The Link Between Menopause and Urinary Incontinence: A Systematic Review

This study aims to review the subsisting literature on the relationship between menopause and urinary incontinence (UI). To locate research that met the inclusion criteria, a thorough computerized search of relevant databases was carried out. A comprehensive search was carried out on PubMed, SCOPUS,...

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Published in:Curēus (Palo Alto, CA) Vol. 16; no. 10; p. e71260
Main Authors: Allafi, Ahmad Hasan, Al-johani, Amal Saleem, Babukur, Raed M, Fikri, Jehad, Alanazi, Raneem Rashed, Ali, Sara Dafaalla Mohamed Hag, Alkathiry, Abdulrahman, Alfozan, Abdalmelk Mohmed, Mayoof, Kawthar Ishaq Ahmed Ali Husain, Abualhamael, Maya Ahmad
Format: Journal Article
Language:English
Published: Palo Alto (CA) Cureus 11-10-2024
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Summary:This study aims to review the subsisting literature on the relationship between menopause and urinary incontinence (UI). To locate research that met the inclusion criteria, a thorough computerized search of relevant databases was carried out. A comprehensive search was carried out on PubMed, SCOPUS, Science Direct, Cochrane Library, and Web of Science to locate relevant material. Our data included 11 trials with 8547 post-menopausal women. The prevalence of UI among post-menopausal women ranged from 13.6% to 84.4%, with a total prevalence of 5394 (63.1%). Across studies, the mean age of menopause varies, with some studies reporting averages around 48 to 50 years. Several studies report that UI prevalence increases with age, particularly in the postmenopausal period. UI symptoms, such as burning micturition and mixed UI, are noted, often related to the genitourinary syndrome of menopause (GSM) and nocturia. These symptoms are linked to reduced quality of life and considerable morbidity. Among postmenopausal women, UI is still a common and complex problem that has a significant negative impact on well-being and life quality. There is no doubt that menopause, aging, and UI are related, but there is still much to learn about the underlying reasons and practical treatment options. The quality of care for postmenopausal women with UI can be improved by standardizing diagnostic procedures, emphasizing non-hormonal therapy, and addressing socioeconomic and lifestyle determinants. These and other initiatives will be addressed in future research and clinical practice.This study aims to review the subsisting literature on the relationship between menopause and urinary incontinence (UI). To locate research that met the inclusion criteria, a thorough computerized search of relevant databases was carried out. A comprehensive search was carried out on PubMed, SCOPUS, Science Direct, Cochrane Library, and Web of Science to locate relevant material. Our data included 11 trials with 8547 post-menopausal women. The prevalence of UI among post-menopausal women ranged from 13.6% to 84.4%, with a total prevalence of 5394 (63.1%). Across studies, the mean age of menopause varies, with some studies reporting averages around 48 to 50 years. Several studies report that UI prevalence increases with age, particularly in the postmenopausal period. UI symptoms, such as burning micturition and mixed UI, are noted, often related to the genitourinary syndrome of menopause (GSM) and nocturia. These symptoms are linked to reduced quality of life and considerable morbidity. Among postmenopausal women, UI is still a common and complex problem that has a significant negative impact on well-being and life quality. There is no doubt that menopause, aging, and UI are related, but there is still much to learn about the underlying reasons and practical treatment options. The quality of care for postmenopausal women with UI can be improved by standardizing diagnostic procedures, emphasizing non-hormonal therapy, and addressing socioeconomic and lifestyle determinants. These and other initiatives will be addressed in future research and clinical practice.
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ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.71260