom which were 2 males and 18
females . The prevalence rate of urinary incontinence were 7%. Females had significant
urinary incontinence symptom more than males(p-value<0.05) Prevalence rate of male
group was 2% which ages were 50 years old and 70 years old. Prevalence rate of female
group was 10% which the youngest was 23 years old and the oldest was 60 years. They
had 4 children were the most of female urinary incontinence and all were couple . Urge
incontinence was the most type(70%).). There were16 UI in Tambol Samet and 2UI in the
both the restTambol.
Urinary incontinence (UI) was embarrassing condition in most common health
problems,especially in elderly women;they also occur frequently in men1 . Definition of UI
had several definitions in the reviewed literature. Diokno et al.defined incontinence as
"any uncontrolled urine loss in the prior 12 months without severity(definition1)2. Thomas
et al. used a definition of incontinence that includes information regarding the number of
incontinence episodes (more than two in a month)
(definition 2)3. In 1976,the International Continence Society(ICS) definded incontinence as
"a condition in which involuntary loss of urine is a social or hygienic problem and is
objectively demonstrable"(definition 3)4. Quantity or frequence of urine loss are not within
the scope of this definition . Classification of incontinence types were :
1. Incontinence being a symptom taken from medical history ,
2. Incontinence being a sign obtained during clinical examination with physical
provocation, and
3. Incontinence being a urodynamically proven condition
According to the ICS terminology, stress incontinence is "involuntary urethral loss of urine
when the intravesical pressure exceeds the maximimal urethral pressure but in the
abscend of detrusor activity usually associated with coughing, laughing, sneezing, or
physical exercise. Urge incontinence is characterized by urge associated with an
involuntary loss of urine which may be subdivided into
motor urge incontinence ,in which uninhibited detrusor contractions are associated with
the sensation of urge ,and sensory urge incontinence, in which the sensation of urge is
not associated with such contractions.
Material and method
Surveyed of urinary incontinence was done in the 3 Tambols of Amphur Maung
,Buriram province during 25-28 January 1999 , The persons were interviewed by random
in 3 Tambols, age between 15-70 years old . which diagnosis of incontinence by
interviewed of the UI symptom taken from the randomized target persons . The studied
include age ,sex,marriage status ,number of children they had,symptom of incontinence
(stress or urge) .This study perceived and classified incontinence only by symptom from
the questionnaires and no investigation were used for the confirmation.
Result
There were total 291 survey populations were interviewed which were 102 males
and 189 females .The youngest was 16 years old and the oldest was 72 years old 20
survey populations had urinary incontinence symptom which were 2 males and 18
females . The prevalence rate of urinary incontinence was 7%. Females had significant
urinary incontinence symptom more than males(p-value<0.05) . Urge incontinence was
the most type(70%). Prevalence rate of male group was 2% which ages were 50 years
old and 70 years old. Prevalence rate of female group was 10% which the youngest was
23 years old and the oldest was 60 years old. They had 4 children were the most of
female urinary incontinence and all were couple. Tambol Sawaigic was interviewed 72
persons(25%) and had 2 UI . Tambol Easan was interviewed 58 persons(20%) and had
2 UI. Tambol Samet was interviewed 161persons(55%)and had 16UI.
Table 1. Age group and sex of UI and prevalence rate
Age group Number of persons
Total Urinary incontinence
10 to 19
20 to 29
30 to 39
40 to 49
50 to 59
60 to 69
70 to 79
Total
Male
3
11
29
19
33
5
2
102
Female persons
2
5
33
44
65
94
50
69
34
67
5
10
0
2
189
291
Prevalence rate of UI
Male
0
0
0
0
1
0
1
2
2
Female
0
1
4
9
3
1
0
18
10
Total
UI
0
1
4
9
4
1
1
20
7
Table 2. Number of children they had with UI
Number of
Male
Female
children
UI+
UIUI+
UI0
0
18
1
19
1
0
12
1
22
2
0
14
0
36
3
0
22
4
45
4
0
11
5
21
5
0
10
4
10
6
2
6
1
8
7
0
3
0
4
8
0
3
1
3
9
0
1
0
2
10
0
0
1
0
11
0
0
0
1
Total
2
100
18
171
Both
UI+
1
1
0
4
5
4
3
0
1
0
1
0
20
total(%)
UI37
34
50
67
32
20
14
7
6
3
0
1
38 (13)
35 (12)
50 (17)
71 (24)
37 (13)
24 (8)
17 (6)
7 (2)
7 (2)
3 (1)
1 (0)
1 (0)
271
291 (100)
Table 3. status and sex of UI
Status
Male
UI+
Single
0
Couple
2
Divorce 0
Widowhood 0
Total
2
Female
UI- UI+
Both
UI- UI+
Total(%)
UI-
7
91
2
0
0
18
0
0
11
147
5
8
0
20
0
0
18
238
7
8
18 (6)
258 (89)
7 (2)
8 (3)
100
18
171
20
271
291 (100)
Table 4. Type of urinary incontinence and sex
Type of UI
Male
Female
Total(%)
Urge UI.
