Frequency of urinary complaints in Gynecological patients of Nishtar Hospital Multan

Abstract

Objective: To assess the frequency of urinary complaints in patients reporting to Gynaecology outpatient department Study Design: Cross Sectional Descriptive Study. Setting: Outpatient Department of Gynaecology, Nishtar Hospital Multan. Period: From 20th February 2019 to 20th August 2019. Material and Methods: A total of 308 women with the complaints of lower abdominal pain, painful micturition and inability to control urine either on coughing, sneezing or while rushing to the toilet were included. Convenience sampling was done. Basic demographics such as age, duration of complaints and body weight were taken. Urine for pregnancy test was done and free of cost ultrasound was performed to exclude any pelvic pathology. Women with pregnancy, previous uterine surgery, diabetes and other pelvic pathology like endometriosis were excluded from the study. Patients were interviewed on a predesigned proforma for the symptoms of infection and incontinence and their urine was collected and sent to laboratory for urine analysis. Results: The age range in this study was from 15 to 70 years with mean age of 36.428±9.40 years. Mean duration of complaints were 12.873±7.13 days and mean BMI was 23.979±2.05Kg/m2. . Most of the patients were from 21-40 years (72.1%). Incontinence was seen in 24.4% patients and UTI was seen in 39% patients. Conclusion: Urinary tract infections and incontinence are a common problem of women attending our hospital. With the help of simple history and examination and very simple investigations such as urine analysis the burden of disease can be estimated. We should be knowing the burden of the disease in our hospital and area so that necessary steps in the prevention and treatment can be taken.