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Erschienen in: International Urogynecology Journal 6/2010

01.06.2010 | Original Article

Lower urinary tract symptoms in women with pelvic organ prolapse

verfasst von: Jerry L. Lowder, Elizabeth A. Frankman, Chiara Ghetti, Lara J. Burrows, Marijane A. Krohn, Pamela Moalli, Halina Zyczynski

Erschienen in: International Urogynecology Journal | Ausgabe 6/2010

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Abstract

Introduction and hypothesis

The objective of this study was to describe lower urinary tract symptoms (LUTS) and urinary incontinence (UI) symptoms in women with prolapse.

Methods

LUTS were measured with the urinary distress inventory (UDI) and UI symptoms with UDI and the Medical, Epidemiological and Social Aspects of Aging (MESA) in women with POPQ stage ≥I support. UI symptoms were classified as stress- or urge-only, stress-predominant or urge-predominant mixed, or mixed. Bladder function was assessed by urodynamics. Bi- and multivariable analyses were performed.

Results

Three hundred thirty-six women aged 62 ± 13 years were characterized by UDI scores as having mixed 72% (n = 242), urge-only 24% (n = 80), and stress-only <1% (n = 1) UI symptoms. Of subjects with mixed UI symptoms, 57% (n = 137) were stress-predominant and 43% (n = 105) were urge-predominant. In multivariable regression models, advancing age and prolapse were associated with less reported distress related to stress UI symptoms. Prior hysterectomy was associated with higher total UDI scores. Similar findings were noted with MESA.

Conclusions

Mixed UI symptoms are the predominant symptom type in women with POP.
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Metadaten
Titel
Lower urinary tract symptoms in women with pelvic organ prolapse
verfasst von
Jerry L. Lowder
Elizabeth A. Frankman
Chiara Ghetti
Lara J. Burrows
Marijane A. Krohn
Pamela Moalli
Halina Zyczynski
Publikationsdatum
01.06.2010
Verlag
Springer-Verlag
Erschienen in
International Urogynecology Journal / Ausgabe 6/2010
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-009-1088-2

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