Lower Urinary Tract Symptoms in Thai Women Attending the Menopause Clinic: Prevalence and Associated Factors
Jittima Manonai MD*, Apichart Chittacharoen MD*, Sirirat Sarit-apirak **, Umaporn Udomsubpayakul ***, Adchara Khanacharoen **, Urusa Theppisai MD*
Affiliation : * Department of Obstetrics and Gynaecology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University ** Department of Nursing, Faculty of Medicine, Ramathibodi Hospital, Mahidol University *** Research center, Faculty of Medicine, Ramathibodi Hospital, Mahidol University
Objective : To determine the prevalence of lower urinary tract symptoms and associated factors in women
attending the menopause clinic.
Method : Nine hundred and fifty-six women attending the menopause clinic, Ramathibodi Hospital were
interviewed regarding their general health issues and lower urinary tract symptoms by means of an anonymous
questionnaire. Demographic data, obstetric history, and underlying diseases were analysed by using Student
t-test, Chi-square and Fisher exact test. P < 0.05 was considered as a level of significance.
Results : A total of 956 women, mean age 52.89 + 5.80 years, completed the questionnaire. The prevalence
of stress incontinence, nocturia, urgency, frequency, and urge incontinence were 58.3%, 40.3%, 33.9%,
22.7%, and 6.6%, respectively. Lower urinary tract symptoms was found to be associated with marital status,
coexisting medical diseases, menopausal status, previous term delivery, and vaginal delivery (P < 0.05).
Conclusions : Lower urinary tract symptoms was a common problem among women attending the menopause
clinic. Marital status, coexisting medical diseases, menopausal status, parity, and mode of delivery were
associated with this problem.
Keywords : Lower urinary tract symptoms, Prevalence, Associated factors
