Five-year incidence and remission rates of female urinary incontinence in a Swedish population less than 65 years old

OBJECTIVE: We sought to determine the incidence and remission rates of urin ary incontinence in a population-based sample of women. STUDY DESIGN: A total of 382 (87.6%) of 436 eligible women aged 20 to 59 ye ars answered a questionnaire and underwent a gynecologic examination at bas eline and were followed up approximately 5 years later. RESULTS: Urinary incontinence was present in 23.6% of women at baseline and in 27.5% at follow-up. The mean annual incidence rate of incontinence was 2.9%, and the mean annual incidence rate of incontinence weekly or more oft en was 0.5%. Women that were receiving estrogen at baseline were more likel y than other women to have incontinence during follow-up. The mean annual r emission rate among the 90 women who were incontinent at baseline was 5.9%. The annual net increase of incontinence in the study population was 0.82%. CONCLUSION: Female urinary incontinence seems to be a dynamic condition wit h a relatively high rate of spontaneous remission, a fact of which physicia ns should be aware when assessing and planning prevention and treatment str ategies.