Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende

Live-Webinar "Chronische Unterbauch- und Viszeralschmerzen in der Praxis managen"

Das Thema chronische Unterbauch- und Viszeralschmerzen wird im Live-Webinar am 7. Mai von 17.30 bis 19 Uhr aus internistischer, gynäkologischer und psychologisch-neurowissenschaftlicher Perspektive beleuchtet. Besprochen werden krankheitsbedingte Ursachen, Mechanismen der kognitiven Schmerzmodulation sowie mögliche Therapieoptionen. Die Fortbildung ist mit 2 CME-Punkten zertifiziert. Melden Sie sich jetzt an!
Erweiterte Suche
Anmelden
nach oben
International Urogynecology Journal
Erschienen in: International Urogynecology Journal 10/2019

04.04.2019 | Review Article

Constipation and risk of urinary incontinence in women: a meta-analysis

verfasst von: Wen-Qing Lian, Fa-Jiang Li, Hong-Xing Huang, Yi-Qun Zheng, Liang-Hua Chen

Erschienen in: International Urogynecology Journal | Ausgabe 10/2019

Einloggen, um Zugang zu erhalten

Abstract

Introduction and hypothesis

Constipation is reported to be associated with urinary incontinence. However, the reported results have been inconsistent and contradictory. To evaluate the association between constipation and urinary incontinence in women, we performed a meta-analysis.

Methods

A comprehensive search based on PubMed, EMBASE, and the Cochrane Library was performed up to July 2018 for eligible studies in relation to the influence of constipation on urinary incontinence in women. A random-effect model was used to calculate the pooled odds risk (OR) and corresponding 95% confidence interval (CI).

Results

A total of 16 observational studies with 35,629 participants and 6054 urinary incontinence patients were identified in the meta-analysis. Constipation was significantly associated with the risk of urinary incontinence in women (OR 2.46, 95% CI 1.79–3.38).

