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Management of Stress Urinary Incontinence by Obstetricians and Gynecologists in Jordan: A Nationwide Survey Study.
Qatawneh, Ayman; Lari, Fatemah N; Sawas, Wedad A; Alsabree, Fatemah A; Alowaisheer, Mariam Kh; Aldarawsheh, Marah A; Alshareef, Renad A.
Afiliación
  • Qatawneh A; Department of Obstetrics and Gynecology, The University of Jordan, Amman 11942, Jordan.
  • Lari FN; Department of Medicine, The University of Jordan, Amman 11942, Jordan.
  • Sawas WA; Department of Medicine, The University of Jordan, Amman 11942, Jordan.
  • Alsabree FA; Department of Medicine, The University of Jordan, Amman 11942, Jordan.
  • Alowaisheer MK; Department of Medicine, The University of Jordan, Amman 11942, Jordan.
  • Aldarawsheh MA; Department of Medicine, The University of Jordan, Amman 11942, Jordan.
  • Alshareef RA; Department of Medicine, The University of Jordan, Amman 11942, Jordan.
Healthcare (Basel) ; 12(15)2024 Jul 27.
Article en En | MEDLINE | ID: mdl-39120192
ABSTRACT

BACKGROUND:

Stress urinary incontinence (SUI) is a common condition that can significantly impact a patient's quality of life. Although multiple diagnostic and treatment options exist, significant variability in SUI management exists between countries. Since women's SUI prevalence in Jordan is high, and Jordan is a lower-middle-income country, this study aimed to investigate how obstetricians and gynecologists (OBGYNs) across Jordan manage and treat women with SUI.

METHOD:

A Google Forms survey was prepared and sent out to Jordanian OBGYNs via WhatsApp. The results were collected and arranged in Microsoft Excel and then transferred to SPSS for statistical analysis.

RESULTS:

Out of the 804 Jordanian registered OBGYNs, 497 could be reached, 240 conduct gynecological surgeries, and 94 completed the survey, providing a response rate of 39.2%. Most of the respondents were females between 41 and 55 years old. More than 70% of the OBGYNs worked in the private sector, and 88.3% operated in the capital of Jordan. Most of the respondents favored lifestyle and behavior therapy (43.6%) or pelvic floor physiotherapy (40.4%) as the first-line management for SUI. The transobturator mid-urethral sling (MUS) was the most common initial surgical treatment option. The physicians preferred two-staged procedures for the repair of pelvic organ prolapse alongside concomitant SUI. In the case of recurrent SUI following surgery, 77% of the respondents chose to refer to a urologist or urogynecologist.

CONCLUSIONS:

The Jordanian OBGYNs preferred using lifestyle/behavioral therapy and pelvic floor muscle physiotherapy as the first-line treatment to manage SUI. Secondly, the MUS would be the most frequently preferred surgical choice. To effectively manage SUI, adequate training in urogynecology and referral resources are essential in lower-middle-income countries.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Healthcare (Basel) Año: 2024 Tipo del documento: Article País de afiliación: Jordania Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Healthcare (Basel) Año: 2024 Tipo del documento: Article País de afiliación: Jordania Pais de publicación: Suiza