Management of stress incontinence in older women
Abstract
Material and methods: Articles in the EBSCO database have been analysed using keywords: stress incontinence, problems of old age, physiotherapy in urology, older women.
Results: The incidence of stress incontinence in women increases with age. The main reason is muscular weakness, which is caused, among other things by pregnancies and labours. Another reason may be hormonal disorders and genetic predisposition. Statistics show that obese women are more likely to suffer from SUI. The progress of medicine and pharmacology is also increasingly effective in the treatment of stress urinary incontinence. First, after finding the problem, conservative treatment is introduced. Treatment is adapted to each patient individually. Age, existing diseases, weight are important factors in the process of treatment. In pharmacology Duloxetine is used. The use of this drug does not completely eliminate the symptoms of stress urinary incontinence. Due to the possibility of side effects i.e. nausea, the drug is used very carefully. In recent years, physiotherapy has been highly valued in the treatment of stress urinary incontinence. The most important is kinesitherapy here. Strengthening the pelvic floor muscles brings the most beneficial effects. Active exercises are supported by: electrostimulation, magnetotherapy and vibro-therapy. The final form of SUI treatment is surgical treatment. However, this do not always bring the expected results. In order to increase the effectiveness of therapy for patients with SUI, the interdisciplinary cooperation of the medical team should be used. Treatment of stress urinary incontinence primarily leads to improved quality of life for patients.
Conclusions: Urinary incontinence is a social disease. Women struggle with this problem twice as often than men. Stress incontinence accounts for 63% of all forms of urinary incontinence in women in Poland. The incidence of incontinence increases with age. Problems with stress urinary incontinence become a reason for isolation from society. The patients are not aware of the treatment possibilities, which often results in late inclusion of treatment and rehabilitation. There is a wide range of SUI treatment options. Therefore it is necessary to personalise rehabilitation process to best fit to each patient.
Keywords: stress incontinence, problems of old age, physiotherapy in urology, older women.
Keywords
Full Text:
PDFReferences
Wróbel R., Kremska A., Kołodziej B., Barnaś E. ,,Ocena częstości występowania objawów nietrzymania moczu w populacji kobiet po 40. roku życia". Przegląd Medyczny Uniwersytetu Rzeszowskiego i Narodowego Instytutu Leków w Warszawie, Rzeszów 2013, 1, 40–49
Adamczuk J., Kraczkowski J., Robak J., Żurawska K. ,,Czy nietrzymanie moczu to choroba cywilizacyjna?" Problemy Higieny i Epidemiologii 2011, 92(3): 382-386
Hsieh C. H., Chang W. C., Hsu M. I., Chiang H. S., Chang S. T., Lee M. C., Lee M. S., Lu K. P., Su T. H., Lee S. H., Chen F. M. ,,Risk factors of urinary frequency among women aged 60 and older in Taiwan", J Obstet Gynecol. 2010 Sep;49(3):260-5
Fultz N., Burgio K., Diokno A. et al. ,,Burden of stress urinary incontinence for community – dwelling women". American Journal of Obstetrics & Gynecology , 2003, Volume 189, Issue 5, 1275-1282
Borowicz A., Wieczorowska-Tobis K., ,,Metody fizjoterapeutyczne w leczeniu nietrzymania moczu". Gerontologia Polska, 2010; 18, 3: 114–119
Gołąbek T., Chłosta P. ,,Nietrzymanie moczu u kobiet i mężczyzn". Termedia Wydawnictwo Medyczne, Poznań 2016, 15-77, 115-121
Klisowska I., Dąbek A., Zborowska I., Kapkowski B., Kowalik M. ,,Nietrzymanie moczu – zadanie dla fizjoterapeuty" Część I. Piel. Zdr. Publ. 2011; 1; 3: 85–288
Rechberger T., Jakowicki J., Tomaszewski J. ,,Nietrzymanie moczu u kobiet: patologia, diagnostyka, leczenie" Wydawnictwo Bifolium, Lublin 2005, 13-21, 29-37, 85-91, 179-194
Surkont G., Wlaźlak E., Suzin J.: ,,Nietrzymanie moczu u kobiet – problem społeczny, medyczny i naukowy" Przegląd Menopauzalny 2003; 1:59–65
