Risk Factors and Impact of Urinary Incontinence Among Menopausal Women in Sulaimani City: A Cross-Sectional Study

Authors

  • Nassreen Ahmad Karem

Keywords:

Estrogen, Pelvic Floor, Quality of Life

Abstract

Background and Objectives: Urinary incontinence (UI) significantly affects the quality of life (QOL) in menopausal women. This study aimed to evaluate UI prevalence, and risk factors impact among menopausal women in Sulaimani City. 

Methods: A cross-sectional design enrolled 200 menopausal women (45–65 years) via purposive sampling. Data on socio-demographic, reproductive, and medical factors were collected through validated questionnaires. Chi-square tests and Pearson’s correlation analyzed associations between variables and UI severity.

Results: The most prevalent severity of UI among women was moderate, observed in 101 (50.5%) menopausal women. This was followed by severe incontinence in 52 (16%) women, and mild incontinence in 47 (25.5%) women. There was a direct and significant relationship between age, change in employment status, social status, parity, and the number of vaginal deliveries with the types, degree, and duration of UI (P≤0.001). Conversely, there was a negative and significant relationship between increased age at marriage, increased time since hysterectomy, diabetes mellitus, urinary tract infections (UTI), and genital prolapse with the type, severity, and duration of incontinence (P ≤0.005).

Conclusion: As age increased, menopausal women experienced an increase in the type, severity, and duration of incontinence. However, with increased age at marriage, longer time since hysterectomy, diabetes mellitus, UTI, and genital prolapse, the type, severity, and duration of incontinence decreased.

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References

Kołodyńska G, Zalewski M, Rożek-Piechura K. Urinary incontinence in postmenopausal women - causes, symptoms, treatment. Prz Menopauzalny. 2019;18(1): 46-50. https://doi.org/10.5114/pm.2019.84157.

Allafi AH, Al-Johani AS, Babukur RM, Fikri J, Alanazi RR, Ali S, et al. The Link Between Menopause and Urinary Incontinence: A Systematic Review. Cureus. 2024;16(10): e71260. https://doi.org/10.7759/cureus.71260.

Russo E, Caretto M, Giannini A, Bitzer J, Cano A, Ceausu I, et al. Management of urinary incontinence in postmenopausal women: An EMAS clinical guide. Maturitas. 2021;143: 223-30. https://doi.org/10.1016/j.maturitas.2020.09.005.

Leslie SW, Tran LN, Puckett Y. Urinary Incontinence. StatPearls. Treasure Island (FL) ineligible companies. Disclosure: Linh Tran declares no relevant financial relationships with ineligible companies.

Seshan V, Francis F, Raghavan D, Arulappan J, Hashmi IA, Prince EJ, et al. Prevalence of Urinary Incontinence and its Relationship With Sociodemographic and Obstetrical Variables Among Omani Women. SAGE Open Nurs. 2023;9: 23779608231173803. https://doi.org/10.1177/23779608231173803.

Neira-Maldonado C, Coronado JC, Álvarez MA, Negrón R, Ponce-Fuentes F, Cuyul-Vásquez I. Prevalence and Associated Factors of Urinary Incontinence Among Chilean Community-Dwelling Older Adults: A Cross-Sectional Study. Cureus. 2025;17(1): e77831. https://doi.org/10.7759/cureus.77831.

Cristóvão S, Asplén E, Borssén J, Larsson MEH, Vesting S. Pelvic Floor Muscle Strength and Bothersome Urinary Incontinence After Pregnancy: A Cohort Study. Int Urogynecol J. 2025;1(1): 1-8. https://doi.org/10.1007/s00192-025-06085-2.

Ajith AK, Rekha A, Duttagupta S, Murali V, Ramakrishnan D, Krishnapillai V. Prevalence and Factors of Urinary Incontinence among Postmenopausal Women Attending the Obstetrics and Gynecology Outpatient Service in a Tertiary Health Care Center in Kochi, Kerala. Indian J Community Med. 2019;44(1): S30-s3. https://doi.org/10.4103/ijcm.ijcm_29_19.

Humadee S. Risk factor of urinary incontinence among menopausal women at Babylon city. INJ Nurs Spec. 2012;25(3): 130-40. https://doi.org/10.58897/injns.v25i3.150.

Suardi L, Budinurdjaja P, Nurcahyawati WAS, Noor MS. Impact of E2 and FSH levels on the severity of Stress Urinary Incontinence (SUI) in menopausal women. Maj Obstet Ginekol. 2022;30(2): 92-100. https://doi.org/10.20473/mog.V30I22022.92-100.

Karaçam Z, Özsoy S, Özer Yurdal NE. The prevalence of urinary incontinence and risk factors in menopausal women in Turkey: A systematic review and meta-analysis. Int J Urol Nurs. 2024;18(1): e12382. https://doi.org/10.1111/ijun.12382.

Shabani F, Montazeri M, Alizadeh A, Bani S, Hassanpour S, Nabighadim M, et al. The relationship between urinary incontinence with sexual function and quality of life in postmenopausal women. Post Reprod Health. 2023;29(1): 15-23. https://doi.org/10.1177/20533691231155734.

