Prevalence and Level of Urinary Incontinence and Pelvic Organ Prolapse Awareness in Women with End-stage Hip Osteoarthritis

Abstract

Objective: The purpose of this study was to determine the prevalence of urinary incontinence and pelvic organ prolapse in female patients who had end-stage osteoarthritis of the hip. The study also surveyed patient awareness of the conditions, the level of concern, and the expectations for care.

Methods: Thirty-eight female patients (mean age, 64.9 years) who had end-stage osteoarthritis before total hip arthroplasty were included in the study. The International Consultation on Incontinence Questionnaire-Short Form and the Pelvic Organ Prolapse Distress Inventory 6 were used to assess the prevalence of urinary incontinence and pelvic organ prolapse symptoms. In addition, awareness and concerns regarding urinary incontinence and pelvic organ prolapse, and expectations for care were surveyed using self-administered questionnaires.

Results: The prevalence of urinary incontinence and pelvic organ prolapse was 65.8% and 63.2%, respectively; 47.4% of patients had both symptoms. The prevalence of urinary incontinence and pelvic organ prolapse awareness was 58.5% and 29.3%, respectively. Greater than 70% of the patients were concerned about the disorders and approximately one-half expected guidance for care.

Conclusions: The prevalence of urinary incontinence and pelvic organ prolapse was high in female patients who had end-stage osteoarthritis of the hip. Many patients had an interest and expectation for guidance.