International Urogynecology Journal

, Volume 18, Issue 5, pp 543–549 | Cite as

Quality of life in women with stress urinary incontinence

  • Sharon L. Tennstedt
  • Mary Pat Fitzgerald
  • Charles W. Nager
  • Yan Xu
  • Philippe Zimmern
  • Stephen Kraus
  • Patricia S. Goode
  • John W. Kusek
  • Diane Borello-France
  • Veronica Mallett
  • Urinary Incontinence Treatment Network
Original Article


The objective of this study was to identify clinical and demographic factors associated with incontinence-related quality of life (QoL) in 655 women with stress urinary incontinence who elected surgical treatment. The following factors were examined for their association with QoL as measured with the Incontinence Impact Questionnaire (IIQ): number of incontinence (UI) episodes/day; self-reported type of UI symptoms (stress and urge); sexual function as measured by the Prolapse/Urinary Incontinence Sexual Questionnaire; symptom bother as measured by the Urogenital Distress Inventory; as well as other clinical and sociodemographic factors. A stepwise least-squares regression analysis was used to identify factors significantly associated with QoL. Lower QoL was related to the greater frequency of stress UI symptoms, increasing severity, greater symptom bother, prior UI surgery or treatment, and sexual dysfunction (if sexually active). Health and sociodemographic factors associated with lower incontinence-related QoL included current tobacco use, younger age, lower socioeconomic status, and Hispanic ethnicity.


Quality of life Urinary incontinence 



UITN STEERING COMMITTEE: William Steers, M.D., Chair (University of Virginia, Charlottesville, VA); Ananias C. Diokno, M.D. (William Beaumont Hospital, Royal Oak, MI: U01 DK58231); Salil Khandwala, M.D., Veronica Mallett, M.D. (Oakwood Hospital, Dearborn, MI: U01 DK58231); Linda Brubaker, M.D., Mary Pat FitzGerald, M.D. (Loyola University Medical Center, Maywood, IL: U01 DK60379); Holly E. Richter, Ph.D., M.D., L. Keith Lloyd, M.D. (University of Alabama, Birmingham, AL: U01 DK60380); Michael Albo, M.D., Charles Nager, M.D. (University of California, San Diego, CA: U01 DK60401); Toby Chai, M.D., Harry W. Johnson, M.D. (University of Maryland, Baltimore, MD: U01 DK60397); Halina M. Zyczynski, M.D., Wendy Leng, M.D. (University of Pittsburgh, Pittsburgh, PA: U01 DK 58225); Philippe Zimmern, M.D., Gary Lemack, M.D. (University of Texas Southwestern, Dallas, TX: U01 DK60395); Stephen Kraus, M.D., Thomas Rozanski, M.D. (University of Texas Health Sciences Center, San Antonio, TX: U01 DK58234); Peggy Norton, M.D., Lindsey Kerr, M.D. (University of Utah, Salt Lake City, UT: U01 DK60393); Sharon Tennstedt, Ph.D., Anne Stoddard, Sc.D. (New England Research Institutes, Watertown, MA: U01 DK58229); John W. Kusek, Ph.D., Leroy M. Nyberg, M.D., Ph.D., Debuene Chang M.D. (National Institute of Diabetes and Digestive and Kidney Diseases); Anne M. Weber, M.D. (National Institute of Child Health and Human Development).


