Evaluation of Stress urinary incontinence among non pregnant female patients in a tertiary care hospital

摘要

Background: Urinary incontinence has been defined by the international continence society as a condition in which involuntary loss of urine is a social or hygienic problem and is objectively demonstrable. Stress urinary incontinence is the most common form of transurethral urinary incontinence in women. Objective: To study the probable etiological factors in diagnosed cases of Stress urinary incontinence among non pregnant female patients attending outpatient department of Gynecology in SMIMER, Surat and to evaluate the cure rate of non-surgical and surgical treatment among them. Method:This study was conducted in the department of Obst amd Gynec, SMIMER, Surat from May2010 to december2012. Non pregnant patients demonstrating SUI with full bladder were included in the study. Total 40 patients were studied. Observation: Out of 40 cases 32 (80%) cases belonged to the age group of 40 to 59 years, 22 (55%) were in peri-menopausal age group and the median parity of the patients was 3. Other important observation was that 29(54.7%) patients had associated utero-vaginal prolapse with SUI and maximum had third degree prolapsed. Both non-surgical and surgical treatment was offered to patients with good results. Conclusion: This study indicates that SUI is quite common in peri-menopausal age group, it has strong association with multi parity and UV prolapse. Non-surgical management is still the acceptable mode of treatment. The TVT-O appears to be safe and effective surgical treatment for SUI.