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Related Experiment Videos

Continence pads: have we got it right?

Dhiraj Uchil1, Ranee Thakar, Abdul H Sultan

  • 1Department of Obstetrics and Gynaecology, Mayday University Hospital, Croydon, Surrey, UK.

International Urogynecology Journal and Pelvic Floor Dysfunction
|July 7, 2005
PubMed
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Many women use continence pads for bladder and bowel dysfunction, significantly impacting their quality of life. Comprehensive evaluation is crucial before relying solely on pads due to their substantial health budget impact.

Area of Science:

  • Urology
  • Gerontology
  • Public Health

Background:

  • Urinary and fecal incontinence are prevalent conditions affecting women's quality of life.
  • Continence pad usage is common among women with bladder and bowel dysfunction.
  • Concurrent medical conditions and mobility issues often accompany incontinence in women.

Purpose of the Study:

  • To assess continence pad usage and its impact on quality of life in women.
  • To understand women's perspectives on long-term pad use and interest in further treatment.
  • To evaluate the implications of pad use on healthcare budgets.

Main Methods:

  • A self-assessment questionnaire was distributed to women in the Croydon Community Continence database.
  • Data collected included pad usage patterns, reasons for use, quality of life, and interest in seeking help.

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  • Statistical analysis was performed to compare the impact of bladder versus bowel dysfunction on quality of life.

    • Main Results:

    • 51% of participants (763/1509) completed the questionnaire.
    • Pads were primarily used for bladder (88.1%) and bowel (44%) dysfunction.
    • Bladder dysfunction had a greater negative impact on quality of life than bowel dysfunction (P < 0.001).
    • A significant proportion of women (39%) were content with indefinite pad use, while only 28% sought further help.
    • Most participants had comorbidities (82.5%), mobility issues, and were on medication (77.5%).

    Conclusions:

    • Continence products significantly improve the quality of life for women with incontinence.
    • The financial burden of continence products impacts healthcare budgets.
    • Mandatory comprehensive clinical evaluation is recommended before considering pads as a final solution for incontinence management.