Stress UI
2
0
12
6
14(70)
6(30)
Total
2
18
20(100)
Table 5. Tambol and sex of UI
Tambol
Male
UI+
UISwaigic
1
33
Easan
0
22
Samet
1
45
Female
UI+
1
2
15
UI37
34
100
UI+
2
2
16
UI_
70 72 (25)
56 58 (20)
145 161 (55)
Total
18
171
20
271 291 (100)
2
100
Both
Total
Discussion
Urinay incontinence is a commond condition if we asked the patients for this
symptom . The reported prevalences ranging from 4.5% to 53% for female incontinence
and from 1.6% to 24% for male incontinence1. This report the total prevalence rate of
urinary incontinence was 7%. The most age group of UI was 40-49 years old which had 9
UI (table 1)Female had significant urinary incontinence symptom more than male (pvalue<0.05). Prevalence rate of male group was 2% which ages were 50 years old and
70 years old. Prevalence rate of female group was 10 % which the youngest was 23
years old and the oldest was 60 years old. They had 4 children were the most of female
urinary incontinence (table 2)and all were couple (table 3).
Urge incontinence was the most type (70%)(table4). There were16 UI in Tambol Samet
and 2UI in the both the restTambol(table 5).
Acknowledge
The author thanked for the kindness of the director of Buriram hospital Dr Pramote
Suchinpram to supported this reserch.
Reference
1. Hampel C, Wienhold D, Benken N,Eggersmann C,and Thuorff JW:Definition of
overactive bladder and epidemiology of urinary incontinence. Urology 1997;50
(suppl 6A):4-14
2. Diokno AC,Brock BM,Brown MB,and HerzogAR:Prevalence of urinary incontinence
and other urologicl symptoms in the noninstitutionalized elderly . J Urol
1986;136:1022-5
3. Thomas TM,Plymat KR,Blanni J,and Meade TW:Prevalence of urinary incontinence.
Br Med J 1980;281:1243-5
4. International Continence Society:First report on the standardisation of terminology of
lower urinary tract function. Br J Urol 1976;48:39-42
ภาวะปัสสาวะเล็ดราดในอาเภอเมือง จังหวัดบุรีรัมย์
ศิริพงษ์ เอกัคคตาจิต พบ.
โรงพยาบาลบุรีรัมย์
สำรวจภำวะปั สสำวะเล็ดรำดของประชำชนในหมู่บำ้ นของอำเภอเมือง
จังหวัดบุรีรัมย์ โดยสอบถำมอำกำรปั สสำวะเล็ดรำด ระหว่ำงวันที่ 25-28
มกรำคม 2542 พบว่ำ
ผูต้ อบแบบสอบถำมจำนวนทั้งหมด 291คน เป็ นผูช้ ำย 102 คน
ผูห้ ญิง189 คน มีอำกำรปัสสำวะเล็ดรำด 20คน คิดเป็ น 7%เป็ นผูช้ ำย
2 คน ผูห้ ญิง 18 คน ผูห้ ญิงมีอำกำรปั สสำวะเล็ดรำดมำกกว่ำผูช้ ำยอย่ำง
มีนยั สำคัญ(p-value<0.05) ส่ วนมำกเป็ น urge incontinence(70%)
ในกลุ่มผูช้ ำยปั สสำวะเล็ดรำดคิดเป็ น 2% อำยุ50ปี และ70ปี
ในกลุ่มผูห้ ญิงปั สสำวะเล็ดรำดคิดเป็ น 10% พบว่ำอำยุนอ้ ยที่สุด23ปี
อำยุมำกที่สุด60ปี มีลูก4คนมำกที่สุด สถำนภำพสมรสคู่ท้ งั หมด