American Journal of Obstetrics & Gynecology
Volume 197, Issue 2 , Pages 167.e1-167.e5 , August 2007

Incidence and remission of urinary incontinence in middle-aged women

  • Mary K. Townsend, BA

      Affiliations

    • Channing Laboratory, Department of Medicine, Brigham and Women’s Hospital and Harvard Medical School, Boston, MA
    • Department of Epidemiology, Harvard School of Public Health, Boston, MA
    • Corresponding Author InformationReprints: Mary Townsend, Channing Laboratory, 181 Longwood Ave, 3rd Floor, Boston, MA 02115.
  • ,
  • Kim N. Danforth, ScD

      Affiliations

    • Channing Laboratory, Department of Medicine, Brigham and Women’s Hospital and Harvard Medical School, Boston, MA
  • ,
  • Karen L. Lifford, MD

      Affiliations

    • Channing Laboratory, Department of Medicine, Brigham and Women’s Hospital and Harvard Medical School, Boston, MA
    • Department of Epidemiology, Harvard School of Public Health, Boston, MA
  • ,
  • Bernard Rosner, PhD

      Affiliations

    • Channing Laboratory, Department of Medicine, Brigham and Women’s Hospital and Harvard Medical School, Boston, MA
    • Department of Biostatistics, Harvard School of Public Health, Boston, MA
  • ,
  • Gary C. Curhan, MD, ScD

      Affiliations

    • Channing Laboratory, Department of Medicine, Brigham and Women’s Hospital and Harvard Medical School, Boston, MA
    • Department of Epidemiology, Harvard School of Public Health, Boston, MA
  • ,
  • Neil M. Resnick, MD

      Affiliations

    • Division of Geriatric Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA.
  • ,
  • Francine Grodstein, ScD

      Affiliations

    • Channing Laboratory, Department of Medicine, Brigham and Women’s Hospital and Harvard Medical School, Boston, MA
    • Department of Epidemiology, Harvard School of Public Health, Boston, MA

Received 16 October 2006 ,Revised 3 January 2007 ,Accepted 12 March 2007.

References 

  1. Hunskaar S, Arnold EP, Burgio K, Diokno AC, Herzog AR, Mallett VT. Epidemiology and natural history of urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 2000;11:301–319
  2. Hunskaar S, Burgio K, Diokno A, Herzog AR, Hjalmas K, Lapitan MC. Epidemiology and natural history of urinary incontinence in women. Urology. 2003;62(4 Suppl 1):16–23
  3. Wyman JF, Harkins SW, Fantl JA. Psychosocial impact of urinary incontinence in the community-dwelling population. J Am Geriatr Soc. 1990;38:282–288
  4. National Institutes of Health Consensus Development Conference. Urinary incontinence in adults. J Am Geriatr Soc. 1990;38:265–272
  5. Grodstein F, Fretts R, Lifford K, Resnick N, Curhan G. Association of age, race, and obstetric history with urinary symptoms among women in the Nurses’ Health Study. Am J Obstet Gynecol. 2003;189:428–434
  6. Sandvik H, Hunskaar S, Seim A, Hermstad R, Vanvik A, Bratt H. Validation of a severity index in female urinary incontinence and its implementation in an epidemiological survey. J Epidemiol Community Health. 1993;47:497–499
  7. Diokno A, Yuhico M. Preference, compliance and initial outcome of therapeutic options chosen by female patients with urinary incontinence. J Urol. 1995;154:1727–1730
  8. McGrother CW, Donaldson MM, Shaw C, et al. Storage symptoms of the bladder: prevalence, incidence and need for services in the UK. BJU Int. 2004;93:763–769
  9. Hagglund D, Walker-Engstrom ML, Larsson G, Leppert J. Changes in urinary incontinence and quality of life after four years (A population-based study of women aged 22-50 years). Scand J Prim Health Care. 2004;22:112–117
  10. Sherburn M, Guthrie JR, Dudley EC, O’Connell HE, Dennerstein L. Is incontinence associated with menopause?. Obstet Gynecol. 2001;98:628–633
  11. Moller LA, Lose G, Jorgensen T. Incidence and remission rates of lower urinary tract symptoms at one year in women aged 40-60: longitudinal study. BMJ. 2000;320:1429–1432
  12. Samuelsson EC, Victor FT, Svardsudd KF. Five-year incidence and remission rates of female urinary incontinence in a Swedish population less than 65 years old. Am J Obstet Gynecol. 2000;183:568–574
  13. Melville JL, Newton K, Fan MY, Katon W. Health care discussions and treatment for urinary incontinence in U.S. women. Am J Obstet Gynecol. 2006;194:729–737
  14. Diokno AC, Burgio K, Fultz NH, Kinchen KS, Obenchain R, Bump RC. Medical and self-care practices reported by women with urinary incontinence. Am J Manag Care. 2004;10(2 Pt 1):69–78
  15. Kinchen KS, Burgio K, Diokno AC, Fultz NH, Bump R, Obenchain R. Factors associated with women’s decisions to seek treatment for urinary incontinence. J Womens Health. 2003;12:687–698
  16. Diokno AC, Brown MB, Brock BM, Herzog AR, Normolle DP. Clinical and cystometric characteristics of continent and incontinent noninstitutionalized elderly. J Urol. 1988;140:567–571
  17. Hanley J, Capewell A, Hagen S. Validity study of the severity index, a simple measure of urinary incontinence in women. BMJ. 2001;322:1096–1097
  18. Sandvik H, Hunskaar S, Vanvik A, Bratt H, Seim A, Hermstad R. Diagnostic classification of female urinary incontinence: an epidemiological survey corrected for validity. J Clin Epidemiol. 1995;48:339–343
  19. Diokno AC, Normolle DP, Brown MB, Herzog AR. Urodynamic tests for female geriatric urinary incontinence. Urology. 1990;36:431–439
  20. Ogden CL, Carroll MD, Curtin LR, McDowell MA, Tabak CJ, Flegal KM. Prevalence of overweight and obesity in the United States, 1999-2004. JAMA. 2006;295:1549–1555
  21. Centers for Disease Control and Prevention. Prevalence of diabetes and impaired fasting glucose in adults—United States, 1999-2000. MMWR Morb Mortal Wkly Rep. 2003;52:833–837
  22. Danforth KN, Townsend MK, Lifford K, Curhan GC, Resnick NM, Grodstein F. Risk factors for urinary incontinence among middle-aged women. Am J Obstet Gynecol. 2006;194:339–345

 This work was supported in part by Grants DK62438 and CA50385 from the National Institutes of Health (NIH). M.K.T. is supported by NIH Grant R25 GM55353.

 Cite this article as: Townsend MK, Danforth KN, Lifford KL, et al. Incidence and remission of urinary incontinence in middle-aged women. Am J Obstet Gynecol 2007;197:167.e1-167.e5.

PII: S0002-9378(07)00408-5

doi: 10.1016/j.ajog.2007.03.041

American Journal of Obstetrics & Gynecology
Volume 197, Issue 2 , Pages 167.e1-167.e5 , August 2007