Received: 21 November 2017 | Accepted: 29 January 2018 DOI: 10.1002/nau.23538 ORIGINAL CLINICAL ARTICLE Prevalence and risk of sport types to stress urinary incontinence in sportswomen: A cross-sectional study Magdaléna Hagovska 1 | Ján Švihra 2 | Alena Buková 3 | Dana Dračková 3 | Viera Švihrová 4 1 Department of Physiatry, Balneology, Medical Rehabilitation, Faculty of Medicine, PJ Safarik University, Kosice, Slovak Republic 2 Department of Urology, Jessenius Faculty of Medicine, Comenius University Bratislava, Martin, Slovak Republic 3 Institute of Physical Education and Sport, PJ Safarik University, Kosice, Slovak Republic 4 Department of Public Health, Jessenius Faculty of Medicine, Comenius University Bratislava, Martin, Slovak Republic Correspondence Magdaléna Hagovská, PhD, Cert. MDT, Department of Physiatry, Balneology, and Medical Rehabilitation, Faculty of Medicine, PJ Safarik University, Kosice, Slovak Republic. Email: magdalena.hagovska@upjs.sk Objective: The objective of our study was to investigate the prevalence and risk of developing stress urinary incontinence (SUI) in each type of high-intensity sport, and the associated impact on quality of life in sportswomen. Methods: This cross-sectional study was conducted between March and November 2016. The study included 278 sportswomen. The basic inclusion criteria were being nulliparous and engaging in high-intensity physical activity. The exclusion criteria were childbirth, surgical treatment of gynecological and urological illnesses and urinary tract infection. For evaluation were used: The International Physical Activity Questionnaire (IPAQ), The International Consul- tation on Incontinence Questionnaire Urinary Incontinence (ICIQ-UISF), the Overactive Bladder Questionnaire (OAB-q), the Urinary Incontinence Quality of Life Scale (I-QOL). Results: The highest percentage of SUI was found in athletes (23.8%), followed by volleyball players (19.6%). We found that cumulative metabolic equivalent (MET) did not affect SUI, but the type of sport did. The risk of SUI was highest in volleyball sportswomen (odds ratio[OR] = 2.16,95% confidence interval[CI] = 0.96–4.89, P < 0.05) and athletes (OR = 2.56,95%CI = 0.87–7.51, P = 0.08). As assessed by the I- QOL, SUI in people who participated in fitness and athletics (e.g., basketball, volleyball and handball) had a negative impact on quality of life including behavior, psychosocial impacts and social embarrass- ment score. Conclusion: Volleyball players have a 116% chance of getting SUI compared to women who play other types of sports that were analyzed as part of this study. Healthcare professionals should inform the population of sportswomen with risk factors for SUI in order to implement preventive physiotherapy for strengthening pelvic floor muscles. KEYWORDS prevalence, quality of life, risk of development, sportswomen, stress urinary incontinence, types of sports Roger Dmochowski led the peer-review process as the Associate Editor responsible for the paper. Neurourology and Urodynamics. 2018;1–8. wileyonlinelibrary.com/journal/nau © 2018 Wiley Periodicals, Inc. | 1