Abstract

Introduction: Urinary incontinence is a common problem in women which may cause some restrictions in daily activities, mental health problems and social isolation.

Objective: This study aimed to compare some factors associated with urinary incontinence in  women with and without urinary incontinence.

Methods: This  descriptive case-control study was conducted on all women who had rectocel and cystocel surgery from 1997 to 2007 in  Al-Zahra  and Poursina Hospital. In this study all cases for cystocel and rectocel (480cases) were considered as case group and twice as many (960 cases) normal women were selected as control groupand compared  after matcting variable of age,  number of deliveries, blood pressure, diabetes, menopusal status and hormon replacement thrapy.  Dara were analyzed using descriptive statistical  methods (mean and percent) and analytical tesrs such as  T-test and Chi-squre. P-value under 0.05 was considered significant.

Results: The mean age of patients with urinary incontinence was 43.10 ± 11.89 years. Average number of parity in  case group was higher than the control group (3.81 ± 1.26 vs 1.98 ±0.75) and statistically significant differences were observed between the two groups (p=0.0001 ). Patients in both groups had no significant  differences considering diabetes, hypertension, menopause and hormon replacement therapy. But there was statistically significant differences in type of delivery between the two groups (p=0.0001).

Conclusion: It was observed that urinary incontinence in women with higher parity and vaginal delivery was higher than the control group. It seems that these two factors are the main risk factors for urinary incontinence in women.

Keywords: Urinary Incontinence, Cystocele/surgery, Rectocele/surgery