Article: article from journal or magazin.
Incontinence urinaire à la toux au cours des pneumopathies interstitielles diffuses [Urinary incontinence due to chronic cough in interstitial lung disease]
Revue des Maladies Respiratoires
Publication types: English Abstract ; Journal Article
INTRODUCTION: Urinary stress incontinence affects 10% to 30% of the female population and may have a major impact on psychosocial health. In interstitial lung disease, chronic cough may lead to development of urinary incontinence, but the prevalence and impact of this symptom are unknown. OBJECTIVES: To determine the rate and impact of urinary stress incontinence among women with chronic cough due to interstitial lung disease. METHODS: 28 female patients with chronic cough secondary to interstitial lung disease and 15 controls were evaluated by questionnaires to determine the prevalence of cough-related urinary incontinence, its severity, and its impact on quality of life. RESULTS: Cough-related urinary incontinence was present in 14/28 patients with interstitial lung disease and chronic cough (50%), but in only 1/15 controls (7%, p=0.005). On a 5-points quality of life scale, the median impact of urinary incontinence was 3 (minimum=1, maximal=5), and the median impact of chronic cough was 3.5. The majority of patients (64%) believed that incontinence was a natural phenomenon due to ageing, all were ashamed by this symptom and 79% were unable to mention it to their caring physician. Only one physician had previously addressed this issue. CONCLUSION: Cough-related urinary incontinence is common in patients with interstitial lung disease and is largely overlooked. It may significantly alter quality of life. A systematic questioning by the physician would allow to promptly refer these patients for appropriate therapeutic interventions, such as perineal training.
Aged, Case-Control Studies, Chronic Disease, Cough/complications, Cough/diagnosis, Cough/epidemiology, Cough/etiology, Cough/therapy , Exercise, Female, France/epidemiology, Humans, Lung Diseases, Interstitial/complications, Lung Diseases, Interstitial/diagnosis, Male, Middle Aged, Prevalence, Quality of Life, Questionnaires, Severity of Illness Index, Sickness Impact Profile, Urinary Incontinence, Stress/diagnosis, Urinary Incontinence, Stress/epidemiology
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