Comparison of anxiety between patients with mixed incontinence and those with stress urinary incontinence

Lim, Jongryeul; Bak, Chong Won; Lee, Jong Bouk

doi:10.1080/00365590701303702

Cited by 22 publications

(20 citation statements)

References 15 publications

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“…Anxiety has been previously associated with a many types of incontinence (stress, mixed, urge) and LUTS. 25 In this study we found an association between high anxiety and LUTS. It is not clear whether women with anxiety simply are more likely to report LUTS, whether LUTS causes more anxiety, or whether anxiety somehow worsens LUTS.…”

Section: Discussionsupporting

confidence: 51%

“…These findings are consistent with those reported in previous studies. 25-26 Dwyer et al 26 has reported that obesity was significantly more common in women with stress and urge incontinence. The excess weight in these individuals has been thought to create excess strain on the pelvic floor muscles and nerves resulting in these urinary symptoms.…”

Section: Discussionmentioning

confidence: 99%

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Association of Change in Estradiol to Lower Urinary Tract Symptoms During the Menopausal Transition

Gopal

Sammel²,

Arya³

et al. 2008

Obstetrics &Amp; Gynecology

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Objective: To estimate the relationship between changes in estradiol levels over time and lower urinary tract symptoms in premenopausal women as they transition to menopause. Methods: A self-administered validated questionnaire to measure lower urinary tract symptoms was administered to 300 women at the 11th assessment period on an ongoing longitudinal Penn Ovarian Aging cohort study. The association between the change in estradiol over time through the menopausal transition and lower urinary tract symptoms (urinary incontinence, filling symptoms, voiding dysfunction) was determined. Risk factors associated with lower urinary tract symptoms were determined by univariable analysis and multivariable linear regression. Results: Estradiol levels and menopausal stage at one point in time were not associated with lower urinary tract symptoms. Women with a sharp decline in estradiol levels over time had significantly lower urinary incontinence scores in comparison to women without a change in estradiol levels through the study period (3.11 ± 2.86 vs 2.08 ± 2.43, adjusted mean difference=−0.93, 95%CI: −1.8,−0.02). Women between the ages of 45 to 49 had significantly higher urinary incontinence scores than women woman age > 55 (1.59 ± 1.86 vs 3.04 ± 2.93, adjusted mean difference= 1.0, 95%CI: 0.01, 2.1). Women with a BMI greater than 35 also had significantly higher urinary incontinence scores than women in the normal weight range, (3.53 ± 3.16 vs 1.98 ± 2.52, adjusted mean difference=1.5, 95%CI: 0.59, 2.3) after adjusting for changes of estradiol through the menopausal transition. High anxiety was associated with worsening scores in all three lower urinary tract symptoms domains (incontinence, filling, voiding). Conclusion: Women with a sharp decline in estradiol through the menopausal transition have significantly lower urinary incontinence scores. Urinary filling symptoms and voiding dysfunction were not associated with changes in estradiol through the menopausal transition.

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Section: Discussionsupporting

confidence: 51%

Section: Discussionmentioning

confidence: 99%

Association of Change in Estradiol to Lower Urinary Tract Symptoms During the Menopausal Transition

Gopal

Sammel²,

Arya³

et al. 2008

Obstetrics &Amp; Gynecology

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“…Several studies analyzed the association between urinary incontinence and anxiety symptoms. Lim et al 25 investigated anxiety symptoms between women with SUI and with mixed urinary incontinence and found that women with MUI had more anxiety when compared to women with just SUI. The authors emphasized the importance of the approach used when treating anxiety symptoms in patients with MUI.…”

Section: Discussionmentioning

confidence: 99%

Relationship between anxiety and overactive bladder syndrome in older women

Alves¹,

Jácomo²,

Gomide³

et al. 2014

Rev. Bras. Ginecol. Obstet.

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“…3 These findings were consistent with other studies demonstrating higher anxiety and depression rates among patients with UI. 29, 30 The direction of the relationship(s) between UI and mental health are as yet unknown and may be bidirectional. Additional research is warranted to further define these relationships and potentially exploit novel opportunities for intervention.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Characteristics of Urinary Incontinence in a Treatment Seeking Male Prospective Cohort: Results from the LURN Study

et al. 2018

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Purpose: Male urinary incontinence (UI) is thought to be infrequent. We sought to describe the prevalence of UI in a male treatment-seeking cohort enrolled in the Symptoms of Lower Urinary Tract Dysfunction Research Network (LURN). Materials and Methods: The inclusion/exclusion criteria, including men with prostate cancer or a neurogenic bladder, have been previously reported. LURN participants prospectively completed questionnaires regarding lower urinary tract symptoms (LUTS) and other clinical variables. Men were grouped based on type of incontinence (1=non-UI; 2=post-void dribbling [PVD] only; 3=UI). Comparisons were made using analysis of variance and multivariable regression. Results: Among 477 men, 24% reported non-UI, 44% PVD only, and 32% UI. Black men and those with sleep apnea were more likely to be in the UI group compared with the non-UI group (odds ratio [OR]=3.2, p=0.02 and OR=2.73, p=0.003, respectively). UI was associated with significantly (p<0.001) higher bother compared to those without leakage. Compared to men without UI and men with PVD only, men with UI were significantly (p<0.01) more likely to report higher scores (more severe symptoms) on patient-reported outcomes measurement information system (PROMIS) questionnaires regarding bowel issues, depression, and anxiety, compared to those without UI. Conclusions: UI is common among treatment-seeking men. This is concerning because the guideline-recommended questionnaires for assessing male LUTS do not query for UI. Thus, clinicians may be missing an opportunity to intervene and improve patient care. This provides a substantial rationale for a new or updated symptom questionnaire that provides a more comprehensive symptom assessment.

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Comparison of anxiety between patients with mixed incontinence and those with stress urinary incontinence

Abstract: This study provides objective evidence that patients with MI have a higher degree of anxiety than those with pure SUI. Therefore, we suggest that doctors should pay more attention to anxiety symptoms when caring for patients with MI.

Cited by 22 publications

References 15 publications

Association of Change in Estradiol to Lower Urinary Tract Symptoms During the Menopausal Transition

Association of Change in Estradiol to Lower Urinary Tract Symptoms During the Menopausal Transition

Relationship between anxiety and overactive bladder syndrome in older women

Prevalence and Characteristics of Urinary Incontinence in a Treatment Seeking Male Prospective Cohort: Results from the LURN Study

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