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Rev Mal Respir. 2009 May;26(5):499-504.

[Urinary incontinence due to chronic cough in interstitial lung disease].

[Article in French]

Author information

1
Service de Pneumologie, Centre de référence des maladies pulmonaires rares, Hôpital cardiovasculaire et pneumologique Louis Pradel, Lyon, France.

Abstract

INTRODUCTION:

Urinary stress incontinence affects 10% to 30% of the female population and may have a major impact on psychosocial health. In interstitial lung disease, chronic cough may lead to development of urinary incontinence, but the prevalence and impact of this symptom are unknown.

OBJECTIVES:

To determine the rate and impact of urinary stress incontinence among women with chronic cough due to interstitial lung disease.

METHODS:

28 female patients with chronic cough secondary to interstitial lung disease and 15 controls were evaluated by questionnaires to determine the prevalence of cough-related urinary incontinence, its severity, and its impact on quality of life.

RESULTS:

Cough-related urinary incontinence was present in 14/28 patients with interstitial lung disease and chronic cough (50%), but in only 1/15 controls (7%, p=0.005). On a 5-points quality of life scale, the median impact of urinary incontinence was 3 (minimum=1, maximal=5), and the median impact of chronic cough was 3.5. The majority of patients (64%) believed that incontinence was a natural phenomenon due to ageing, all were ashamed by this symptom and 79% were unable to mention it to their caring physician. Only one physician had previously addressed this issue.

CONCLUSION:

Cough-related urinary incontinence is common in patients with interstitial lung disease and is largely overlooked. It may significantly alter quality of life. A systematic questioning by the physician would allow to promptly refer these patients for appropriate therapeutic interventions, such as perineal training.

PMID:
19543168
[Indexed for MEDLINE]

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