Conclusions

This meta-analysis suggests that constipation is significantly associated with urinary incontinence risk in women. However, further well-designed, large-scale prospective studies are needed to clarify the causality.
Literatur
1.
Syan R, Brucker BM. Guideline of guidelines: urinary incontinence. BJU Int. 2016;117:20–33.CrossRef
2.
Austin PF, Bauer SB, Bower W, Chase J, Franco I, Hoebeke P, et al. The standardization of terminology of lower urinary tract function in children and adolescents: update report from the standardization committee of the International Children’s Continence Society. J Urol. 2014;191:1863–1865.e13.CrossRef
3.
Irwin DE, Kopp ZS, Agatep B, Milsom I, Abrams P. Worldwide prevalence estimates of lower urinary tract symptoms, overactive bladder, urinary incontinence and bladder outlet obstruction. BJU Int. 2011;108:1132–8.CrossRef
4.
Hannestad YS, Rortveit G, Daltveit AK, Hunskaar S. Are smoking and other lifestyle factors associated with female urinary incontinence? The Norwegian EPINCONT study. BJOG Int J Obstet Gynaecol. 2003;110:247–54.CrossRef
5.
Maserejian NN, Giovannucci EL, McVary KT, McGrother C, McKinlay JB. Dietary macronutrient and energy intake and urinary incontinence in women. Am J Epidemiol. 2010;171:1116–25.CrossRef
6.
Almousa S, Bandin van Loon A. The prevalence of urinary incontinence in nulliparous adolescent and middle-aged women and the associated risk factors: a systematic review. Maturitas. 2018;107:78–83.CrossRef
7.
Maeda T, Tomita M, Nakazawa A, Sakai G, Funakoshi S, Komatsuda A, et al. Female functional constipation is associated with overactive bladder symptoms and urinary incontinence. Biomed Res Int. 2017;2017:2138073.CrossRef
8.
Eshkoor SA, Hamid TA, Shahar S, Mun CY. Factors related to urinary incontinence among the Malaysian elderly. J Nutr Health Aging. 2017;21:220–6.CrossRef
9.
Sampaio C, Sousa AS, Fraga LG, Veiga ML, Bastos Netto JM, Barroso U Jr. Constipation and lower urinary tract dysfunction in children and adolescents: a population-based study. Front Pediatr. 2016;4:101.CrossRef
10.
Bharucha AE, Pemberton JH, Locke GR 3rd. American gastroenterological association technical review on constipation. Gastroenterology. 2013;144:218–38.CrossRef
11.
Wald A, Scarpignato C, Kamm MA, Mueller-Lissner S, Helfrich I, Schuijt C, et al. The burden of constipation on quality of life: results of a multinational survey. Aliment Pharmacol Ther. 2007;26:227–36.CrossRef
12.
Zhu L, Lang J, Liu C, Xu T, Liu X, Li L, et al. Epidemiological study of urge urinary incontinence and risk factors in China. Int Urogynecol J. 2010;21:589–93.CrossRef
13.
van Gerwen M, Schellevis F, Lagro-Janssen T. Comorbidities associated with urinary incontinence: a case-control study from the second Dutch national survey of general practice. J Am Board Fam Med. 2007;20:608–10.CrossRef
14.
Torkestani F, Zafarghandi N, Davati A, Hadavand SH, Garshasbi M. Case-controlled study of the relationship between delivery method and incidence of post-partum urinary incontinence. J Int Med Res. 2009;37:214–9.CrossRef
15.
Sobhgol SS, Charandabee SM. Related factors of urge, stress, mixed urinary incontinence and overactive bladder in reproductive age women in Tabriz, Iran: a cross-sectional study. Int Urogynecol J Pelvic Floor Dysfunct. 2008;19:367–73.CrossRef
16.
Prabhu SA, Shanbhag SS. Prevalence and risk factors of urinary incontinence in women residing in a tribal area in Maharashtra, India. J Res Health Sci. 2013;13:125–30.PubMed
17.
Lu S, Zhang HL, Zhang YJ, Shao QC. Prevalence and risk factors of urinary incontinence among perimenopausal women in Wuhan. J Huazhong Univ Sci Technolog Med Sci. 2016;36:723–6.CrossRef
18.
Liu B, Wang L, Huang SS, Wu Q, Wu DL. Prevalence and risk factors of urinary incontinence among Chinese women in Shanghai. Int J Clin Exp Med. 2014;7(3):686–96.
19.
Linde JM, Nijman RJM, Trzpis M, Broens PMA. Urinary incontinence in the Netherlands: prevalence and associated risk factors in adults. Neurourol Urodyn. 2017;36:1519–28.CrossRef
20.
Leroy Lda S, Lucio A, Lopes MH. Risk factors for postpartum urinary incontinence. Rev Esc Enferm USP. 2016;50:200–7.CrossRef
21.
Ewings P, Spencer S, Marsh H, O’Sullivan M. Obstetric risk factors for urinary incontinence and preventative pelvic floor exercises: cohort study and nested randomized controlled trial. J Obstet Gynaecol. 2005;25:558–64.CrossRef
22.
Dinç A. Prevalence of urinary incontinence during pregnancy and associated risk factors. Low Urin Tract Symptoms. 2018;10(3):303–07.
23.
Biswas B, Bhattacharyya A, Dasgupta A, Karmakar A, Mallick N, Sembiah S. Urinary incontinence, its risk factors, and quality of life: a study among women aged 50 years and above in a rural health facility of West Bengal. J Midlife Health. 2017;8:130–6.PubMedPubMedCentral
24.
Bekele A, Adefris M, Demeke S. Urinary incontinence among pregnant women, following antenatal care at university of Gondar hospital, north west Ethiopia. BMC Pregnancy Childbirth. 2016;16:333.CrossRef
25.
Barbosa L, Kuhni D, Vasconcelos D, Sales E, Lima G, Santos M, et al. Factors associated with urinary incontinence in pregnant adolescents: a case-control study. J Pediatr Adolesc Gynecol. 2018;31:382–7.CrossRef
26.
Al-Badr A, Brasha H, Al-Raddadi R, Noorwali F, Ross S. Prevalence of urinary incontinence among Saudi women. Int J Gynaecol Obstet. 2012;117:160–3.CrossRef
27.
Ahmed HM, Osman VA, Al-Alaf SK, Al-Tawil NG. Prevalence of urinary incontinence and probable risk factors in a sample of Kurdish women. Sultan Qaboos Univ Med J. 2013;13:269–74.CrossRef
28.
Moher D, Liberati A, Tetzlaff J, Altman DG, PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Int J Surg. 2010;8:336–41.CrossRef
29.
Stroup DF, Berlin JA, Morton SC, Olkin I, Williamson GD, Rennie D, et al. Meta-analysis of observational studies in epidemiology: a proposal for reporting. Meta-analysis of observational studies in epidemiology (MOOSE) group. JAMA. 2000;283:2008–12.CrossRef
30.
Stang A. Critical evaluation of the Newcastle-Ottawa scale for the assessment of the quality of nonrandomized studies in meta-analyses. Eur J Epidemiol. 2010;25:603–5.CrossRef
31.
Begg CB, Mazumdar M. Operating characteristics of a rank correlation test for publication bias. Biometrics. 1994;50:1088–101.CrossRef
32.
Egger M, Davey Smith G, Schneider M, Minder C. Bias in meta-analysis detected by a simple, graphical test. BMJ. 1997;315:629–34.CrossRef
33.
Charach G, Greenstein A, Rabinovich P, Groskopf I, Weintraub M. Alleviating constipation in the elderly improves lower urinary tract symptoms. Gerontology. 2001;47:72–6.CrossRef
34.
Nambiar AK, Bosch R, Cruz F, Lemack GE, Thiruchelvam N, Tubaro A, et al. Eau guidelines on assessment and nonsurgical management of urinary incontinence. Eur Urol. 2018;73:596–609.CrossRef
35.
De Wachter S, de Jong A, Van Dyck J, Wyndaele JJ. Interaction of filling related sensation between anorectum and lower urinary tract and its impact on the sequence of their evacuation. A study in healthy volunteers. Neurourol Urodyn. 2007;26:481–5.CrossRef
36.
Kaplan SA, Dmochowski R, Cash BD, Kopp ZS, Berriman SJ, Khullar V. Systematic review of the relationship between bladder and bowel function: implications for patient management. Int J Clin Pract. 2013;67:205–16.CrossRef
37.
Malykhina AP. Neural mechanisms of pelvic organ cross-sensitization. Neuroscience. 2007;149:660–72.CrossRef
38.
Radojicic Z, Milivojevic S, Milic N , Lazovic JM, Lukac M, Sretenovic A. Impact of bowel management in alleviating symptoms of urinary incontinence in patients with spina bifida associated with overactive bladder and detrusor sphincter dyssynergia. BJU Int. 2019;123(1):118–23.
39.
Coyne KS, Cash B, Kopp Z, Gelhorn H, Milsom I, Berriman S, et al. The prevalence of chronic constipation and faecal incontinence among men and women with symptoms of overactive bladder. BJU Int. 2011;107:254–61.CrossRef
40.
Burgers R, Liem O, Canon S, Mousa H, Benninga MA, Di Lorenzo C, et al. Effect of rectal distention on lower urinary tract function in children. J Urol. 2010;184:1680–5.CrossRef
41.
Bunyavejchevin S. Risk factors of female urinary incontinence and overactive bladder in Thai postmenopausal women. J Med Assoc Thail. 2005;88(Suppl 4):S119–23.
42.
Brown JS, Grady D, Ouslander JG, Herzog AR, Varner RE, Posner SF. Prevalence of urinary incontinence and associated risk factors in postmenopausal women. Heart & estrogen/progestin replacement study (HERS) research group. Obstet Gynecol. 1999;94:66–70.PubMed
Metadaten
Titel
Constipation and risk of urinary incontinence in women: a meta-analysis
verfasst von
Wen-Qing Lian
Fa-Jiang Li
Hong-Xing Huang
Yi-Qun Zheng
Liang-Hua Chen
Publikationsdatum
04.04.2019
Verlag
Springer International Publishing
Erschienen in
International Urogynecology Journal / Ausgabe 10/2019
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-019-03941-w

