Urinary incontinence in young nulligravid

Urinary incontinence in young nulligravid women: a cross-sectional analysis

O'Halloran T, Bell RJ, Robinson PJ, Davis SR. Urinary incontinence in young nulligravid women: a cross-sectional analysis. 2012 Ann Int Med Jul 17;157(2):87-93

Most people link urinary incontinence in women to pregnancy, but there is some evidence that women who develop a problem of urinary incontinence ( UI) with/ after pregnancy may have had a problem before hand... this question however has not previously been asked.

We undertook a study of 1002 women, aged 16 to 30 years, who had never been pregnant to determine how common .UI was among healthy young women in the community. Each woman completed a detailed questionnaire that included validated questions about UI. Wellbeing, physical activity and their personal characteristics.

Results:

The mean age of participants was 22.5 years. 12.6% had UI according to validated criteria.

UI was more common in women who had ever been sexually active and not using the oral contraceptive pill (21.5% affected). Women who had ever been sexually active and were using the oral contraceptive pill had a similar rate of UI as women who had never been sexually active. The women with UI had significantly lower overall well-being than women without UI, with higher levels of anxiety and depression and less positive well-being, and self-control.

Conclusion:

In this study of young women who have never been pregnant, UI was associated with ever being sexually active and no oral contraceptive use, as well as lower psychological well-being. Further research is needed to assess the prevalence and risk factors for UI in young women.