Skip Navigation LinksHome > April 2014 - Volume 21 - Issue 4 > Urinary incontinence: the role of menopause
Menopause:
doi: 10.1097/GME.0b013e31829fc68c
Original Articles

Urinary incontinence: the role of menopause

Trutnovsky, Gerda MD1,2; Rojas, Rodrigo Guzman MD1,3; Mann, Kristy Pamela M Biostat4; Dietz, Hans P. PhD1

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Abstract

Objective

This study aims to explore the effects of menopause and hormone therapy on the symptoms and signs of stress urinary incontinence and urge urinary incontinence.

Methods

Records of women who attended a tertiary urogynecological unit were reviewed retrospectively. A standardized interview included evaluations of symptoms, menopause age (ie, time since last menstrual period or onset of menopausal symptoms), current or previous hormone use, and visual analogue scales for bother. Multichannel urodynamics, including urethral pressure profilometry and determination of abdominal leak point pressure, was performed.

Results

Of 382 women seen during the inclusion period, 62% were postmenopausal. Current systemic or local hormone use was reported by 7% and 6%, respectively. Two hundred eighty-eight women (76%) reported symptoms of stress urinary incontinence, with a mean bother of 5.7, and 273 women (72%) reported symptoms of urge urinary incontinence, with a mean bother of 6.4. On univariate analysis, symptoms and bother of urge incontinence were significantly related to menopause age, whereas this relationship was not found for stress incontinence. After calendar age was controlled for, length of menopause showed no significant relationship with any symptom or sign of urinary incontinence.

Conclusions

Hormone deficiency after menopause is unlikely to play a major role in urinary incontinence.

© 2013 by The North American Menopause Society

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