  1. 1.
    Thomas TM, Plymat KR, Blannin J, Meade TW (1980) Prevalence of urinary incontinence. BMJ 281:1243PubMedCrossRefGoogle Scholar
  2. 2.
    Hunskaar S, Vinsnes A (1991) The quality of life in women with urinary incontinence as measured by the sickness impact profile. J Am Geriatr Soc 39:378–382PubMedGoogle Scholar
  3. 3.
    Schlenk E, Erlen J, Dunbar-Jacob J et al (1988) Health-related quality of life in chronic disorders: a comparison across studies using the MOS SF-36. Qual Life Res 7:57–65CrossRefGoogle Scholar
  4. 4.
    Donovan J, Bosch R, Gotoh M, Jackson S, Naughton M, Radley S, Valiquette L (2005) Symptom and quality of life assessment. In: Abrams P, Cardozo L, Khoury S, Wein A (eds) Incontinence. Third International Consultation on Incontinence, Monaco, pp 519–558Google Scholar
  5. 5.
    Uebersax JS, Wyman JF, Shumaker SA, McClish DK, Fantl AJ (1995) Short forms to assess life quality and symptom distress for urinary incontinence in women: the incontinence impact questionnaire and the urogenital distress inventory. Neurourol Urodynam 14:131–139CrossRefGoogle Scholar
  6. 6.
    Wagner TH, Patrick DL, Bavendam TG, Martin ML, Buesching DP (1996) Quality of life of persons with urinary incontinence: development of a new measure. Urology 47:67–72PubMedCrossRefGoogle Scholar
  7. 7.
    Dugan E, Cohen SJ, Robinson D et al (1998) The quality of life of older adults with urinary incontinence: determining generic and condition specific predictors. Qual Life Res 7:337–344PubMedCrossRefGoogle Scholar
  8. 8.
    Patrick DL, Martin ML, Bushnell DM, Yalcin I, Wagner TH, Buesching DP (1999) Quality of life of women with urinary incontinence: further development of the incontinence quality of life instrument (I-QOL). Urology 53:71–76PubMedCrossRefGoogle Scholar
  9. 9.
    Rogers RG, Kammerer-Doak D, Villarreal A, Coates K, Qualls C (2001) A new instrument to measure sexual function in women with urinary incontinence or pelvic organ prolapse. Am J Obstet Gynecol 184:552–558PubMedCrossRefGoogle Scholar
  10. 10.
    The Urinary Incontinence Treatment Network (2005) Design of the Stress Incontinence Surgical Treatment Efficacy Trial (SISTEr) study. Urology 66(6):1213–1217CrossRefGoogle Scholar
  11. 11.
    Herzog AR, Diokno AC, Brown MB, Normolle DP, Brock BM (1990) Two-year incidence, remission, and change patterns of urinary incontinence in noninstitutionalized older adults. J Gerontol 45:M67–M74PubMedGoogle Scholar
  12. 12.
    Shumaker SA, Wyman JF, Uebersax JS, McClish D, Fantl JA, Continence Program in Women (CPW) Research Group (1994) Health-related quality of life measures for women with urinary incontinence: the Incontinence Impact Questionnaire and the Urogenital Distress Inventory. Qual Life Res 3:291–306PubMedCrossRefGoogle Scholar
  13. 13.
    Wyman JF, Choi SC, Harkins SW, Wilson MS, Fantl JA (1988) The urinary diary in evaluation of incontinent women: a test–retest analysis. Obstet Gynecol 71(6 Pt 1):812–817PubMedGoogle Scholar
  14. 14.
    Nam CB, Terrie EW (1988) 9180-based Nam–Powers Occupational status scores. Working paper 88-48. Center for the Study of Population, Florida State University, Tallahassee, FLGoogle Scholar
  15. 15.
    Bump RC, Mattiasson A, Bo K, Brubaker LP, Delancey JOL, Shull BL, Smith ARB (1996) The standardisation of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol 175:10–17PubMedCrossRefGoogle Scholar
  16. 16.
    Mattox TF, Bhatia NN (1996) The prevalence of urinary incontinence or prolapse among white and Hispanic women. Am J Obstet Gynecol 174:646–648PubMedCrossRefGoogle Scholar
  17. 17.
    Howard D, Delancey JO, Tunn R, Ashton-Miller JA (2000) Racial differences in the structure and function of the stress urinary continence mechanism. Obstet Gynecol 95:713–717PubMedCrossRefGoogle Scholar
  18. 18.
    Teo RE, Yisa S, Mayne C, Tincello D (2005) A comparison of urodynamic diagnoses and detrusor muscle function in white and South Indian Asian women. J Urol 174:184–186PubMedCrossRefGoogle Scholar
  19. 19.
    Salonia A, Zanni G, Nappi RE, Briganti A, Deho F, Fabbri F, Colombo R, Guazzoni G, Di Girolamo V, Rigatti P, Montorsi F (2004) Sexual dysfunction is common in women with lower urinary tract symptoms and urinary incontinence: results of a cross-sectional study. Eur Urol 45:642–648PubMedCrossRefGoogle Scholar
  20. 20.
    Wyman JF, Harkins SW, Choi SC, Taylor JR, Fantl JA (1987) Psychosocial impact of urinary incontinence in women. Obstet Gynecol 70:378–381PubMedGoogle Scholar
  21. 21.
    Coyne KS, Zhou Z, Thompson C, Versi E (2003) The impact on health-related quality of life of stress, urge and mixed urinary incontinence. BJU Int 92:731–735PubMedCrossRefGoogle Scholar
  22. 22.
    Oh SJ, Ku JH, Hong SK, Kim SW, Paick JS, Son H (2005) Factors influencing self-perceived disease severity in women with stress urinary incontinence combined with or without urge incontinence. Neurourol Urodyn 24:341–347PubMedCrossRefGoogle Scholar

Copyright information

© International Urogynecology Journal 2006

Authors and Affiliations

  • Sharon L. Tennstedt
    • 1
  • Mary Pat Fitzgerald
    • 2
  • Charles W. Nager
    • 3
  • Yan Xu
    • 1
  • Philippe Zimmern
    • 4
  • Stephen Kraus
    • 5
  • Patricia S. Goode
    • 6
    • 7
  • John W. Kusek
    • 8
  • Diane Borello-France
    • 9
  • Veronica Mallett
    • 10
  • Urinary Incontinence Treatment Network
  1. 1.New England Research InstitutesWatertownUSA
  2. 2.Loyola University Medical CenterMaywoodUSA
  3. 3.University of California at San Diego Medical CenterSan DiegoUSA
  4. 4.University of Texas Southwestern Medical CenterDallasUSA
  5. 5.University of Texas Health Sciences CenterSan AntonioUSA
  6. 6.Birmingham VA Medical CenterBirminghamUSA
  7. 7.University of Alabama at BirminghamBirminghamUSA
  8. 8.National Institute of Diabetes and Digestive and Kidney DiseasesNIHBethesdaUSA
  9. 9.Duquesne UniversityPittsburghUSA
  10. 10.University of TennesseeKnoxvilleUSA

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