Wierzbicka M., Urban K., Murawski M., Wronecki K. ,,Występowanie i czynniki ryzyka nietrzymania moczu u kobiet", Fizjoterapia 2009; 17; 1: 38-44
Zygmunt R., Kozioł S., Hładki W.: ,,Wpływ fizjoterapii na nietrzymanie moczu u kobiet" Ostry Dyżur 2017 10(3): 77-78
Purc D., Rasała A., „Method of treating urinary incontinence” Metody leczenia nietrzymania moczu; European Journal of Medical Technologies 2015
Derewiecki T., Mroczek M., Majcher P. ,,Znaczenie problemu nietrzymania moczu wśród kobiet po 40 roku życia" Hygeia Public Health 2015, 50(1): 220
Barnaś E., Barańska E., Gawlik B., Zych B., „Factors most significantly affecting quality of life in women with urinary incontinence – Czynniki najbardziej wpływające na jakość życia kobiet z nietrzymaniem moczu" Hygeia Public Health 2015
Klimaszewska K., „The social aspects of urinary incontinence of women – Społeczny aspekt nietrzymania moczu u kobiet", Uniwersytet Medyczny w Lublinie 2017
Aoki Y., Brown W.H., Brubaker L, Cornu J.N., Daly J.O., Cartwright R. „Urinary incontinence in women - nietrzymanie moczu u kobiet", Nat Rev Dis Primers 2017
Wood H. ,,Stress urinary incontinence: management in primary care" British Journal of Family Medicine 2018; 6 (3): 21-23
Nowicka-Zuchowska A., Zuchowski A. ,,Profilaktyka nietrzymania moczu" Lek w Polsce 2017; 27 (6-7): 13-22
Verghese T., Latthe P. ,,Recent status of the treatment of stress urinary incontinence", International Journal of Urology 2014; 21, 25–31
Basu M., Duckett J. ,,Update on duloxetine for the management of stress urinary incontinence" Clinical Interventions in Aging 2009; 4, 25–30
Fiodorenko-Dumas Ż., Paprocka-Borowicz M.: Postępowanie fizjoterapeutyczne w nietrzymaniu moczu. Medycyna Ogólna i Nauki o Zdrowiu. 2014; 20; 1: 12–16
Correia G.N., Pereira V.S., Hirakawa H.S., Driusso P. ,,Effects of surface and intravaginal electrical stimulation in the treatment of women with stress urinary incontinence: randomized controlled trial" Eur. J. Obstet. Gynecol. Reprod. Biol. 2014; 173: 113-118
Fujishiro T., Enomoto H., Ugawa Y., Takahashi S., Ueno S., Kitamura T. ,,Magnetic stimulation of the sacral roots for the treatment of stress incontinence: an investigational study and placebo controlled trial" Urol., 2000; 164; (4): 1277-1279
Unsal A., Saglam R., Cimentepe E.: ,,Extracorporeal magnetic stimulation for the treatment of stress and urge incontinence in women – results of 1-year follow-up" Scand J Urol Nephrol., 2003; 37 (5): 424-428
Manganotti P., Zaina F., Vedovi E., Pistoia L., Rubilotta E., D'Amico A., Falso M. ,,Repetitive magnetic stimulation of the sacral roots for the treatment of stress incontinence: a brief report" Eura Medicophys., 2007; 43(3): 339-344
Sønksen J., Ohl D., Bonde B., Laessøe L., McGuire E.J. ,,Transcutaneous mechanical nerve stimulation using perineal vibration: a novel method for the treatment of female stress urinary incontinence", J Urol., 2007; 178: 2025-2028
Dąbek A., Herman U., Kahl M., Czyżewski P. ,,Fizjoterapia u kobiet z nietrzymaniem moczu - nowości i kontrowersje" Rehabilitacja w praktyce 2017; 5: 78-83
Wieczorkowska-Tobis K., Kostka T., Borowicz A.M. ,,Fizjoterapia w geriatrii" Wyd. PZWL, Warszawa 2011: 104-113
Kassolik K., Andrzejewski W., Wilk I., Brzozowski M., Świątek M. ,,Skuteczne zastosowanie masażu w wysiłkowym nietrzymaniu moczu" Rehabilitacja w praktyce 2012; 1: 45-50
Hersh A., Salzman B., Jefferson T. ,,Am Fam Physician" University Hospital, Philadelphia, Pennsylvania 2013 May 1;87(9):634-640
Nikolopoulos K. I., Betschart C., Doumouchtsis S. K. ,,The surgical management of recurrent stress urinary incontinence: a systematic review" Acta Obstet Gynecol Scand 2015; 94: 568–576
Davila G. W., ,,Nonsurgical Outpatient Therapies for the Management of Female Stress Urinary Incontinence: Long-Term Effectiveness and Durability,” Advances in Urology, vol. 2011, page 14
Herschorn S., Steele D. J., Radomski S. B., ,,Follow up of intraurethral collagen for female stress urinary incontinence,” Journal of Urology, vol. 156, no. 4, pp. 1305-1309, 1996
