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Urinary incontinence severity: the impact on workplace productivity
Marta G Porto1, João Marôco2,3, Teresa Mascarenhas4
1William James Center for Research, Ispa - Instituto Universitário, Rua Jardim do Tabaco, 34, 1149-041, Lisbon, Portugal. mporto@ispa.pt.
World Journal of Urology
|July 11, 2025
Summary
Urinary incontinence (UI) symptom severity significantly impairs workplace productivity in middle-aged women. Most women with UI do not seek medical treatment, highlighting a need for accessible interventions.
Area of Science:
- Reproductive Medicine
- Occupational Health
- Public Health
Background:
- Urinary incontinence (UI) is common in middle-aged women, often underreported.
- Symptom severity significantly affects workplace productivity (WP).
Purpose of the Study:
- To explore the impact of UI symptom severity on the WP of middle-aged women.
- To determine the proportion of women not seeking medical treatment for UI.
Main Methods:
- Cross-sectional study of 1,214 employed Portuguese women (aged 40-65) reporting urine loss.
- Structural equation modeling (SEM) analyzed associations, adjusting for age, education, menopausal status, BMI, and sleep quality.
Main Results:
- Higher UI symptom severity significantly predicted greater WP impairment (β=0.440, p<.001).
- Age and education were associated with lower UI impact on WP; poor sleep quality with greater impairment.
- 60% of participants had not consulted a doctor for UI, and 72.7% had no prior UI treatment.
Conclusions:
- UI symptom severity negatively impacts WP, with most affected women not seeking treatment.
- Workplace-based online interventions and accessible UI management strategies are crucial.
- Future research should include objective clinical assessments and subtype-specific interventions.
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