Abstract
The purpose of the study was to compare incontinence bother in women with mixed incontinence versus pure incontinence subtypes. This is an institutional review board-approved study comparing physical exam findings and responses to the Medical Epidemiologic and Social Aspects of Aging (MESA) questionnaire and the Urinary Distress Inventory (UDI-6). The MESA responses were used to classify women as mixed, pure stress, or pure urge incontinence. This analysis includes 551 women with a mean age of 56 ± 16 years. Most women were Caucasian (86%) with 7% African American and 5% Hispanic. UDI scores were significantly higher in women with mixed incontinence (61 ± 23) than those with pure stress incontinence (40 ± 26) or pure urge incontinence (40 ± 25; p < 0.0001). Women with mixed incontinence report greater incontinence bother than women with either pure stress or urge incontinence.
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References
Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U et al (2002) The standardisation of terminology of lower urinary tract function: report from the standardisation Sub-committee of the International Continence Society. Neurourol Urodyn 21:167–178
Bump RC, Norton PA, Zinner NR, Yalcin I (2003) Duloxetine Urinary Incontinence Study G: Mixed urinary incontinence symptoms: urodynamic findings, incontinence severity, and treatment response. Obstet Gynecol 102:76–83
Cardozo LD, Stanton SL (1980) Genuine stress incontinence and detrusor instability—a review of 200 patients. Br J Obstet Gynaecol 87(3):184–190
Sandvik H, Hunskaar S, Vanvik A, Bratt H, Seim A, Hermstad R (1995) Diagnostic classification of female urinary incontinence: an epidemiological survey corrected for validity. J Clin Epidemiol 48:339–343
Weidner AC, Myers ER, Visco AG, Cundiff GW, Bump RC (2001) Which women with stress incontinence require urodynamic evaluation? Am J Obstet Gynecol 184:20–27
Hannestad YS, Rortveit G, Sandvik H, Hunskaar S (2000) A community-based epidemiological survey of female urinary incontinence: the Norwegian EPINCONT study. J Clin Epidemiol 53:1150–1157
Herzog AR, Diokno AC, Brown MB, Normolle DP, Brock BM (1990) Two-year incidence, remission, and change patterns of urinary incontinence in noninstitutionalized older adults. J Geron 45:M67–M74
Barber M, Walters M, Bump R (2005) Short forms of two condition-specific quality-of-life questionnaires for women with pelvic floor disorders (PFDI-20 and PFIQ-7). Am J Obstet Gynecol 193:103–113
Nager CW, Schulz JA, Stanton SL, Monga A (2001) Correlation of urethral closure pressure, leak-point pressure and incontinence severity measures. Int Urogynecol J Pelvic Floor Dysfunct 12:395–400
Stach-Lempinen B, Kirkinen P, Laippala P, Metsanoja R, Kujansuu E (2004) Do objective urodynamic or clinical findings determine impact of urinary incontinence or its treatment on quality of life? Urology 63:67–71
Iker S, Onaran M, Aksakal N, Acar C, Tan MO, Acar A, Bozkirli I (2006) The impact of urinary incontinence on female sexual function. Adv Ther 23(6):999–1008
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No funding was received for this research.
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Dr. Dooley: none; Dr. Lowenstein: none; Dr. Kenton: NICHD, NIDDK; Dr. Fitzgerald: NICHD, NIDDK; Dr. Brubaker: Pfizer, Q-med, Allergan, NICHD, NIDDK.
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Dooley, Y., Lowenstein, L., Kenton, K. et al. Mixed incontinence is more bothersome than pure incontinence subtypes. Int Urogynecol J 19, 1359–1362 (2008). https://doi.org/10.1007/s00192-008-0637-4
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DOI: https://doi.org/10.1007/s00192-008-0637-4