In recent years, many factors involved in female
urinary incontinence etiopathogeny have been extensively studied leading to better
treatment and results.
While reviewing literature we found considerable evidence suggesting that 70% of urinary
leak complaints begin during menopause. This lead to the question: If increase in urinary
incontinence prevalence was due to the decrease in estrogen levels during menopause or if
it was just part of the aging process 20. In our study, we noted that the majority of
patients showed symptoms beginning in the peri and post-menopause periods.
Our findings showed that body mass index was higher for incontinent women; this agrees
Information from clinical history showed a predictive value of approximately 70% to stress
urinary incontinence. It was not possible to perform this evaluation in patients with urge
incontinence, reinforcing the necessity for complementary exams in these cases 22,23. Clinical history is therefore not
trustworthy for obtaining a precise diagnosis. This is due mainly to the fact that urinary
tract symptoms usually overlap and are not specific. We could however isolate some
significant aspects using information from the clinical history. The number of daily
micturitions in the incontinent Group is significantly higher than the continent group. In
spite of the difference in number of daily micturitions between the groups, the quantity
of liquid ingested per day was not significantly different.
The number of nycturia episodes in the incontinent group was significantly higher than the
Several authors 5,24 have described the
presence of vaginal prolapse as a predisposing factor to urinary incontinence; this was
confirmed in our study.
This study demonstrates low concordance between objective and subjective evaluation.
However clinical history and subjective patient evaluation are still important information
and should be considered in the evaluation and treatment of urinary incontinent patients.