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Is incontinence associated with menopause?

M Sherburn1, J R Guthrie, E C Dudley

  • 1School of Physiotherapy, University of Melbourne, Melbourne, Victoria, Australia.

Obstetrics and Gynecology
|September 29, 2001
PubMed
Summary
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Urinary incontinence affects 15% of middle-aged Australian women, linked to factors like higher BMI and gynecologic surgery. Over 7 years, incidence was 35%, with hysterectomy increasing risk, suggesting mechanical factors are key.

Area of Science:

  • Urogynecology
  • Epidemiology
  • Women's Health

Background:

  • Urinary incontinence (UI) is a common condition affecting women's quality of life.
  • Understanding UI prevalence and risk factors in middle-aged women is crucial for targeted interventions.

Purpose of the Study:

  • To determine the prevalence and associated factors of UI in Australian women aged 45-55.
  • To assess the 7-year incidence of UI and its relationship with menopausal transition.

Main Methods:

  • A cross-sectional study of 1897 women and a 7-year longitudinal follow-up of 373 premenopausal women.
  • Data collected via annual home interviews and physical measurements.

Main Results:

  • Cross-sectional prevalence of UI was 15%. Associated factors included higher BMI, gynecologic surgery, UTIs, bowel issues, and parity.

Related Experiment Videos

  • Longitudinal incidence was 35% over 7 years; hysterectomy was linked to higher UI incidence.

    • Conclusions:

    • Mechanical factors, such as gynecologic surgery and childbirth history, are more strongly associated with UI than menopausal status.
    • UI in middle-aged women is multifactorial, emphasizing the need for comprehensive assessment.