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International Urogynecology Journal

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01.11.2012 | Original Article

Analysis of clinical interventional strategy for women with urinary incontinence complicated with diabetes mellitus

verfasst von: Yu-xin Zhang, Hai-nan Xu, Zhi-jun Xia, Bo Wu

Erschienen in: International Urogynecology Journal | Ausgabe 11/2012

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Abstract

Introduction and hypothesis

This study aims to investigate clinical therapeutic measures for women with urinary incontinence (UI) complicated with diabetes mellitus (DM).

Methods

We performed a retrospective cohort study, including 462 female patients with UI complicated with DM (group A) and 901 patients with UI without DM (group B). Both A and B groups were divided into three subgroups according to their UI types (pure stress UI, mixed UI dominated by urge UI, and by overactive bladder syndrome) and received corresponding treatments. The subjective and objective effective rates were analyzed statistically.

Results

The overall subjective effective rates were 62.99% and 85.23% and the overall objective effective rates were 67.53% and 87.24% for groups A and groups B, respectively; the subjective and objective effective rates were 73.68% and 89.47% for group A1 (patients with pure stress UI in group A). There was no statistical difference in group A1 between subjective and objective effective rates.

Conclusion

Unsatisfactory clinical therapeutic efficacy was observed in women with UI complicated with DM; surgical operation should be deliberated cautiously for women with SUI complicated with DM.

Thom DH, van den Eeden SK, Ragins AI et al (2006) Differences in prevalence of urinary incontinence by race/ethnicity. J Urol 175:259–264PubMedCrossRef

Fultz N, Burgio K, Diokno A, Kinchen K, Odenchain R, Bump R (2003) Burden of stress urinary incontinence for community dwelling women. Am J Obstet Gynecol 189:1275–1282PubMedCrossRef

Abrams P, Cardozo L, Fall M et al (2003) The standardisation of terminology in lower urinary tract function: report from the standardisation sub-committee of the International Continence Society. Urology 61:37–49PubMedCrossRef

Athanasopoulos A, Perimenis P (2009) Pharmacotherapy of urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 20:475–482PubMedCrossRef

Basu M, Duckett JR (2009) Update on duloxetine for the management of stress urinary incontinence. Clin Interv Aging 4:25–30PubMed

Tuomelihto J, Lindström J, Eriksson JG et al (2001) Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. N Engl J Med 344:1343–1350CrossRef

Phelan S, Grodstein F, Brown JS (2009) Clinical research in diabetes and urinary incontinence: what we know and need to know. J Urol 182:S14–S17PubMedCrossRef

Brown JS, Vittinghoff E, Lin F et al (2006) Prevalence and risk factors for urinary incontinence in women with type 2 diabetes and impaired fasting glucose: findings from the National Health and Nutrition Examination Survey (NHANES) 2001–2002. Diabetes Care 29:1307–1312PubMedCrossRef

Izci Y, Topsever P, Filiz TM, Cinar ND, Uludag C, Lagro-Janssen T (2009) The association between diabetes mellitus and urinary incontinence in adult women. Int Urogynecol J Pelvic Floor Dysfunct 20:947–952PubMedCrossRef

10.

Brown JS (2005) Urinary incontinence: an important and under recognized complication of type 2 diabetes mellitus. J Am Geriatr Soc 53:2028–2029PubMedCrossRef

11.

Hannestad YS, Rortveit G, Sandvik H, Hunskaar S (2000) A community-based epidemiological survey of female urinary incontinence: the Norwegian EPINCONT study. Epidemiology of Incontinence in the County of Nord-Trondelag. J Clin Epidemiol 53:1150–1157PubMedCrossRef

12.

Min ZL, Qu CHY (2002) Urology diagnostics. People’s Military Medical Press, Beijing, pp 161–182

13.

Bourcier AP, Juras JC, Villet RM (2004) Office evaluation and physical examination. In: Bourcier AP, McGuire EJ, Abrams P (eds) Pelvic floor disorders. Elsevier Saunders, Philadelphia, pp 133–148

14.

