Female urinary incontinence as a paradigm of hidden disease in the sociomedical context
DOI:
https://doi.org/10.56116/cms.v65.n2.2025.2148Keywords:
Urinary Incontinence, Primary Health Care, Family Physicians, Quality of Life, Secondary Prevention, Women’s HealthAbstract
Urinary incontinence (UI) affects 14% to 52% of women, significantly impacting their physical, mental, social, and economic well-being. In Chile, UI lacks explicit coverage and effective preventive strategies, leading to underdiagnosis. Primary Health Care (PHC), led by family physicians, plays a crucial role in addressing this issue through pelvic floor care education, promotion of healthy lifestyles, and support during critical stages such as pregnancy and postpartum. A preventive and comprehensive approach is proposed to promote early diagnosis and ensure accessible and timely care, improving the quality of life for affected women.
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• Aránguiz-Ramírez, J., Olivares-Tirado, P., Baeza-Correa, C., & Castells, X. (2024). Urinary incontinence in health workers as a predisposing factor for presenteeism in Chile: A mixed-methods exploratory study. Medwave, 24(1), e2779. https://doi.org/10.5867/medwave.2024.01.2779
• Batmaní, S., Jalali, R., Mohammadi, M., & Bokaee, S. (2021). Prevalence and factors related to urinary incontinence in older adult women worldwide: A comprehensive systematic review and meta-analysis of observational studies. BMC Geriatrics, 21, 2135. https://doi.org/10.1186/s12877-021-02135-8
• Bikson, K., McGuire, J., Blue-Howells, J., & Seldin-Sommer, L. (2009). Psychosocial Problems in Primary Care: Patient and Provider Perceptions. Social Work in Health Care, 48(8), 736–749. https://doi.org/10.1080/00981380902929057
• Bjørland, E., & Brekke, M. (2015). What do patients bring up in consultations? An observational study in general practice. Scandinavian journal of primary health care, 33(3), 206–211. https://doi.org/10.3109/02813432.2015.1067518
• Bragulat Baur, E., Jiménez Brobeil, S. A., Asenjo Sebastián, M. Á., Sánchez Sánchez, M., de la Red, G., Coll Vinent, B., Senar, E., Salmerón, J. M., & Miró Andreu, Ó. (2005). Efectividad de la incorporación de un médico especialista en medicina familiar y comunitaria en un servicio de urgencias hospitalario. Medicina Clínica, 125(4), 132-137.
• Bravo, P., & Vargas, C. (2018). El rol del médico de familia en la Atención Primaria de Salud en Chile. Revista Médica de Chile, 146(10), 1293-1300. https://doi.org/10.4067/s0034-98872018001001293
• Canguilhem, G. (1978). The Conceptions of René Leriche. In: On the Normal and the Pathological. Studies in the History of Modern Science, vol 3. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-9853-7_6
• Caponí, G., Faria, F., Vera Cortés, J. L., Robles Aguilar, O. A., Caponí, S., & Bacarlett Pérez, M. L. (2015). Pensar la vida: Filosofía, naturaleza y evolución. http://ri.uaemex.mx/handle/20.500.11799/33107
• Cartier, S., Cerantola, G.-M., Leung, A. A., & Brennand, E. (2023). The impact of surgeon operative volume on risk of reoperation within 5 years of mid-urethral sling: A systematic review. International Urogynecology Journal, 34(5), 981–992. https://doi.org/10.1007/s00192-022-05426-9
• Chuhan Wang, Wei Wei, Danli Ma, Huimin Yu, & Lingzhi Yu. (2025). Prevalence and Determinants of Stress Urinary Incontinence in Middle-Aged and Older Women: A Systematic Review and Meta-Analysis.
• Coyne, K. S., Sexton, C. C., Thompson, C. L., Clemens, J. Q., Chen, C. I., Bavendam, T., & Dmochowski, R. (2012). Impact of overactive bladder on work productivity. Urology, 80(1), 97–103. https://doi.org/10.1016/j.urology.2012.03.039
• de Araujo, C. C., Brito, L. G. O., Marques, A. A., & Juliato, C. R. T. (2024). Use of a Mobile Application for Pelvic Floor Muscle Training in Women With Urinary Incontinence: a Randomized Control Trial. International urogynecology journal, 35(3), 589–598. https://doi.org/10.1007/s00192-023-05714-y
• Dräger, D. L., Lackaja, J., Nolting, J., Rojas Cruz, C., Hake, K., & Hakenberg, O. (2023). Psychosoziale Folgen der Harninkontinenz – tabuisiert und unterversorgt – eine systematische Übersichtsarbeit [Psychosocial consequences of urinary incontinence - tabooed and undertreated: A systematic review]. Aktuelle Urologie, 54(6), 468–474. https://doi.org/10.1055/a-2113-6127.
• Gavira Pavón, A., Walker Chao, C., Rodríguez Rodríguez, N., & Gavira Iglesias, F. J. (2014). Prevalencia y factores de riesgo de incontinencia urinaria en mujeres que consultan por dolor lumbopélvico: estudio multicéntrico. Atención primaria, 46(2), 100–108. https://doi.org/10.1016/j.aprim.2013.07.004
• Hartman, T. O., & van Ravesteijn, H. (2008). 'Well doctor, it is all about how life is lived': cues as a tool in the medical consultation. Mental health in family medicine, 5(3), 183–187.
