• Citer

Prevalence and risk factors of urinary incontinence among community-dwelling adults female in Democratic Republic of Congo

par Nzinga Luzolo, Andy-Muller ;Reman, Tara ;Raha Maroyi, Kenny ;Mukwege, Denis ;Foucart, Jennifer ;Feipel, Véronique ;Bertuit, Jeanne
Référence 5° Congrès de la Chaire Internationale de Mukwege (du 3 au 6 décembre 2024: Montréal - Canada)
Publication Publié, 2024-12-01

Poster de conférence

• Accès en ligne
• Détails
• Contenu
• Statistiques

Résumé :

Introduction: Urinary incontinence (UI) is the complaint of any involuntary loss of urine. It is a very common condition worldwide with a prevalence ranging from 15% to 55% of the female population [1]. There is no epidemiological data among community-dwelling adult (≥ 18 years) female in the Democratic Republic of Congo (DRC). The aim is to highlight the prevalence and factors that may contribute to the occurrence of UI.Methods: It is a community-based cross-sectional study conducted in 2021-2023 among 507 women (≥18 years) in 6 health centers in the provinces (Kongo central, Kasai-Oriental, Equateur, Kinshasa, Nord et Sud-Kivu) of DRC. Sampling was non-probability. Any consenting woman who spoke French or could be translated was included. Pregnant or postpartum women ≤ 6 months and those with vesicovaginal fistulas were excluded. The International Consultation on Incontinence Questionnaire Female Lower Urinary Tract Symptoms Modules (ICIQ-FLUTS), in French, was used. Pelvic floor muscles were assessed according to the PERFECT scheme. Student's t-test and binary logistic regression were used with an α threshold of 0.05.Results: The prevalence of UI was 31% (CI95%: 27 - 35.2%) of which 51% were embarrassed. The prevalences of urinary urgency, stress and mixed incontinence were 63.7%, 11.5% and 22.9% respectively. The mean age of incontinent women compared with continents was 36.9±15.1 years versus 32.2±14.2 years (p<0.001). Pelvic floor muscle functionality was low in both groups (p=NS). In univariate analysis, age, occupational status, constipation, parity, episiotomy, perineal tears and loss of vulvar elasticity were risk factors for UI. But in multivariate analysis, only constipation, episiotomy, perineal tears and professional status remained risk factors for UI. No pelvic floor parameters were associated with UI.Conclusion : This study shows that UI is common among community-dwelling adults female in DRC with a high prevalence (31%) corresponding to range found in developing World literature (2.8 - 57.7%) [2]. This study emphasizes the importance of raising awareness among female and health-cares professionals and of setting up appropriate multidisciplinary care in the DRC.Keywords: Urinary incontinence; female; cross-sectional study