López-Pérez MP, Afanador-Restrepo DF, Rivas-Campo Y, Hita-Contreras F, Carcelén-Fraile MdC, Castellote-Caballero Y, et al. Pelvic Floor Muscle Exercises as a Treatment for Urinary Incontinence in Postmenopausal Women: A Systematic Review of Randomized Controlled Trials. Healthcare. 2023;11(2): 216. https://doi.org/10.3390/healthcare11020216.

Alizadeh A, Montazeri M, Shabani F, Bani S, Hassanpour S, Nabighadim M, et al. Prevalence and severity of urinary incontinence and associated factors in Iranian postmenopausal women: a cross-sectional study. BMC Urology. 2023;23(1): 18. https://doi.org/10.1186/s12894-023-01186-w.

Ghaly RM, Karim Eldin AMA, Mohamed AbdelRahman DA, Elassal MH. Prevalence of urinary incontinence and its relation to occupational status among Egyptian female patients presenting with chronic cough. Egypt J Bronchol. 2025;19(1): 15. https://doi.org/10.1186/s43168-025-00368-4.

Peinado-Molina RA, Martínez-Vázquez S, Hernández-Martínez A, Martínez-Galiano JM. Impact and Influence of Urinary Incontinence on Physical Activity Levels. Eur Urol Open Sci. 2023;55: 50-8. https://doi.org/10.1016/j.euros.2023.07.004.

Alharbi AH, Almasry RH, Alsaywid B, Kaleemullah A, Khodri AT, Hariri FS, et al. Urinary Incontinence (UI) in Saudi Female Population: Prevalence, Risk Factors, and Impact on Quality of Life. Healthcare. 2024;12(23): 2340. https://doi.org/10.3390/healthcare12232340.

Alonezy MF, Metwally AS, Alhazmi OA, Alrehaili AO, Almohammadi AA, Aljuhani AS, et al. The Prevalence and Related Risk Factors of Urinary Incontinence Among Adult Women in Al Medina Al Munawara, Saudi Arabia. Cureus. 2024;16(7): e64966. https://doi.org/10.7759/cureus.64966.

Fareed S, javed Jadoon I, Shah HU, Fareed A, Fatima U, Saleem M. Prevalence ratio of urinary incontinence and its association with parity and gravidity: correlational study. J Women Med Dent Coll. 2023;1(4): 1-11.

Wei D, Meng J, Zhang Y, Chen Y, Li J, Niu X. Identification of potential associated factors for stress urinary incontinence in women: a retrospective study. Ann Transl Med. 2022;10(18): 965. https://doi.org/10.21037/atm-22-3539.

Mahmoud EI, Hanafy HM, Kamel H-eH, Ali MM. Prevalence of urinary incontinence among postmenopausal women. Egypt J Phys Ther. 2021;8(1): 1-7.

Akova İ, Kılıç E, Hasdemir Ö, Koşaroğlu NE. Factors Influencing the Prevalence of Urinary Incontinence in Women and its Impact on Sexual Quality of Life. J Clin Pract Res. 2024;46(1): 1-10.

Cheng MC, Liu SP, Chuang YC, Hsu KCP, Chow PM. Prevalence and impacts of male urinary incontinence on quality of life, mental health, work limitation, and health care seeking in China, Taiwan, and South Korea (LUTS Asia): Results from a cross-sectional, population-based study. Investig Clin Urol. 2022;63(1): 71-82. https://doi.org/10.4111/icu.20210259.

Yuk J-S, Cho I-C, Lee JH. The Risk of Stress Urinary Incontinence After Hysterectomy for Uterine Fibroids. Int Neurourol J. 2023;27(4): 252-9. https://doi.org/10.5213/inj.2346192.096.

Clark AL. Overactive bladder, stress urinary incontinence, and menopause—what are the associations? Menopause. 2022;29(2): 125-6.

Demirtaş FA, Başar F, Aba YA. Urinary symptoms and incontinence in postmenopausal women and the effects on quality of life. Int J Urol Nurs. 2022;16(3): 225-33.

Gębka N, Głogowska-Szeląg J, Adamczyk J, Gębka-Kępińska B, Szeląg M, Kępiński M. The most common urological conditions in postmenopausal women. Wiadomosci Lekarskie. 2022;75(8): 2026-30.

Dobrokhotova YE, Lapina IA, Tyan AG, Taranov VV, Chirvon TG, Glebov NV, et al. Combined treatment of postmenopausal patients with pelvic organ prolapse and genitourinary syndrome. Gynecology. 2024;26(1): 68-74

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Published

2025-07-25

How to Cite

1.
Karem NA. Risk Factors and Impact of Urinary Incontinence Among Menopausal Women in Sulaimani City: A Cross-Sectional Study. J Neonatal Surg [Internet]. 2025Jul.25 [cited 2025Oct.14];14(32S):6289-97. Available from: https://www.jneonatalsurg.com/index.php/jns/article/view/8534