الفهرس 
Introduction and Rationale
Aim of the WorkOnly 14 pages are availabe for public view
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Abstract
This was a questionnaire-based study in which 404 women attending routine Gynecology and Obstetrics Clinics were screened for LUTS.
The mean age of the studied women was 36.7±12.7 years with a range of 18-78 years. The most frequent age group was 20-<30 years, followed by; 30-<40 years, 40-<50 years, 50-<60 years, 60-<70 years, <20 years, and ≥70 years (36.6%, 26.7%, 17.8%, 11.9%, 6%, 1% and 1%, respectively). Less than half of the studied women resided in urban regions (43.6%), while more than half of them resided in rural regions (56.4%). Only 5% of the studied females had smoking history.
The distribution of the studied women according to parity was as follow; 6% nullipara, 9.9% primipara, and 84.1% multipara. The prevalence of labor type of the studied women were; 86.6% NVD and 13.4% CS.
About 40% of the studied women didn’t use any contraceptive methods, 17.8% of them use IUD, 27.8% of them use piles, 7.8% of them use piles and IUD, and 6.9 of them use injection.
The mean BMI of the studied women was 24.7±3.9 kg/m2 with a range of 17-34 kg/m2. About 9% of the studied women were underweight, 32.7% of them were average weight, and 58.4% of them were overweight/obese (50.5% overweight and 7.9% obese).
Four hundred women (99%) had history of frequency symptoms. Two hundred seventy six women (68.3%) had history of urgency symptoms. Three hundred twenty four women (80.2%) had history of dysuria. Three hundred and four women (75.2%) had history of nocturia.
Severe limitation of work, home and sexual activities were observed in 11.9%, 5.9% and 12.9% of the studied women, respectively.
The most frequent age group affected by POP was 40-<50 years (36.7%), followed by age group 30-<40 years (26.3%) and then age group 50-<60 years (21.1%). Women with multiparity (3-4) were the most frequent group affected by POP (57.9%). Women with NVD (3-4) were the most frequent group affected by POP (63.2%). Overweight females were the most frequent group affected by POP (73.6%).
Women with age ≥51, ≥54 and ≥55 had a higher risk of SUI with OR of 32.5, 37 and 6.5, respectively. Overweight and obese women with BMI ≥26, ≥27, ≥29 and ≥30 had a higher risk of SUI with OR of 12.5, 6.5, 5.1 and 3.7, respectively. Women with NVD ≥2 and ≥4 had a higher risk of SUI with OR of 3.8 and 10, respectively.
Women with age ≥41 and ≥55 had a higher risk of UUI with OR of 17.1 and 6.2, respectively. Overweight women with BMI ≥29 had a higher risk of UUI with OR of 5.27. Women with NVD ≥3 had a higher risk of UUI with OR of 3.5.
Women with age ≥41 and ≥54 had a higher risk of mixed urinary incontinence with OR of 10 and 7.9, respectively. Women with NVD ≥4 had a higher risk of mixed urinary incontinence with OR of 5.4.
Women with age ≥51 had a higher risk of frequency symptoms with OR of 40.5. Women used IUD as contraception had a higher risk of mixed urinary incontinence with OR of 5.4.
Overweight and obese women with BMI ≥26, ≥27 and ≥29 had a higher risk of urgency symptoms with OR of 13.1, 5.4 and 9.8, respectively. Multipara women with parity ≥6, ≥7 and ≥8 had a higher risk of urgency symptoms with OR of 13.5, 20.47 and 11.5, respectively. Women with NVD ≥2 had a higher risk of urgency symptoms with OR of 5.8.
There were significant correlations between the prevalence of POP and higher age, higher BMI, smokers, higher parity and higher number of NVD. POP also significantly affects home activities of the studied women. There were significant correlations between the prevalence of SUI and higher age, higher BMI, smokers, higher parity and higher number of NVD. SUI also significantly affects home and sexual activities of the studied women.
There were significant correlations between the prevalence of UUI and higher age, higher BMI, smokers, higher parity and higher number of NVD. UUI also significantly affects home and sexual activities of the studied women.
There were significant correlations between the prevalence of mixed urinary incontinence and higher age, higher BMI, smokers, higher parity and higher number of NVD. Mixed urinary incontinence also significantly affects home and sexual activities of the studied women. There were significant correlations between urgency symptoms and higher age, higher BMI, smokers, higher parity and higher number of NVD. Urgency symptoms also significantly affects home and sexual activities of the studied women.
There were significant correlations between dysuria and higher age, higher BMI, smokers, higher parity and higher number of NVD. Dysuria also significantly affects home and sexual activities of the studied women.
• The prevalence of LUTS was as follow: POP = 18.8%, SUI = 64.4%, UUI = 65.3% and mixed urinary incontinence = 60.4%.
• Frequency symptoms was 99%, urgency symptoms was 68.3%, dysuria was 80.2% and nocturia was 75.2% among the studied women.
• There were significant correlations between the prevalence of LUTS and higher age, higher BMI, smokers, higher parity and higher number of NVD.
• There was significantly reverse correlation between LUTS and CS.
• LUTS also significantly affects home and sexual activities of the studied women.