Skip to main content

Epidemiology of Non-Neurogenic Urinary Dysfunction

  • Chapter
Pelvic Floor Dysfunction

Millions of the general population,particularly women and the elderly, have bladder dysfunction. Although most studies have mainly focused on incontinence, more recently, attention has also included overactive bladder (OAB). Therefore, this chapter will be focused on urinary incontinence (UI) and OAB, because both of them constitute the most common causes of urinary dysfunction.

In 1988, the International Continence Society (ICS) defined UI as the involuntary loss of urine that is objectively demonstrable and is a social or hygienic problem. Recently, the ICS redefined it as the complaint of any involuntary leakage of urine. The impact of the new definition is that more cases of UI will be discovered and hopefully treated. Urinary incontinence symptoms mainly are stress (SUI), which is leakage with physical exertion, urge (UUI), which is leakage with a strong desire to void, and mixed, which is a combination of SUI and UUI. When SUI is urodynamically proven, it is also called genuine stress incontinence (GSI). Urinary urgency and frequency with urge incontinence has recently been defined as OAB/wet. There are other types of incontinence, although less frequent, including overflow incontinence, functional, and extraurethral incontinence.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Abrams P, Cardozo L, Fall M, et al. The standardisation of terminology of lower urinary tract function: Report from the Standardisation Sub-committee of International Continent Society. Neurourol Urodyn 2002;21:167–178.

    Article  PubMed  Google Scholar 

  2. Fantl A, Newman K. Urinary Incontinence in Adults, Clinical Practice Guideline Update. Rockville, MD: US Department of Health Services, Public Health Agency for Health Care Policy and Research; March 1996. AHCPR publication 96-0682.

    Google Scholar 

  3. Chiarelli P, Brown W, McElduff P. Leaking urine: prevalence and associated factors in Australian women. Neurourol Urodyn 1999;18: 567–577.

    Article  PubMed  CAS  Google Scholar 

  4. Nygaard IE, Lemke JH. Urinary incontinence in rural older women: prevalence, incidence and remission. J Am Geriatr Soc 1996;44:1049.

    PubMed  CAS  Google Scholar 

  5. Yarnell JW,Voyle GJ,Richards CJ,Stephenson TP. The prevalence and severity of urinary incontinence in women. J Epidemiol Community Health 1981;35:17.

    Article  Google Scholar 

  6. Cheater M, Castleden M. Epidemiology and classification of urinary incontinence. Clin Obstet Gynecol 2000;14:183.

    CAS  Google Scholar 

  7. Diokno C, Broke M, Herzog R. Prevalence of urinary incontinence and other urological symptoms in the noninstitutional elderly.J Urol 1986;136:1022.

    PubMed  CAS  Google Scholar 

  8. Peet SC, Castleden CM. The prevalence of urinary and fecal incontinence in hospitals and residential and nursing homes for older people. BMJ 1995;311:1063.

    PubMed  CAS  Google Scholar 

  9. Brieger GM, Mongelli M, Hint LY, et al. The epidemiology of urinary dysfunction in Chinese women. Int Urogynecol J Pelvic Floor Dysfunct 1997;8:191.

    Article  PubMed  CAS  Google Scholar 

  10. Lara C, Nacey J. Ethnic differences between Mori, Pacific Island and European New Zealand women in prevalence and attitudes to urinary incontinence. N Z Med J 1994;107:374.

    PubMed  CAS  Google Scholar 

  11. Nakanishi N, Atar K, Naramura H, et al. Urinary and fecal incontinence in a community-residing older population in Japan. J Am Geriatr Soc 1997;45:215.

    PubMed  CAS  Google Scholar 

  12. Mattox F, Battia N. The prevalence of urinary incontinence or prolapse among white and Hispanic women. Am J Obstet Gynecol 1993; 81:421–425.

    Google Scholar 

  13. Fultz H, Herzog R, Raghunathan E, Wallace B, Diokno C. Prevalence and severity of urinary incontinence in older African American and Caucasian women. J Gerontol A Biol Sci Med Sci 1999;54:M299– M303.

    PubMed  CAS  Google Scholar 

  14. Knobel J. Stress incontinence in black female. S Afr J Obstet Gynecol 1975;49:430.

    CAS  Google Scholar 

  15. Howard D, Dvies S, Delancey O, Small Y. Differences in perineal lacerations in black and white primiparas. Obstet Gynecol 2000; 96:622.

    Article  PubMed  CAS  Google Scholar 

  16. Davila G, Neimark M. The overactive bladder: prevalence and effects on quality of life. Clin Obstet Gynecol 2002;45:173– 181.

    Article  PubMed  Google Scholar 

  17. Burgio L, Locher L, Zyczynski H, Hardin M, Singh K. Urinary incontinence during pregnancy in racially mixed sample: characteristics and predisposing factors. Int Urogynecol J Pelvic Floor Dysfunct 1996;7:69.

