American Journal of Obstetrics & Gynecology
Volume 202, Issue 6 , Pages 584.e1-584.e12 , June 2010

Differences in continence system between community-dwelling black and white women with and without urinary incontinence in the EPI study

Presented at the 30th Annual Scientific Meeting of the American Urogynecologic Society, Hollywood, FL, Sept. 24-26, 2009, and received the Best Oral Presentation Award.

  • John O.L. DeLancey, MD

      Affiliations

    • Pelvic Floor Research Group, University of Michigan, Ann Arbor, MI
    • Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI
    • Corresponding Author InformationCorresponding author
    • ,
  • Dee E. Fenner, MD

      Affiliations

    • Pelvic Floor Research Group, University of Michigan, Ann Arbor, MI
    • Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI
    • ,
  • Ken Guire, MS

      Affiliations

    • Pelvic Floor Research Group, University of Michigan, Ann Arbor, MI
    • Department of Biostatistics, University of Michigan, Ann Arbor, MI
    • ,
  • Divya A. Patel, PhD

      Affiliations

    • Pelvic Floor Research Group, University of Michigan, Ann Arbor, MI
    • Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI
    • ,
  • Denise Howard, MD

      Affiliations

    • Peachtree Gynecology, Atlanta, GA
    • ,
  • Janis M. Miller, PhD, ANP-BC, RN

      Affiliations

    • Pelvic Floor Research Group, University of Michigan, Ann Arbor, MI
    • Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI
    • School of Nursing, University of Michigan, Ann Arbor, MI

Received 3 August 2009 ,Revised 2 February 2010 ,Accepted 14 April 2010.

References 

  1. Wilson L, Brown JS, Shin GP, Luc KO, Subak LL. Annual direct cost of urinary incontinence. Obstet Gynecol. 2001;98:398–406
  2. Bump RC. Racial comparisons and contrasts in urinary incontinence and pelvic organ prolapse. Obstet Gynecol. 1993;81:421–425
  3. Burgio KL, Matthews KA, Engel BT. Prevalence, incidence and correlates of urinary incontinence in healthy, middle aged women. J Urol. 1991;146:1255–1259
  4. Brown JS, Grady D, Ouslander JG, Herzog AR, Varner RE, Posner SF. Prevalence of urinary incontinence and associated risk factors in postmenopausal women: heart and estrogen/progestin replacement study (HERS) research group. Obstet Gynecol. 1999;94:66–70
  5. Fultz NH, Herzog AR, Raghunathan TE, Wallace RB, Diokno AC. Prevalence and severity of urinary incontinence in older African American and Caucasian women. J Gerontol A Biol Sci Med Sci. 1999;54:M299–M303
  6. 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
  7. Thom DH, van den Eeden SK, Brown JS. Evaluation of parturition and other reproductive variables as risk factors for urinary incontinence in later life. Obstet Gynecol. 1997;90:983–989
  8. Fenner DE, Trowbridge ER, Patel DA, et al. Establishing the prevalence of incontinence study: racial differences in women's patterns of urinary incontinence. J Urol. 2008;179:1455–1460
  9. Dooley Y, Kenton K, Cao G, et al. Urinary incontinence prevalence: results from the national health and nutrition examination survey. J Urol. 2008;179:656–661
  10. Sears CL, Wright J, O’Brien J, et al. The racial distribution of female pelvic floor disorders in an equal access health care system. J Urol. 2009;181:187–192
  11. Kim KJ, Ashton-Miller JA, Strohbehn K, DeLancey JO, Schultz AB. The vesico-urethral pressuregram analysis of urethral function under stress. J Biomech. 1997;30:19–25
  12. DeLancey JO, Trowbridge ER, Miller JM, et al. Stress urinary incontinence: relative importance of urethral support and urethral closure pressure. J Urol. 2008;179:2286–2290
  13. Howard D, DeLancey JO, Tunn R, Ashton-Miller JA. Racial differences in the structure and function of the stress urinary continence mechanism. Obstet Gynecol. 2000;95:713–717
  14. Thomas A, Low LK, Tumbarello JA, Miller JM, Fenner DE, DeLancey JO. Changes in self-assessment of continence status between telephone survey and subsequent clinical visit. Neurourol Urodyn. 2009;26:1–7
  15. Bump RC, Mattiasson A, Bo K, et al. The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol. 1996;175:10–17
  16. Tapp K, Connolly A, Visco AG. Evaluation of Aa point and cotton-tipped swab test as predictors of urodynamic stress incontinence. Obstet Gynecol. 2005;105:115–119
  17. Morgan DM, Kaur G, Hsu Y, et al. Does vaginal closure force differ in the supine and standing positions?. Am J Obstet Gynecol. 2005;192:1722–1728
  18. Schmidt F, Jørgensen TM, Djurhuus JC. Twenty-four-hour ambulatory urodynamics in healthy young men. Scand J Urol Nephrol Suppl. 2004;(215):75–83
  19. Bent AE, Gousse AE, Hendrix SL, et al. Duloxetine compared with placebo for the treatment of women with mixed urinary incontinence. Neurourol Urodyn. 2008;27:212–221
  20. Dmochowski RR, Miklos JR, Norton PA, Zinner NR, Yalcin I, Bump RC Duloxetine Urinary Incontinence Study Group. Duloxetine versus placebo for the treatment of North American women with stress urinary incontinence. J Urol. 2003;170:1259–1263

 Reprints not available from the authors.

 Supported by National Institute of Childhood Diseases and National Institute on Aging R01HD/AG41123. Additional investigator support was provided by Office for Research on Women's Health's Special Center of Research on Sex and Gender Factors Affecting Women's Health and the National Institute of Child Health and Human Development through Grant P50 HD044406.

 Cite this article as: DeLancey JOL, Fenner DE, Guire K, et al. Differences in continence system between community-dwelling black and white women with and without urinary incontinence in the EPI study. Am J Obstet Gynecol 2010;202:584.e1-12.

PII: S0002-9378(10)00457-6

doi: 10.1016/j.ajog.2010.04.027

American Journal of Obstetrics & Gynecology
Volume 202, Issue 6 , Pages 584.e1-584.e12 , June 2010

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