Problem: A group identified at a higher risk for urinary incontinence (UI) is female athletes who participate in high impact sports.

Purpose: A WOC nurse conducted a survey of young adult female athletes in Central Illinois to identify the prevalence of stress incontinence (SUI) and a needs assessment for preventative UI education.

Methodology: Sample: 550 surveys were sent to female athletes using a modified Bristol Female Lower Urinary Tract Symptoms questionnaire. Those surveyed were between the ages of 14 and 21, and were from 5 high schools and 2 colleges in Central Illinois.

Results: Of the 550 surveys sent, 171 were distributed to the athletes by coaches and athletic directors, and 86 surveys were returned completed. The survey identified that over 28% of those completing the survey had symptoms of SUI while participating in high impact sports; 26% of those also reported symptoms of urge UI. 92% of those with SUI had never told anyone about their problem. 91% had never heard of pelvic muscle exercises (Kegel) as a means for preventing SUI. An overwhelming 83 % of the SUI suffers & 74% of non-SUI sufferers responded affirmatively to pelvic muscle education information. Sadly, 16% of those with incontinence reported an effect on their quality of life, impacting their social life or their desire to continue participating in sports.

Conclusion: The study confirmed with other reports in the literature that female athletes that participate in high impact sports are at risk of UI as well as the lack of knowledge of preventive care for UI. The WOC nurse has an opportunity to provide UI prevention programs for high-risk groups, decrease the stigma associated with urinary incontinence in young women, and direct UI suffers to seek help.