Prevalence and Correlated Factors of Urinary Incontinence in Geriatic

Adriel John Junior Purba; Syah  Mirsya Warli; Dhirajaya  Dharma Kadar; Putri Charani Eyanoer

doi:10.32734/sumej.v6i2.11030

Authors

Adriel John Junior Purba Undergraduate Program of Medicine, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia, 20155
Syah Mirsya Warli Department of Urology, Universitas Sumatera Utara, Medan, Indonesia, 20155
Dhirajaya Dharma Kadar Department of Urology, Universitas Sumatera Utara, Medan, Indonesia, 20155
Putri Charani Eyanoer Department of Community Health, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia, 20155

DOI:

https://doi.org/10.32734/sumej.v6i2.11030

Keywords:

Geriatrics, Prevalence, Risk Factors, Urinary Incontinence

Abstract

Abstract.
Introduction: Urinary incontinence is involuntary or uncontrollable urine passing. This is very disruptive, it causes a lot of problems and is often seen as an embarrassing thing. The prevalence of urinary incontinence was found to increase with age. The number in the geriatric population is 22.2%, more significant when compared to the adult population of 12.0%. Objective: This research aimed to determine the prevalence and factors associated with the incidence of urinary incontinence in geriatric patients at the Haji Adam Malik General Central Hospital and the University of North Sumatera Hospital. Methods: This type of research is an analytic observational study with a cross-sectional design. The research sample is determined by consecutive sampling technique using a questionnaire as primary data. Results: Out of 100 respondents, 22 geriatric patients experienced urinary incontinence, with the majority experiencing moderate severity and stress urinary incontinence. Based on bivariate analysis using chi-square found gender (p=0.617), age (p=0.617), overweight (p=<0.01), diabetes mellitus (p=<0.01), hypertension (p=0.01), history of chronic cough (p=<0.01), history of pelvic surgery (p=<0.01), and history of vaginal delivery (0=0.055). Conclusion: There are 22% (22 patients) of geriatric patients experienced urinary incontinence. In this study, the risk factors associated with urinary incontinence are overweight, diabetes mellitus, hypertension, and a history of chronic cough while risk factors that are not found to be associated in this study are age, sex, and history of vaginal delivery.

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References

D’ Ancona, Carlos, Bernard Haylen, Matthias Oelke, Luis Abranches-Monteiro, Edwin Arnold et al. The International Continence Society (ICS) Report on the Terminology for Adult Male Lower Urinary Tract and Pelvic Floor Symptoms and Dysfunction. Neurourology and Urodynamics 2019;38:433–77.

Martono, H.H. and R.B. Darmojo. Buku Ajar Geriatrik (Ilmu Kesehatan Usia Lanjut). Jakarta: Balai Penerbit Fakultas Kedokteran Universitas Indonesia 2006.

Seipei, T. and A.G. Schauss. Lower Urinary Tract Symptoms, Overactive Bladder Syndrome, and Urinary Incontinence (LUTS, OAB, and UI). In: Textbook of Natural Medicine 5th ed. St. Louis: Elsevier 2020;5:1533–44.

Perkumpulan Kontinensia Indonesia (PERKINA). Panduan Tata Laksana Inkontinensia Urin Pada Dewasa. Perkumpulan Kontinensia Indonesia (PERKINA) 2nd ed. Jakarta: Ikatan Ahli Urologi Indonesia 2018;8.

Chapple, C.R. and I. Milsom. Urinary Incontinence and Pelvic Prolapse: Epidemiology and Pathophsiology. In: Wein, A.J., Kavoussi, L.R., Novick A.C., Partin, A.W., and Peters, C.A., ed. Campbell-Walsh Urology, 10th ed. Philadelphia: Elsevier-Saunders 2012.

Goepel, Mark, Kirschner-Hermanns, Ruth Annette Welz-Barth, Klaus-Christian Steinwachs et al. Urinary Incontinence in the Elderly: Part 3 of a Series of Articles on Incontinence. Deutsches Arzteblatt International 2010.

WHO. Ageing and Health. Available from: https://www.who.int/news-room/fact-sheets/detail/ageing-and-health. 2021

Badan Pusat Statistik. Statistik Penduduk Lanjut Usia. Badan Pusat Statistik. Jakarta: Badan Pusat Statistik 2019.

Cesari, Matteo, Riccardo Calvani and Emanuele Marzetti. Frailty in Older Persons. Clinics in Geriatric Medicine 2017;33:293–303.

Amelia, Rinita. Prevalensi Dan Faktor Risiko Inkontinensia Urin Pada Lansia Di Panti Sosial Tuna Werdha (PSTW) Sabai Nan Aluih Sicincin Pariaman. Health & Medical Journal 2 2020:39–44.

Sumardi, Rochani, Chaidir A. Mochtar, Junizaf, Budi I. Et al. Prevalence of Urinary Incontinence, Risk Factors and Its Impact: Multivariate Analysis from Indonesian Nationwide Survey. Acta Medica Indonesiana 2014;46:175–82.

Irwin, D.E., Z.S. Kopp, B. Agatep, I. Milsom et al. Worldwide Prevalence Estimate of Lower Urinary Tract Sym- Poms, Overactive Bladder, Urinary Incontinence and Bladder Outlet Obstruction. BJU Int 2011.

Yates A. Urinary continence care for older people in the acute setting. Br J Nurs 2017;26(9):28–30.

Schreiber Pedersen L, Lose G, Høybye MT, Elsner S, Waldmann A, Rudnicki M. Prevalence of urinary incontinence among women and analysis of potential risk factors in Germany and Denmark. Acta Obstet Gynecol Scand 2017;96(8):939–48.

Griebling, Tomas L. Urinary Incontinence in the Elderly. Clinics in Geriatric Medicine 2009.

Wein, Alan J., Louis R. Kavoussi and Meredith F. n.d. Campbell-Walsh Urology. Vol. 148.

Ninomiya, S, Naito, K, Nakanishi, K, & Okayama H. Prevalence and Risk Factors of Urinary Incontinence and Overactive Bladder in Japanese Women. Lower urinary tract symptoms 2018;10(3):308–14.