Prevalence of various urogynaecological problems and their subsequent management with outcome amongst women attending a tertiary care hospital of a developing Country

Background: The prevalence of urogynaecological problems may be significantly underestimated since the physicians rarely ask women about these problems and women seldom initiate discussion about these symptoms on their own with the physician.Methods: The present study was conducted from March 2006 to August 2008. All the women between 20 to 80 years of age with varying parity attending gynecological outpatient department were evaluated for urogynaecological and bowel problems, based on a questionnaire incorporating demographic and urogynaecological symptoms (IUGA terminology). The frequency of various urinary problems was correlated with the demographic data, urodynamic studies and cystoscopic findings, whenever appropriate and available. Exclusion criteria: The women with disorders of central nervous system, retention urine and pregnancy were excluded from the study.Results: During this period, 15100 women attended outpatient department of gynecology. Out of these, 376 women had urogynaecological and bowel problems. The prevalence of urogynaecological and bowel problems was 24.9 per 1000 women. The incidence of symptoms was dysuria in 38.5 % women, increased frequency of micturition in 38% women; feeling of something coming out per vaginum in 37% women, nocturia in 27.6 % women and pain lower abdomen in 25 % women.Conclusions: Amongst incontinence, 31.3% women had stress incontinence, 25% women had urge incontinence, 14.6% women had urgency, 8.7% women had continuous urinary incontinence and 2.12% women had anal incontinence