    Article  PubMed  CAS  Google Scholar 

  18. Mellier G,Delille MA.Urinary disorders during pregnancy and post-partum. Rev Fr Gynecol Obstet 1990;85:525–528.

    PubMed  CAS  Google Scholar 

  19. Viktrup L, Lose G, Rolff M, Farfoed K. The symptom of stress incontinence caused by pregnancy or delivery in primiparas. Obstet Gynecol 1992;79:945.

    PubMed  CAS  Google Scholar 

  20. Foldspang A, Mommsen S, Lam GW, Elving L. Parity as a correlate of adult female urinary incontinence prevalence. J Epidemiol Community Health 1992;46:595–600.

    Article  PubMed  CAS  Google Scholar 

  21. Rekers H, Drogendijk C, Valkenburg H, Riphagen F. Urinary incontinence in women from 35 to 79 years of age: prevalence and consequences. Eur J Obstet Gynecol Reprod Biol 1992;43:229.

    Article  PubMed  CAS  Google Scholar 

  22. Milsom I, Ekelund P, Molander U, Arvidsson L, Areskoug B. The influence of age, parity, oral contraception, hysterectomy and menopause on prevalence of urinary incontinence in women. J Urol 1993; 149:1459.

    PubMed  CAS  Google Scholar 

  23. Brown S, Sawaya G, Thom H, Grady D. Hysterectomy and urinary incontinence: a systemic review. Lancet 2000;356:535.

    Article  PubMed  CAS  Google Scholar 

  24. Mommsen S, Foldspang A. Body mass index and adult female urinary incontinence. World J Urol 1994;12:319.

    Article  PubMed  CAS  Google Scholar 

  25. Aggazzotti G, Pesce F, Grassi D, et al. Prevalence of urinary incontinence among institutionalized patients: a cross sectional epidemiologic study in a midsized city in northern Italy. Urology 2000;56: 245.

    Article  PubMed  CAS  Google Scholar 

  26. Brandeis H, Baumann M, Hossain M, Morris JN, Resnick NM. The prevalence of potentially remediable urinary incontinence in frail older people: a study using the minimum data set. J Am Geriatr Soc 1997;45:179–184.

    PubMed  CAS  Google Scholar 

  27. Maggi S, Minicuci N, Langlois J, Pavan M, Enzi G, Crepalid G. Prevalence rate of urinary incontinence in community-dwelling elderly individuals: the Veneto study. J Gerontol A Biol Sci Med Sci 2001; 56:M14–M18.

    PubMed  CAS  Google Scholar 

  28. Bump C, Mcclish K. Cigarette smoking and urinary incontinence in women. Am J Obstet Gynecol 1992;167:1213.

    PubMed  CAS  Google Scholar 

  29. Hording U, Pendersen H, Sidenius K, Hedegaard L. Urinary incontinence in 45-year-old women. An epidemiological survey. Scand J Urol Nephrol 1986;20:183.

    Article  PubMed  CAS  Google Scholar 

  30. Jolleys V. Reported prevalence of urinary incontinence in women in a general practice. BMJ 1988;296:1300.

    Article  PubMed  CAS  Google Scholar 

  31. Foldspang A, Mommsen S. Adult female urinary incontinence and childhood bedwetting. J Urol 1994;152:85.

    PubMed  CAS  Google Scholar 

  32. Stewart W, Herzog R, Wein A, et al. Prevalence and impact of over-active bladder in the USA: results from the NOBLE program. Neurourol Urodyn 2001;20:406.

    Google Scholar 

  33. Milsom I, Abrams P, Cardozo L, Roberts RG, Thuroff J, Wein A. How widespread are the symptoms of an overactive bladder and how are they managed? A population-based prevalence study. BJU Int 2001; 87:760–766.

    Article  PubMed  CAS  Google Scholar 

  34. Brown JS,Vittinghom E,Wyman JF, et al. Urinary incontinence: does it increase risk for falls and fractures? Study of Osteoporotic Fractures Research Group. J Am Geriatri Soc 2000;48(7):721–725.

    CAS  Google Scholar 

  35. Zorn H, Montgomery H, Pieper K, Gray M, Steers D. Urinary incontinence and depression. J Urol 1999;162(1):82–84.References

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2008 Springer-Verlag London Limited

About this chapter

Cite this chapter

Khater, U.M., Haddad, G., Ghoniem, G.M. (2008). Epidemiology of Non-Neurogenic Urinary Dysfunction. In: Davila, G.W., Ghoniem, G.M., Wexner, S.D. (eds) Pelvic Floor Dysfunction. Springer, London. https://doi.org/10.1007/978-1-84800-348-4_2

Download citation

  • DOI: https://doi.org/10.1007/978-1-84800-348-4_2

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84800-347-7

  • Online ISBN: 978-1-84800-348-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics