Continence pads: have we got it right?

Int Urogynecol J Pelvic Floor Dysfunct. 2006 May;17(3):234-8. doi: 10.1007/s00192-005-1341-2. Epub 2005 Jul 6.

Abstract

Women listed in the Croydon Community Continence database were contacted with a self-assessment questionnaire regarding continence pad usage and quality of life. Completed questionnaires were received from 763 of 1509 (51%) participants. Pads were used for bladder dysfunction (88.1%) and bowel dysfunction (44%). The majority (82.5%) had concurrent medical disorders and problems with mobility with 77.5% being on one or more types of medication. Nearly 39% of women claimed that they would be happy to continue pad use indefinitely and only 28% expressed interest in seeking further help. Compared to bowel dysfunction, bladder dysfunction appeared to have a greater impact on women's quality of life (P < 0.001). Containment products make a substantial contribution in improving the quality of lives of women with bowel and bladder dysfunction. The financial burden of containment products has a major impact on the health budget and therefore, comprehensive clinical evaluation should be mandatory before relegating women to pads as a final resort.

MeSH terms

  • Activities of Daily Living
  • Attitude to Health
  • Cohort Studies
  • Communication
  • Diapers, Adult* / economics
  • Fecal Incontinence / drug therapy
  • Fecal Incontinence / psychology
  • Fecal Incontinence / therapy
  • Female
  • Financing, Personal
  • Health Expenditures
  • Humans
  • Incontinence Pads* / economics
  • Incontinence Pads* / psychology
  • Memory / physiology
  • Motor Activity / physiology
  • Quality of Life
  • Sexual Behavior / physiology
  • Urinary Incontinence / drug therapy
  • Urinary Incontinence / psychology
  • Urinary Incontinence / therapy