Hornma, Y., Kawabe, K., Kageyama S., Koiso K., Akaza H., Kakizoe T., Koshiba K., Yokoyama E. and Aso Y. ,,Injection of Glutaraldehyde Cross‐Linked Collagen for Urinary Incontinence: Two-Year Efficacy by Self-Assessment" International Journal of Urology 1996, 3: 124-127
Chrouser K. L., Fick F., Goel A., Itano N. B., Sweat S. D., Lightner D.J. ,,Carbon coated zirconium beads in β-glucan gel and bovine glutaraldehyde cross-linked collagen injections for intrinsic sphincter deficiency: continence and satisfaction after extended follow up” Journal of Urology, 2004, vol. 171, no. 3, pp. 1152–1155
Jiao B, Lai S, Xu X, Zhang M, Diao T, Zhang G. ,,A systematic review and meta-analysis of single-incision mini-slings (MiniArc) versus transobturator mid-urethral slings in surgical management of female stress urinary incontinence" Medicine (Baltimore), 2018; 97(14)
Lee, Joseph K.S. ,,Randomized trial of a single incision versus an outside-in transobturator midurethral sling in women with stress urinary incontinence: 12 month results" American Journal of Obstetrics & Gynecology, Volume 213, Issue 1
Fong, E. D., Nitti, V. W. ,,Mid‐urethral synthetic slings for female stress urinary incontinence" BJU International, 106: 596-608
Rehman H., Bezerra C. A., Bruschini H., Cody J. D., Aluko P. ,,Traditional suburethral sling operations for urinary incontinence in women" Cochrane Database of Systematic Reviews 2017, Issue 7.
Maher C., Dwyer P., Carey M., Gilmour D. ,,The Burch colposuspension for recurrent urinary stress incontinence following retropubic continence surgery" Br J Obstet Gynaecol. 1999;106:719–24
Cardozo L., Hextall A., Bailey J., Boos K. ,,Colposuspension after previous failed incontinence surgery: a prospective observational study" Br J Obstet Gynaecol. 1999;106: 340–4
Albo M. E., Richter H. E., Brubaker L. ,,Burch Colposuspension versus Fascial Sling to Reduce Urinary Stress Incontinence" N Engl J Med 2007
Paraiso M.F. R., Walters M. D., Karram, M. M., Barber M. D. ,,Laparoscopic Burch Colposuspension Versus Tension-Free Vaginal Tape: A Randomized Trial" Obstetrics & Gynecology: December 2004 - Volume 104 - Issue 6, 1249-1258
Goh J.T., Rosamilia A. ,,Laparoscopic versus open Burch colposuspension: a randomised controlled trial"An International Journal of Obstetrics & Gynaecology, 2006, 113.9: 999-1006
Benadiba S., Rouprêt B. ,,Long‐term functional outcomes after artificial urinary sphincter implantation in women with stress urinary incontinence" BJU international, 2014,113.6: 961-967
Kerrebroeck P., Olianas R. ,,Artificial urinary sphincter (AMS 800) implantation for women with intrinsic sphincter deficiency: a technique for insiders?" BJU international, 107(10), 1618-1626
Virgilio G. P. ,Ananias C. D. ,,Comparison of the Long-Term Outcomes Between Incontinent Men and Women Treated With Artificial Urinary Sphincter" The Journal of urology 175.2 (2006): 605-609
Donaldson, M. M., Thompson, J. R., Matthews, R. J., Dallosso, H. M., McGrother, C. W. ,,The natural history of overactive bladder and stress urinary incontinence in older women in the community: a 3-year prospective cohort study" Neurourology and Urodynamics, 2006, 25(7), 709-716
Jackson, R. A., Vittinghoff, E., Kanaya, A. M., Miles, T. P., Resnick, H. E., Kritchevsky, S. B., Simonsick, E. M., Brown, J. S. ,,Urinary incontinence in elderly women: findings from the Health, Aging, and Body Composition Study" American Journal of Obstetrics & Gynecology, 2004, 104(2), 301-307
Nygaard, I., Girts, T., Fultz, N. H., Kinchen, K., Pohl, G., Sternfeld, B. ,,Is urinary incontinence a barrier to exercise in women?" American Journal of Obstetrics & Gynecology, 2005, 106(2), 307-314
Burns P. A., Pranikoff K., Nochajski T. H., Hadley E. C., Levy K. J., Ory M. G. ,,A comparison of effectiveness of biofeedback and pelvic muscle exercise treatment of stress incontinence in older community-dwelling women" Journal of Gerontology, 1993, 48(4), 167-174.
