Prevalence of Urinary Incontinence in Women with Pelvic Organ Prolapse at Sanglah Hospital Denpasar, Bali-Indonesia

Background: Urinary incontinence is extremely common complaint in every part of the world. It causes a significant health problem with considerable social and economic impact, a great deal of distress and embarrassment, as well as significant cost, to both individual and societies. Urinary incontinence and pelvic organ prolapsed commonly coexist. The prevalence of women presenting with pelvic organ prolapsed are also diagnosed with urinary incontinence was 25-35% and some studies shows higher prevalence. Urinary incontinence gives significant impact on social and productivity of the women. Objective: To determine the prevalence of urinary incontinence in women with pelvic organ prolapsed. Methods: This study is a descriptive study in 67 samples in women with pelvic organ prolapsed. Samples were obtained non-randomly by using consecutive sampling. All samples were examined using Pelvic Organ Prolepses Quantification (POPQ) procedure to measure degrees of prolapsed. An interview, measurement of residual urine, stress test, bladder diary recording, and urinalysis were performed to investigate presence of urinary incontinence and its type. The data obtained analyzed descriptively for baseline characteristic and to determine its prevalence of urinary incontinence. Results:Prevalence of urinary incontinence in women with pelvic organ prolapsed was 37,32% , consist of 31,32% stress type, 1.49% overactive bladder, and 4.47% overflow incontinence. There was no mixed urinary incontinence found in this study. Prevalence of urinary incontinence was 16.42% and 20.90% on those with I-II degrees and III- IV degrees of pelvic organ prolapsed respectively. Conclusion: Prevalence of urinary incontinence in women with pelvic organ prolapsed was 37,32%. Keywords: Pelvic organ prolapsed, urinary incontinence.