Rug-pee study: the prevalence of urinary incontinence among female university rugby players
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ORIGINAL ARTICLE
Rug-pee study: the prevalence of urinary incontinence among female university rugby players Emily Sandwith 1
&
Magali Robert 1
Received: 16 June 2020 / Accepted: 19 August 2020 # The International Urogynecological Association 2020
Abstract Introduction and hypothesis The goal of this study was to determine the prevalence of urinary incontinence among female university varsity rugby players. Secondary objectives were to understand when the incontinence occurred and to assess the degree of bother experienced. It is postulated that female rugby players may have higher rates of urinary incontinence due to the high-impact activities involved in training and competitions. Methods Data was collected via a self-administered, anonymous questionnaire. Results A total of 95 athletes were included in the survey results. Urinary incontinence was experienced by 51 of the 95 (54%) players. Of the 51 athletes who reported leaking urine, 90% leaked urine when competing in a rugby game and 88% of players leaked when being tackled or hit. Despite the high prevalence of urinary incontinence, most players reported they were not bothered or only slightly bothered by their urinary leaking. Several of the players (18%) were interested in receiving treatment for their urinary incontinence. Conclusion The prevalence of urinary incontinence among varsity female rugby players is 54%, which is consistent with rates among other high-impact sports. Surprisingly, the majority of these women are not bothered by their incontinence and most are not interested in treatment for this condition at this time. Keywords Athletes . Incontinence . Rugby . Sports . Urinary incontinence . Urinary stress incontinence
Abbreviations UI Urinary incontinence BMI Body mass index SD Standard deviation UDI-6 Urogenital Distress Inventory short form CI Confidence interval
Introduction Urinary incontinence is defined as the complaint of involuntary loss of urine [1]. Two of the most common types of urinary incontinence include stress urinary incontinence and urgency urinary incontinence. Stress urinary incontinence is * Emily Sandwith [email protected] 1
Cumming School of Medicine, University of Calgary, 4th floor, North Tower 1403 29th Street NW, Calgary, Alberta T2N 2T9, Canada
the involuntary loss of urine on effort or physical exertion, including sporting activities [1], whereas urgency urinary incontinence is the sudden, compelling desire to void which is difficult to defer [1]. Although the etiology of urinary incontinence is multifactorial, many risk factors for urinary incontinence are known including older age, obesity, increased parity, postmenopausal status, smoking and caffeine intake [2–4]. Several studies have also shown athletes to be at higher risk for urinary incontinence, especially those involved in high-impact sports [3, 4]. It has been postulated that the repetitive high-impact nature of these sports, which causes increased intraabdominal pressure, may cause pelvic floor muscle fatigue and predisposes women to urinary
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