Title: Prevalence of bothersome Lower Urinary Tract Symptoms among Pregnant Women in Maiduguri, Northeastern Nigeria

Authors: Usman Mohammed Tela, Baba Gana Bako, Harrison Igbinogun

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i4.129

Abstract

Background: Lower urinary tract symptoms (LUTS) can  occurs in pregnancy with variable presentations. These symptoms are perceived to have negative effect in the quality of life (QoL) in pregnant women. The study aimed to determine the prevalence of Bothersome LUTS in this population using the International Consultation on Incontinence questionnaire English module for female LUTS (ICIQ-FLUTS)

Materials and Methods: A descriptive cross sectional study of five hundred pregnant women using the ICI-FLUTS questionnaire. The questionnaires were administered by trained interviewers to consented pregnant women at various trimesters between the age of 17 to 46 years who were attending antenatal care at the university of Maiduguri Teaching Hospital and State Specialist Hospital in Maiduguri, Borno state, Nigeria. Socio-demographic and obstetrics data including the impact of LUTS on the QoL of pregnant women were obtained from the administered questionnaires. The data were analyzed using SPSS version 16.

Results: storage phase symptoms (urgency, daytime frequency, nocturia and dysuria) were the commonest lower urinary tract symptoms observed. Nocturia has the highest occurrence among our respondents with a prevalence of 94.2%. Voiding phase symptoms observed were hesitancy and straining. Hesitancy was commoner with 34%. Occurrence of Incontinence in the form of stress (39.2%), urge (31.2%), overflow (11.8%) and enuresis (11.6%) were found among the respondents. Storage phase symptoms were most bothersome. Majority of the LUTS were reported in the first trimester.

Conclusion: LUTS in pregnancy was determined in our environment using the ICIQ-FLUTS questionnaire tool. The QoL of these women was negatively affected by bothersome LUTS from early pregnancy. Many of the participants will benefit from medical care if available.

Keywords: Lower urinary tract symptoms (LUTS), pregnancy, ICIQ-FLUTS, (International Consultation on Incontinence Questionnaire-Female LUTS).

References

1.      Lower Urinary Tract Symptoms in Women: aspects on epidemiology and treatment. Anna Lena Wennberg 2009. Department of Urology. Institute of clinical sciences. The sahlgrenska Academy, University of Gothenburg Göteburg, Sweden.

2.      Anzaku AS, MikaliS,Ubot B.T. Prevalence and determinants of Lower Urinary Tract Symptoms Before and During Pregnancy in a cohort of Nigerian women. Sahel Medical journal;July –September 2014:17(3)

3.      Abrams P. New words for old: lower urinary tract symptoms for "prostatism". BMJ (Clinical research ed. 1994 Apr 9; 308 (6934):929-30. 

4.      Srinath C, Suren D.Z, Ajith M et al. Lower urinary tract symptoms (LUTS). College of surgeons of Sri Lanka CSSL/National Guidelines 2007

5.      Dudley Robinson and Linda Cardozo. Urinary incontinence In: Dewhurst’s Textbook of Obstetrics and Gynecology 8th Edition.(eds) Keith .D. Edmonds. Wiley-Blackwell Publishers London. Ch 51.p635-692

6.      Fitzgerald MP, Graziano S. Anatomical and Functional changes of the Lower urinary tract during pregnancy. Urol.clini North Am 2007; 34:7-12

7.      Rortveit G, Daltveit AK, Hannestad YS, Hunskaar S. Urinary incontinence after vaginal delivery or cesarean section. The New England journal of medicine. 2003 Mar 6; 348(10):900-7.

8.      Møller LA, Lose G, Jorgensen T. The prevalence and bothersomeness of Lower urinary tract symptoms in women 40-60years of age. Actaobstetricia et gynecologicascandinavica 2000 Apr.79(4);298-305

9.      Adaji SE, Shittu OS, Bature SB et al. Bothersome lower urinary tract symptoms during pregnancy. A preliminary study using the international consultation on incontinence questionnaire. Journal of African Health sciences 2011; 11(S1):S46-S52.

10.  Sampling methods and sampling size in Health Research Methodology. A guide for training in research methods. 2nd edition. (Ed) Shigeromi. World Health Organizations. Regional office for the west pacific, Manila 2001.chapt.5,page 71-83

11.  Sun MJ, Chen GD, Chang SY, Lin KC, Chen SY. Prevalence of lower urinary tract symptoms during pregnancy in Taiwan. J Formos Med Assoc 2005; 104:185-9.

12.  C. Chaliha, S.L Stanton. Urological problems in pregnancy. BJU international (2002); 89,469-476.

13.  Parboosingh, J. and Doig, A. (1973), STUDIES OF NOCTURIA IN NORMAL PREGNANCY. BJOG: An International Journal of Obstetrics & Gynaecology, 80: 888–895. doi: 10.1111/j.1471-0528.1973.tb02147.x

14.  Van Brummen HJ, Bruinse HW, Van derBom JG, Heinstz A P , Van derVaart CH. How do the prevalences of urogenital symptoms change during pregnancy? NeurourolUrodyn 2006; 25:135-9.

15.  Bussara Sangsawang, Nucharee  Sangsawang. Stress urinary incontinence in pregnant women: a review of preva-lence, pathophysiology, and treatmentnt Urogynecol J (2013) 24:901–912.

16.  Cutner .A,Burton G,Cardozo.L.Does Progesterone Cause an Irritable Bladder? Int Urogynecol J (1993) 4:259-261

17.  Stanton SL, Kerr-Wilson R, Harris GV. Theincidence of urological symptoms in normalpregnancy. Br J Obstet Gynaecol 1980; 87:897-900.

Corresponding Author

Dr Usman Mohammed Tela

Urology Unit, Dept of Surgery

University of Maiduguri Teaching Hospital, PMB 1414, Borno State, Nigeria

Email: This email address is being protected from spambots. You need JavaScript enabled to view it., Telephone: +2348033733312