Abrams P, Anderson KE, Brubaker L et al (2005) Recommendations of International Scientific Committee: evaluation and treatment of urinary incontinence, pelvic organ prolapse and feacal incontinence. In: Abrams P, Cardozo L, Wein AJ, Khoury S (eds) Incontinence, 2nd edn. Health Publication Ltd, Plymouth (MA), pp 1589–1630

15.

DeLancey JO (1988) Structural aspects of the extrinsic continence mechanism. Obstet Gynecol 72:296–301PubMed

16.

Benson JT (1989) Neurophysiologic control of lower urinary tract. Obstet Gynecol Clin North Am 16:733–752PubMed

17.

Deindl FM, Vodusek DB, Hesse U, Schussler B (1993) Activity patterns of pubococcygeal muscles in nulliparous continent women. Br J Urol 72:46–51PubMedCrossRef

18.

Koelbl H, Mostwin JL, Boiteux JP et al (2002) Pathophysiology. In: Abrams P, Cardozo L, Khoury S et al (eds) Incontinence. 2nd International Consultation on Incontinence. Health Publications, Paris, pp 203–265

19.

Gilpin SA, Gosling JA, Smith AR, Warrell DW (1989) The pathogenesis of genitourinary prolapse and stress incontinence of urine. A histological and histochemical study. Br J Obstet Gynaecol 96:15–23PubMedCrossRef

20.

Doshi AM, Van Den Eeden SK et al (2010) Women with diabetes: understanding urinary incontinence and help seeking behavior. J Urol 184:1402–1407PubMedCrossRef

21.

Ebbesen MH, Hannestad YS et al (2009) Diabetes related risk factors did not explain the increased risk for urinary incontinence among women with diabetes. The Norwegian HUNT/EPINCONT study. BMC Urol 9:11PubMedCrossRef

22.

Danforth KN, Townsend MK, Curhan GC, Resnick NM, Grodstein F (2009) Type 2 diabetes mellitus and risk of stress, urge and mixed urinary incontinence. J Urol 181:193–197PubMedCrossRef

23.

Lim JL, de Cuyper EM, Cornish A et al (2010) Short-term clinical and quality-of-life outcomes in women treated by the TVT-Secur procedure. Aust N Z J Obstet Gynaecol 50:168–172PubMedCrossRef

24.

Bodeker RH, Madersbacher H, Neumeister C, Zellner M (2010) Dose escalation improves therapeutic outcome: post hoc analysis of data from a 12-week, multicentre, double-blind, parallel-group trial of trospium chloride in patients with urinary urge incontinence. BMC Urol 10:15PubMedCrossRef

25.

Daneshgari F, Liu G, Birder L et al (2009) Diabetic bladder dysfunction: current translational knowledge. J Urol 182:S18–S26PubMedCrossRef

26.

Phelan S, Grodstein F, Brown JS et al (2009) Clinical research in diabetes and urinary incontinence: what we know and need to know. J Urol 182:S14–S17PubMedCrossRef

27.

Houwert RM, Renes-Zijl C, Vos MC, Vervest HA (2009) TVT-O versus Monarc after a 2-4-year follow-up: a prospective comparative study. Int Urogynecol J Pelvic Floor Dysfunct 20:1327–1333PubMedCrossRef

28.

Ward KL, Hilton P (2008) Tension-free vaginal tape versus colposuspension for primary urodynamic stress incontinence: 5-year follow up. BJOG 115:226–233PubMed

29.

Nilsson CG, Palva K, Rezapour M, Falconer C (2008) Eleven years prospective follow-up of the tension-free vaginal tape procedure for treatment of stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 19:1043–1047PubMedCrossRef

Titel: Analysis of clinical interventional strategy for women with urinary incontinence complicated with diabetes mellitus
verfasst von: Yu-xin Zhang
Hai-nan Xu
Zhi-jun Xia
Bo Wu
Publikationsdatum: 01.11.2012
Verlag: Springer-Verlag
Erschienen in: International Urogynecology Journal / Ausgabe 11/2012
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-011-1572-3

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Analysis of clinical interventional strategy for women with urinary incontinence complicated with diabetes mellitus

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Introduction and hypothesis

Methods

Results

Conclusion

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Springer Medizin

Abstract

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Methods

Results

Conclusion

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