A number of other factors can also result into Urinary incontinenceor effect its intensity.
I have included hypertension, diabetes, obesity,multiple pregnancy and ageing to be focused as major factors of urinaryincontinence in middle adults. I am confident enough that this conducted studywill highlight the prevalence of urinary incontinence within middle adults inthe society.Pelvic surgery and radiation; pelvicsurgeries and radiation therapies are recognized risk factors for urinaryincontinence.
Parity; urinary incontinence is also linkedto number of deliveries but this phenomenon is more in younger women than in olderwomen.16 Childbirth; C Section orCaesarean section presents less risk of urinary incontinence than that ofVaginal delivery. As compared to natural vaginal delivery, instrumental vaginaldeliveries increase risk of urinary incontinence.
Pregnancy; occurrence anddisappearance of urinary incontinence during and after delivery is quite commonbut it increases the risk for developing incontinence later on.Obstetric and gynecological factors include;Medications; inter-drug interfaceaffect urinary incontinence. Cognitive impairment and disability; Memory decline decreases the ability of controlling urination.
Physical disabilities prevent from getting to the toilet on time.Urinary tract infection; it is reportedto be a cause of urinary incontinence.Lung disease and smoking;intra-abdominal pressure due to lung diseases result into risk of urinary incontinenceto be more definite. Coughing tendency of Smokers could result into urinaryincontinence.Occupational and recreational activities; severe physically actions create abdominal pressure which isrecognized to result in prevailing urinary incontinence. These severe physicalactivities can accelerate symptoms of urinary incontinence.Constipation; Shrinkage ofpelvic floor muscles resulting into constipation which cause pudendal nervedamage inventing urinary incontinence.
Obesity; excess weight causes straining andweakening of pelvic floor muscles resulting into Stress Urinary Incontinence.15Comorbidities; reduction inmovement and functionality of main body parts cause urinary continence. Age; bladder capacity, strength ofpelvic muscles are the main ageing factors towards urinary incontinence.Promoting factors include; Neurological abnormalities; inheriteddefects triggered neurological problems increase risk of developing urinary incontinence.Anatomical abnormalities; women withinherited defects of the ureters or the urethra were observed on increased riskof urinary incontinence.Family predisposition; women withprevious family history of urinary incontinence are on high risk of symptoms.Race; Studies in USA have determinedStress urinary incontinence to be found more in Caucasian people than that ofAsian origin or African-American women.Predisposingfactors include;Research conducted in different situations and societies all overthe world a number of variables as risk factors of urinary incontinence.
Riskfactors for urinary incontinence among middle-aged population were studiedwhich can be distributed into three main categories; predisposing factors,promoting factors, and obstetric or gynecological factors.14 Risk Factors or Assessment of the SymptomsEnormous research activities have resulted into advancement ofauthenticated and locality specific tools to study symptoms and effects.12Society and Condition specific guidelines have been given for the use of tools.
13Moreover, researchers have agreed upon the establishment ofepidemiology in their own societies11 to succeed in managing thisworrying and quiet widespread disease. True prevalence of urinary incontinence turning out to be morechallenging upon different definition and methodologies of diverse nations. Thoughall over the world is it accepted as a disturbing problem through researches.10Total incontinence presents the constant leakage which can be caused by anatomicdefects.
Mixed incontinence; in this typepatient experience two or more types of urinary incontinence.9Urge incontinence; Unexpected orpenetrating need of urination accompanied by spontaneous loss of urine iscalled urge incontinence. Due to urge incontinence patient may need frequenturinations even during night. Urge incontinence may be caused by just infectionor severe neurologic disorder or diabetes.
8Functional incontinence; In this typeof incontinence patient may not make it to the toilet in time because of aphysical or mental impairment keeps you from making it to the toilet in time.For example, in severe pain patient will not be able to unbutton pants fastenough.Overflow incontinence; In this kindof incontinence, the bladder doesn’t empty completely which cause frequent orcontinuous seepage.Stress incontinence; Upon buildingpressure on your bladder, urine leakage occurs. This pressure can be caused byheavy exercise, lifting some heavy material, laughing, sneezing, coughing.7There arevarious types of urinary incontinence which include Stress Incontinence, UrgeIncontinence, Overflow Incontinence, Functional Incontinence, MixedIncontinence which are explained as below;Most people avoid medical care because of embarrassment andignorance.
6Symptoms of Urinary incontinence extremely harm the quality of lifeof affected along with their families, communities and medical care system butit doesn’t threat life of affected. 5 Urinary Incontinence considerably effect the affected people andhealth care systems even though it remains unobserved and undertreated throughthe world by physicians.3 In United States a survey conducted comprisingpopulation of different cultural backgrounds, who pursued medical care forsymptoms of incontinence, only 45% females and 22% males indicated occurrenceof urinary incontinence at least once a week.4 As compared to men, UI is three times more common in women.Noticeably women are suffering from UI more as compared to men which is becauseof anatomical and physiological differences which include reproductive andhormonal changes linked with pregnancy and menopause.2People usually consider urinary incontinence as a disease impactingolder people and chain it to pregnancy as well. Conversely, studies have proventhis consideration incorrect. “It can affect people of all ages even fromdifferent social and cultural background.
1During first International Consultation on Incontinence in 1998 theWorld Health Organization (WHO) classified urinary incontinence as universalproblem and assessed its prevalence as 200 million.Urinary Incontinence is asubstantial problem throughout the world. It significantly impacts individualsand society both socially and economically. Approximation of Prevalence ofincontinence varies as per its definition and study focused population butsignificance of the problem is internationally approved for both humansuffering and economic cost.