In:
Neurourology and Urodynamics, Wiley, Vol. 37, No. 8 ( 2018-11), p. 2586-2596
Kurzfassung:
Bowel symptoms, pelvic organ prolapse, and sexual dysfunction are common, but their frequency among women with lower urinary tract symptoms (LUTS) has not been well described. Our aims were to describe pelvic floor symptoms among women with and without urinary incontinence (UI) and among subtypes of UI. Methods Women with LUTS seeking care at six U.S. tertiary care centers enrolled in prospective cohort study were studied. At baseline, participants completed the Pelvic Floor Distress Inventory (PFDI‐20), Pelvic Organ Prolapse/Incontinence Sexual Questionnaire (PISQ‐IR), and PROMIS GI Diarrhea, Constipation, and Fecal Incontinence Scales. Results Mean age among the 510 women was 56.4 ± 14.4 years. Women who reported UI ( n = 420) had more diarrhea and constipation symptoms (mean scores 49.5 vs 46.2 [ P = 0.01] and 51.9 vs 48.4 [ P 〈 0.01], respectively) at baseline. Among sexually active women, mean PISQ‐IR subscale scores were lower among those with UI (condition specific: 89.8 vs 96.7, P 〈 0.01; condition impact: 79.8 vs 92.5, P 〈 0.01). Women with mixed urinary incontinence (MUI) ( n = 240) reported more prolapse symptoms, fecal incontinence, and worse sexual function compared to those with stress urinary incontinence (SUI) and urgency urinary incontinence (UUI). Conclusions Women presenting with LUTS with UI reported significantly worse constipation, diarrhea, fecal incontinence, and sexual function compared to women without UI. In women with UI, sexual function and pelvic organ prolapse (POP) symptoms were worse in those with MUI compared to SUI and UUI.
Materialart:
Online-Ressource
ISSN:
0733-2467
,
1520-6777
Sprache:
Englisch
Verlag:
Wiley
Publikationsdatum:
2018
ZDB Id:
1500793-5
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