Акушерство, гинекология и репродукция (Sep 2016)
ANALYSIS OF RISK FACTORS OF THE STRESS URINARY INCONTINENCE IN WOMEN
Abstract
Objective. Identification and analysis of risk factors for stress urinary incontinence in women, assessing the relationship of stress urinary incontinence and undifferentiated connective tissue dysplasia. Subjects and methods. The study group included 85 women with a confirmed diagnosis of stress urinary incontinence, in the control group - 105 women without disease, comparable to the main features of the study group. We used clinical-anamnestic method of investigation, questioning (ICIQ-SF), a comprehensive urodynamic study. Evaluation of genital prolapse was conducted to quantity the classification of pelvic organ prolaps (POP-Q), assessment of severity of the connective tissue dysplasia was carried out on a scale of severity of the clinical criteria for connective tissue dysplasia, modified by Buyanova and Smolnova. Results. We established elevated risk of stress urinary incontinence in women with a BMI value of 30 kg/m 2, RR = 2,45 (95% Cl 1,21-4,94, p<0,05), as well as in the group of patients, with a history of major birth fetus through the birth canal, RR = 3,67 (95% Cl 1,39-9,69, p<0,005) and with a history of hysterectomy without adnexa (RR = 11,01, 95% Cl 1,42-85,2, p<0,05 ) Genetic predisposition, hard physical labor, hypertensive disease with regular intake of antihypertensive drugs drugs with a diuretic effect, osteoporosis and obesity play an important role in the development of stress urinary incontinence. A statistically significant increased risk of stress urinary incontinence were detected in the group with an average weight of connective tissue dysplasia (RR = 11,62, 95% CI 4,32-31,27, p<0,002), the most important features of wich were hypermotility of joints and the tendency to dislocation, varicose veins and hemorrhoids, hernia, prolapse and visceroptosia genatalia in close relatives. Conclusion. We found a clear association between stress urinary incontinence and connective tissue dysplasia, identified major risk factors for the disease.
