Pelvic floor symptoms in 746 female field hockey players in Australia. A retrospective survey.

Objective: To explore the proportion of female field hockey players who experienced urinary incontinence (UI) and pelvic floor symptoms, and the impact their symptoms have on their participation and healthcare-seeking behaviour. Methods: We employed a retrospective study design utilising an anonymous survey to address the study aim. Female field hockey players aged 14 and above who participated in the 2023 winter competition in Australia at any level were eligible to participate in the study. We collected demographic data, the Questionnaire for Urinary Incontinence Diagnosis (QUID) and the impact of pelvic floor symptoms on participation. Demographic data were reported as proportions, with all data analysed at the cohort level and stratified based on primary age group competition (Juniors, Seniors, Masters). Results: 746 females consented to answer the survey about pelvic floor function with an average age of 33.6 years (range 14-74). One in four participants reported some kind of UI, however; just 30 % of females with symptoms saw a health professional for their symptoms. Frequency of symptoms increased by level of competition (i.e., more frequent in Masters compared to Juniors or Seniors). Most females who reported symptoms (∼50 %) during exercise did not change their participation; however, 22 %-36 % modified or stopped their activities. Conclusion: Symptoms of UI in female field hockey players are frequent, with the majority not seeking health care assistance for their symptoms. Therefore, education programs focused on UI management strategies such as early identification and healthcare referral should be prioritised within female field hockey.