Determining the levels of pelvic floor disorders in women diagnosed with urinary incontinence: a mix-method study

Abstract

Introduction: Urinary incontinence (UI) significantly affects women’s quality of life and may contribute to pelvic floor disorders. This study aimed to investigate the impact of UI on pelvic floor disorders through a mixed-methods approach. Methods: A convergent parallel design was employed, integrating quantitative and qualitative data. Quantitative data were collected using the “Global Pelvic Floor Disorders Questionnaire,” and semi-structured interviews were conducted for qualitative insights. Quantitative data were analyzed using SPSS 26.0, while qualitative data underwent content analysis with MAXQDA Pro 22 software. Results: Among the participants, 41.7% were diagnosed with stress urinary incontinence, which was associated with the highest level of discomfort. Qualitative findings revealed four main categories: effects on daily life, emotional and psychological effects, coping strategies, and treatment approaches and expectations. Participants reported that UI led to social isolation, reduced self-esteem, and increased anxiety. Discussion: The findings highlight that UI adversely affects both the physical and psychosocial well-being of women. Addressing this condition requires a holistic approach combining medical treatment with psychosocial support to mitigate its multifaceted impact.