RESUMEN
Background@#Urinary incontinence is a common and distressful problem worldwide as well as in Mongolia. According to a survey conducted by Dr.Sanjsuren, 32.2% of participated woman were diagnosed with the urinary incontinence. To diagnose and treat this highly prevalent disease, it is important to know the most common types of incontinence in Mongolian woman and its risk factors. However, there is no known studies in Mongolia ultimately concentrated on the prevalence of common types of incontinence and its causes. Therefore, this study aimed at assessing the common types of incontinence among Mongolian woman and its key risk factors.@*Materials and Methods@#We used a cross sectional data collected from the urogynecological cabinet based on the first maternal hospital in Ulaanbaatar from June to November 2016. 117 woman aged 20-80, who has incontinence symptoms participated in this study. The type of urinary incontinence is checked by urodynamical equipment “Uromic Samba”. Participants also answered a questionnaire with a purpose of assessing the risk factors.@*Results@#Descriptive analysis shown that age, body weight, number of birth and type of delivery may be the key risk factors of incontinence. Foreinstance, the prevalence of incontinence was 6.8 % among woman aged 25-35 and increases with age 26.3 % at age 36-45, 36.4 % with age group 46-55, 30.5% with age 56-80 above respectively. According to the BMI, 81.2% percent of the participating woman with incontinence are obese. As a result of birth survey among total respondents, 59.3% had 3 or more deliveries. Association between incontinence and age, body mass index was found to be the strongest and type of the delivery was the weakest. 40% of total respondents have stress incontinence, 27% have mixed incontinence, 25% have urge incontinence, 8% have other type incontinance symptoms.@*Conclusion@#The most prevalent type of incontinence among Mongolian woman is stress incontinence followed by the urge incontinence. Delivery, body weight was associated with incontinence.
RESUMEN
Urine-incontinence is most significant disease in general population its rate between 10-47%. One of the most widespreeding 10 disease’s one is incontinence in USA, In European population 17%, In Russian 16%. Stress incontinence prevalence in Mongolian women, 78.1% was urban population, 21.9% was rural. In already diagnosed population 30% of them were non-treatment group, 32.25% were underwent surgical treatment. Early diagnose, right treatment option choice, value of surgical treatment all of its result is valuable in practice. Urogynecology Division of First Maternity Hospital Of Mongolia patients who underwent urodynamic machine their economic background, etiological factors, symptoms, maternal status, gynecological check up result all of these factors were calculated by PAD- test. Positive patients diagnostic and treatment options were determined by machine. Prospective study were done within 43 women who diagnosed by urodynamic machine. We reassumed pre and post – treatment patient’s incontinence symptoms by machine. 79.3% percent of women diagnosed with stress incontinence had a history of coffee or tea usage. / p0.05, QR=0.8). From all participants, 60% had stress incontinence, 19% had no abnormality, 9% had overactive bladder, 7% had mixed urine incontinence, and 5% had other diseases (urethral atrophy and obstruction). From total 43 participants, 22(51%) had surgical treatment, 4(9%) had chemical treatment, 3(7%) had combined surgical and chemical treatment, and 14 (33%) had physical exercise. From 21 women who received surgical treatment, 16 had improvement and 5 had no improvement. Analyzing the treatment result of urine incontinence by questionnaire and urodynamic test showed improvement in 75 % of patients received surgical and combined surgical chemical treatment and 80% of improvement in patients received chemical and exercise treatment.High number of birth, high usage of coffee and tea, birth injury especially perineal tear are statistically significant factors of stress incontinence development.Pad test is effective test used in diagnosis, treatment planning and monitoring treatment results of urine incontinence.Urine leakage symptom occurs 44% more in women with stress incontinence. 24% of women with stress incontinence were diagnosed without abnormality by urodynamic test. Urodynamic test has a diagnostic importance in treatment planning, individual treatment choice and increase of treatment effect in urine incontinence patients.