• Irwin, D. E., Milsom, I., Kopp, Z., Abrams, P., & Cardozo, L. (2006). Impact of overactive bladder symptoms on employment, social interactions and emotional well-being in six European countries. BJU international, 97(1), 96–100. https://doi.org/10.1111/j.1464-410X.2005.05889.x
• Jarbøl, D.E., Haastrup, P.F., Rasmussen, S. et al. (2021). Women’s barriers for contacting their general practitioner when bothered by urinary incontinence: a population-based cross-sectional study. BMC Urol 21, 99. https://doi.org/10.1186/s12894-021-00864-x
• Li, C. H., Chung, M. H., Liao, C. H., Su, C. C., Lin, Y. K., & Liao, Y. M. (2022). Urinary Incontinence and Sleep Quality in Older Women with Type 2 Diabetes: A Cross-Sectional Study. International journal of environmental research and public health, 19(23), 15642. https://doi.org/10.3390/ijerph192315642
• Maderuelo, José A., Haro, Ana M., Pérez, Fernando, Cercas, Luis J., Valentín, Ana B., & Morán, Eva. (2006). Satisfacción de las mujeres con el seguimiento del embarazo: Diferencias entre los dispositivos asistenciales. Gaceta Sanitaria, 20(1), 31-39. Recuperado en 04 de junio de 2025, de http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0213-91112006000100006&lng=es&tlng=es.
• Ministerio de Salud (MINSAL). (2019). Modelo de Atención Integral de Salud Familiar y Comunitario. Gobierno de Chile. https://www.minsal.cl/modelo-de-atencion-integral-de-salud-familiar-y-comunitario/
• Ministerio de Salud (MINSAL). (2021). Estrategia Nacional de Salud 2021-2030: Para alcanzar los Objetivos Sanitarios de la Década. Gobierno de Chile.
• Mjelde, L., Litherland, A., & Beisland, E. (2024). Women’s experiences of assessment for urinary incontinence: A qualitative study. British Journal of Nursing, 33(4).
• Nadal, C. (2021). La medicina familiar en el modelo integral de salud en Chile. Revista Chilena De Medicina Familiar, 15(3). Recuperado a partir de https://www.revistachilenademedicinafamiliar.cl/index.php/sochimef/article/view/399
• Newman, N. K. (1993). Family secrets: A challenge for family physicians. The Journal of Family Practice, 36(5), 494–496.
• Reis S., Biderman A., Mitki R. & Borkan J. M. (2007). Secrets in primary care: A qualitative exploration and conceptual model, J GEN INTERN MED 22, 1246–1253. DOI: 10.1007/s11606-007-0186-4.
• Rincón Ardila, Olga. (2015). Caracterización clínica de la incontinencia urinaria y factores asociados en usuarias de la Unidad de la Mujer del Centro de Salud Familiar “Ultraestación” en la ciudad de Chillán, Chile. Revista médica de Chile, 143(2), 203-212. https://dx.doi.org/10.4067/S0034-98872015000200008
• Robles, J. E. (2006). La incontinencia urinaria. Anales del Sistema Sanitario de Navarra, 29(2).
• Rojas Rodríguez, J., Barrios Martínez, M. C., & Hernández Rincón, E. H. (2021). Abordaje integral del adulto mayor ante diferentes formas de abuso: Un acercamiento desde la medicina familiar en Colombia. Revista de la Universidad del Norte, 37(2). https://doi.org/10.14482/sun.37.2.618.972
• Sociedad Española de Geriatría y Gerontología (2015). Guía de Buena Práctica Clínica en Geriatría: Incontinencia Urinaria. En: https://www.segg.es/media/descargas/GBPCG%20INCONTINENCIA%20URINARIA.pdf
• Sociedad Madrileña de Geriatría y Gerontología (2022). Guía de recomendaciones para la incontinencia urinaria. En: https://www.smgg.es/documentos/guia-recomendaciones/Recomendaciones_incontinencia_urinaria.pdf PMID: 39943633 DOI: 10.56434/j.arch.esp.urol.20257801.6
• Suskind, A. M., Cawthon, P. M., Nakagawa, S., Subak, L. L., Reinders, I., Satterfield, S., Cummings, S., Cauley, J. A., Harris, T., Huang, A. J., & Health ABC Study (2017). Urinary Incontinence in Older Women: The Role of Body Composition and Muscle Strength: From the Health, Aging, and Body Composition Study. Journal of the American Geriatrics Society, 65(1), 42–50. https://doi.org/10.1111/jgs.14545
• Vik, A., & Brekke, M. (2017). Do patients consult their GP for sexual concerns? A cross sectional explorative study. Scandinavian Journal of Primary Health Care, 35(4), 373–378. https://doi.org/10.1080/02813432.2017.1398934
• Weinstein, Milena M. MD. (2013). Urinary incontinence: still waiting for a champion. Menopause. The Journal of The North American Menopause Society 20(9): 881-882. DOI: 10.1097/GME.0b013e3182a25e4a
• Xu, X., Guo, P., Xu, P., Chen, D. D., Chen, W., Wang, H., Jin, Y., Wang, X., Zhang, W., Xie, F., Mao, M., Zhao, R., & Feng, S. (2023). Effectiveness of web-based interventions for women with urinary incontinence: Protocol for a systematic review and meta-analysis of randomized controlled trials. BMJ Open. https://doi.org/10.1136/bmjopen-2023-081731
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Copyright (c) 2025 Mónica Naveillan, Amalia Martin, Sandra Martínez
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