Weitere Artikel der Ausgabe 10/2019

International Urogynecology Journal 10/2019 Zur Ausgabe

Original Article

External validation of de novo stress urinary incontinence prediction model after vaginal prolapse surgery

Review Article

The effect of percutaneous tibial nerve stimulation (PTNS) on sexual function: a systematic review and meta-analysis

Original Article

Follow-up postoperative calls to reduce common postoperative complaints among urogynecology patients

Commentary

Commentary on “Risk factors and outcome of repair of obstetric anal sphincter injuries as followed up in a dedicated perineal clinic”

Original Article

Does flatus incontinence matter?

Original Article

Risk factors for obstetric anal sphincter injuries at vaginal birth after caesarean: a retrospective cohort study

Neu im Fachgebiet Gynäkologie und Geburtshilfe

Nodal-negativ nach neoadjuvanter Chemo: Axilladissektion verzichtbar?

03.05.2024 Mammakarzinom Nachrichten

Wenn bei Mammakarzinomen durch eine neoadjuvante Chemotherapie ein Downstaging von nodal-positiv zu nodal-negativ gelingt, scheint es auch ohne Axilladissektion nur selten zu axillären Rezidiven zu kommen.

Rezidivierender Peritonsillarabszess nach Oralsex

02.05.2024 Peritonsillarabszess Kasuistik

Die erotischen Dimensionen von Peritonsillarabszessen scheinen eng begrenzt zu sein. Das heißt aber nicht, solche Abszesse und Erotik hätten nichts miteinander gemein, wie ein Fallbericht verdeutlicht.

Endlich: Zi zeigt, mit welchen PVS Praxen zufrieden sind

IT für Ärzte Nachrichten

Darauf haben viele Praxen gewartet: Das Zi hat eine Liste von Praxisverwaltungssystemen veröffentlicht, die von Nutzern positiv bewertet werden. Eine gute Grundlage für wechselwillige Ärzte und Psychotherapeuten.

Ambulantisierung: Erste Erfahrungen mit dem Hybrid-DRG

02.05.2024 DCK 2024 Kongressbericht

Die Hybrid-DRG-Verordnung soll dazu führen, dass mehr chirurgische Eingriffe ambulant durchgeführt werden, wie es in anderen Ländern schon länger üblich ist. Die gleiche Vergütung im ambulanten und stationären Sektor hatten Niedergelassene schon lange gefordert. Aber die Umsetzung bereitet ihnen doch Kopfzerbrechen.

Update Gynäkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.

Newsletter bestellen
Bildnachweise