DOI: http://dx.doi.org/10.5281/zenodo.2898653
Refbacks
- There are currently no refbacks.
Copyright (c) 2019 © The Author(s)

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Journal of Education, Health and Sport formerly Journal of Health Sciences
Declaration on the original version.
Editors indicates that the main version of the magazine is to issue a "electronic".
The journal has had 5 points in Ministry of Science and Higher Education parametric evaluation. § 8. 2) and § 12. 1. 2) 22.02.2019.
1223 Journal of Education, Health and Sport eISSN 2391-8306 7
ISSN 2391-8306 formerly ISSN: 1429-9623 / 2300-665X
Archives 2011 - 2014
PBN 2011 - 2014
https://pbn.nauka.gov.pl/sedno-webapp/search?search&searchCategory=WORK&filter.inJournal=36616
POL-index 2011 - 2014
https://pbn.nauka.gov.pl/polindex-webapp/browse/journal/journal-32a319c5-a850-4f44-ba70-1418a6087655
BASE 2011 - 2014
http://elibrary.ru/contents.asp?titleid=37467
http://journal.rsw.edu.pl/index.php/JHS/issue/archive
Indexed in Bases, Bazy indeksacyjne: ERIH Plus, Worldcat, PBN/POL-Index, ICI Journals Master List, Directory of Open Access Journals (DOAJ), ZBD, Ulrich's periodicals, Google Scholar, Polska Bibliografia Lekarska
US NLM = 101679844
101679844 - NLM Catalog Result - NCBI
https://www.ncbi.nlm.nih.gov/nlmcatalog/101679844
Find a library that holds this journal: http://worldcat.org/issn/23918306
Journal Language(s): English
PBN Poland
https://pbn.nauka.gov.pl/sedno-webapp/journals/49068
POL-index
https://pbn.nauka.gov.pl/polindex-webapp/browse/journal/journal-c39c8169-88d2-45db-9e7f-d948ce9981c4
BASE
Redaction, Publisher and Editorial Office
Instytut Kultury Fizycznej Uniwersytet Kazimierza Wielkiego w Bydgoszczy, Institute of Physical Education Kazimierz Wielki University in Bydgoszcz, Poland 85-091 Bydgoszcz ul. Sportowa 2 www.ukw.edu.pl Copyright by Instytut Kultury Fizycznej UKW w Bydgoszczy http://ojs.ukw.edu.pl/index.php/johs Open Access ISSN 2391-8306 formerly ISSN: 1429-9623 / 2300-665X
The journal has been approved for inclusion in ERIH PLUS.
The ERIH PLUS listing of the journal is available at https://dbh.nsd.uib.no/publiseringskanaler/erihplus/periodical/info?id=485984
SIC Science citation index (calculated on the basis of TCI and Page Rank) 0
Russian Impact factor 0.16
Indexed in Index Copernicus Journals Master List.
http://journals.indexcopernicus.com/Journal+of+Education+Health+and+Sport,p24782242,3.html
ICV 2018 = 95.95 ICV 2017 = 91.30 ICV 2016 = 84.69 ICV 2015 = 93.34 ICV 2014 = 89.51 Standardized Value: 8.27 ICV 2013: 7.32 ICV 2012: 6.41 ICV 2011: 5.48
The InfoBase Index IBI Factor for the year 2015 is 3.56 in InfoBase Index.com.
Website: www.infobaseindex.com
Universal Impact Factor 1.78 for year 2012. (http://www.uifactor.org/AppliedJournals.aspx)
Indexed in Polish Scholarly Bibliography (PBN) (PBN Polska Bibliografia Naukowa) (https://pbn.nauka.gov.pl/journals/36616)
is a portal of the Polish Ministry of Science and Higher Education, collecting information on publications of Polish scientists and on Polish and foreign scholarly journals. Polish Scholarly Bibliograhpy is a part of POL-on - System of Information on Higher Education. It is operated by the Interdisciplinary Centre for Mathematical and Computational Modelling, University of Warsaw.
Indexed in Russian Sciences Index Российский индекс научного цитирования (РИНЦ) http://elibrary.ru/contents.asp?titleid=37467
Indexed in Arianta Polish scientific and professional electronic journals Aneta Drabek i Arkadiusz Pulikowski
(http://www1.bg.us.edu.pl/bazy/czasopisma/czasop_full.asp?id=3595)