Epidemiology of Urinary Functional Disorders in Women of 40 and More

Study Overview
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Brief Summary
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Assess prevalence of urinary functional disorders in women of 40 and more, visiting a general practitioner, occupational medicine or health examination center in Puy-de-Dôme. Study conducted for a month using a self-filled survey distributed by secretaries or nurses.

Detailed Description
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The diagnosis of urinary incontinence is clinical. Three types of urinary incontinence are described: urinary stress incontinence, urinary incontinence by overactive bladder or mixed urinary incontinence. To standardize the medical examination and to precise the urinary incontinence type, the use of a validated questionnaire is recommended (USP), the quality of life's resounding also must be assessing, using questionnaire of quality of life valid in French (ICIQ®, CONTILIFE®…) Several medical cares exist, but patients often don't know it. Unhappily, it is still a taboo subject. In a French medical study, conducted in 1992 by 60 general practitioners, of a total of 2911 female patients, 37% said they had urinary disorders. Among them, 77% said they had symptoms during an effort, 57% had urinary urge incontinence and 35 % had spontaneous leaks. One in five women had three associated disorders. In a French study conducted in 2005, it appeared that women talked to their general practitioner about urinary disorders only four or five times out of ten, and six times out of ten when they used panty liners. The results are eloquent, but the data is not recent, and the investigators need some, to propose better cares. This medical study will be conducted during one month. Two self-filled questionnaires will be distributed by nurses or medical secretary, working at recruited general practitioner's place, to every female patient who will be 40 years old or more, coming for themselves or accompanying somebody else (children for example). Every female patient will have to fill both questionnaires alone, anonymously, and will have to let them in a closed box, in the waiting room. The two self-filled questionnaires are called USP and CONTILIFE. They are both validated to evaluate symptoms and quality of life. Additional question about existence of fecal incontinence (and its type), and the reasons why patients didn't talk about it with their general practitioner spontaneously (shame, absence of information about cares, fatality…). Prior visit of each recruited service by Julie de la Roque, to explain the goals of the study, to general practitioners, nurses and medical secretaries.

Official Title
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Assess Prevalence of Urinary Functional Disorders in Women of 40 and More, Visiting a General Practitioner, Occupational Medicine or Health Examination Center in Puy-de-Dôme

Conditions
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Menopause, Overweight, Surgical Antecedent, Gestity

Intervention / Treatment
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* Other: Female urinary incontinence


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: female 40 and more speaking French Exclusion Criteria: men female of less than 40 not speaking French refusal inability to answer questions

Ages Eligible for Study
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Minimum Age: 40 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental group<br>Assess prevalence of urinary functional disorders in women of 40 and more, visiting a general practitioner, occupational medicine or health examination center in Puy-de-Dôme. Study conducted for a month using a self-filled survey distributed by secretaries or nurses. | Other: Female urinary incontinence<br>* Assess prevalence of urinary functional disorders in women of 40 and more, visiting a general practitioner, occupational medicine or health examination center in Puy-de-Dôme. Study conducted for a month using a self-filled survey distributed by secretaries or nurses.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| current urinary functional disorders prevalence in women of 40 and more | A difference will be made between urinary stress incontinence and overactive bladder. Each disorder is characterized by a score (not available for patients). The doctor will calculate the score for each one ( from 0 to 9 for urinary stress incontinence, and from 0 to 21 for urinary incontinence by overactive bladder ). A disorder will be considered positive if it is greater than or equal to 1. | between november 13th, 2017 and december 15th, 2017 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Relationship between age and occurrence of functional urinary disorders for same aged groups | question on the self-filled | between november 13th, 2017 and december 15th, 2017 | 
| Relationship between menopause and occurrence of functional urinary disorders for same aged groups | question on the self-filled | between november 13th, 2017 and december 15th, 2017 | 
| Relationship between childbirth way (caesarean or natural way) and occurrence of functional urinary disorders | question on the self-filled | between november 13th, 2017 and december 15th, 2017 | 
| Relationship between carrying of loads within the framework of the occupation and occurrence of functional urinary disorders | question on the self-filled | between november 13th, 2017 and december 15th, 2017 | 
| Relationship between dwelling place and occurrence of functional urinary disorders | question on the self-filled | between november 13th, 2017 and december 15th, 2017 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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incontinence, female, observational study, self filled survey, epidemiology