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Title: Prevalence, impact and specialised treatment of urinary incontinence in women with chronic lung disease.
Austin Authors: Button, B M;Holland, Anne E ;Sherburn, M S;Chase, J;Wilson, J W;Burge, A T
Affiliation: Institute for Breathing and Sleep, Austin Health, Heidelberg, Victoria, Australia
Physiotherapy Department, The Alfred Hospital, Melbourne, Victoria, Australia
La Trobe/Alfred Health Clinical School, Melbourne, Victoria, Australia
Physiotherapy Department, Melbourne School of Health Sciences, The University of Melbourne, Carlton, Victoria, Australia
Respiratory Medicine Department, The Alfred Hospital, Melbourne, Victoria, Australia
Department of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Australia
Issue Date: Mar-2019 2018-07-30
Publication information: Physiotherapy 2019; 105(1): 114-119
Abstract: To determine in women with clinically stable chronic lung disease (CLD) and healthy women; (1) prevalence of urinary incontinence; (2) risk factors for urinary incontinence; (3) effects of a standard course of specialised physiotherapy treatment (PT) in women with CLD. Prospective prevalence study; PT study in CLD subgroup. Tertiary metropolitan public hospital. Women with cystic fibrosis (CF, n=38), chronic obstructive pulmonary disease (COPD, n=27) and 69 healthy women without CLD. PT study - 10 women with CLD. Five continence PT sessions over 3 months. Prevalence and impact of incontinence (questionnaire), number of leakage episodes (7-day accident diary), pelvic floor muscle function (ultrasound imaging) and quality of life (King's Health Questionnaire). The majority of women in all three groups reported episodes of incontinence (CF 71%; COPD 70%; healthy women 55%). Compared to age-matched healthy controls, women with CF reported more episodes of incontinence (P=0.006) and more commonly reported stress incontinence (P=0.001). A logistic regression model revealed that women with CLD were twice as likely to develop incontinence than healthy women (P=0.05). Women with COPD reported significantly more 'bother' with incontinence than age-matched women with incontinence. There was a significant reduction in incontinence episodes following treatment, which was maintained after three months. The presence of CLD is an independent predictor of incontinence in women. In older women this is associated with more distress than in age-matched peers without CLD. Larger treatment studies are indicated for women with CLD and incontinence.
DOI: 10.1016/
ORCID: 0000-0003-2061-845X
PubMed URL: 30340838
Type: Journal Article
Subjects: Chronic obstructive pulmonary disease
Cystic fibrosis
Lower urinary tract symptoms
Urinary incontinence
Appears in Collections:Journal articles

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