Impact of stress urinary incontinence and overactive bladder on micturition patterns and health-related quality of life

Oh, Seung‐June; Ku, Ja Hyeon

doi:10.1007/s00192-006-0112-z

Cited by 19 publications

(17 citation statements)

References 39 publications

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Section: Commentmentioning

confidence: 79%

“…In addition, some of the QOL instruments used in this research (most notably the SF-12 summary scores) may not be sufficiently sensitive to detect true differences in QOL impact of UI by type or severity. 24 Finally, the number of women with stress and urge incontinence in this study limits the power of our conclusions with respect to this subanalysis.Whereas UI and FI both had a negative impact on SF-12 mental summary score and selfrated health utility index scores, our results suggest that dual incontinence had a greater negative impact than either FI or UI alone. These 2 conditions were often coincident in this population: 52.7% of the women with FI also had UI.…”

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confidence: 79%

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The impact of fecal and urinary incontinence on quality of life 6 months after childbirth

Handa

Zyczynski

Burgio

et al. 2007

American Journal of Obstetrics and Gynecology

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Objective-The objective of the study was to investigate the impact of postpartum fecal incontinence (FI) and urinary incontinence (UI) on quality of life (QOL). Study Design-Seven hundred fifty-nine primiparous women in the Childbirth and PelvicSymptoms study were interviewed 6 months postpartum. FI and UI were assessed with validated questionnaires. We measured QOL with SF-12 summary scores, health utility index score (a measure of self-rated overall health), and the modified Manchester Health Questionnaire.Results-Women with FI had worse self-rated health utility index scores (85.1 ± 9.8 vs 88.0 ± 11.6, P = .02) and Medical Outcomes Study Short Form Health Survey (SF-12) mental summary scores (46.8 ± 9.2 vs 51.1 ± 8.7, P < .0001) than women without FI or flatal incontinence. Women with UI had worse SF-12 mental summary scores (48.3 ± 9.8 vs 51.6 ± 7.8, P < .01) and self-rated health utility index scores (84.1 ± 12.5 vs 88.7 ± 10.1, P < .01) than women without UI. Women with both FI and UI had the lowest SF-12 mental summary scores (44.5 ± 9.0).Conclusion-Six months after delivery, women experiencing FI or UI reported negative effects on health-related QOL. FI and UI together have a greater impact than either condition alone. Keywords childbirth; fecal incontinence; quality of life; urinary incontinenceIn studies of fecal incontinence (FI) and urinary incontinence (UI) during the postpartum period, UI is reported by 10-50% of women, [1][2][3][4][5][6] whereas FI is present in up to 25%. 2,3,7 The Pelvic Floor Disorders Network (PFDN) has previously published findings of the Childbirth and Pelvic Symptoms (CAPS) study, 8 which examined the prevalence of FI and UI in 3 cohorts of primiparous women. FI was more prevalent (17.0%) in women who delivered vaginally with recognized anal sphincter tears, compared with women who delivered Reprints not available from the authors. NIH Public Access Author ManuscriptAm J Obstet Gynecol. Author manuscript; available in PMC 2011 April 13.Published in final edited form as: Am J Obstet Gynecol. 2007 December ; 197(6): 636.e1-636.e6. doi:10.1016/j.ajog.2007.08.020. NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript vaginally without recognized anal sphincter tears (8.2%) and women who delivered by cesarean prior to labor (7.6%). UI was reported by 31.2% of participants and did not differ significantly by group.In population-based studies, FI affects 2-12% of community-dwelling adults 9,10 and is associated with significant adverse impact on quality of life (QOL). 9 Although several case series report the impact of postpartum UI on QOL, 3,4,6 data are very limited on the impact of FI on QOL in the postpartum period. In a Canadian study, 3 FI was present in 20.6% of 1305 primiparous women 6 months postpartum, and QOL varied significantly with the severity of both FI and UI.The objective of this study was to examine the impact of postpartum FI and UI, alone and in combination, on health-related QOL in a cohort of primiparous American women. Materials ...

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Section: Commentmentioning

confidence: 79%

mentioning

confidence: 79%

The impact of fecal and urinary incontinence on quality of life 6 months after childbirth

Handa

Zyczynski

Burgio

et al. 2007

American Journal of Obstetrics and Gynecology

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“…In UUI, loss of urine is unpredictable, in contrast to SUI [3]. Patients with OAB have more sleep and energy disturbances than those with SUI [20].…”

Section: Discussionmentioning

confidence: 99%

“…It is possible that SUI may be more easily prevented by avoidance of physical exertion, whereas less potential exists for volitional control over incontinence caused by involuntary detrusor contraction [3,20].…”

Section: Discussionmentioning

confidence: 99%

Rehabilitation versus drug therapy for urge urinary incontinence: long-term outcomes

Kafri¹,

Shames²,

Raz

et al. 2007

Int Urogynecol J

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The objective of this study was to compare the residual effect of a 3-month rehabilitation treatment and a standard drug treatment for urge urinary incontinence (UUI) 21 months post intervention. Forty-four women (ages 27-68 years) who were diagnosed with overactive bladder (OAB) were divided into 2 treatment groups over 3 months: 24 women received rehabilitation (REH) and 20 women were treated with medication (MED) (oxybutynin ER). Outcomes measures included frequency of urination, quality of life (QoL), and number of side effects (no/SE), which were measured upon entry into the study (entry), completion of the intervention (3 months), and at follow-up 3 and 21 months after completion of treatment. In the follow-up period, there was a significant group-time interaction effect on freq/day and freq/night (p < 0.01). At the end of follow-up, the mean number of no/SE was significantly greater in the MED group compared to the REH group (3.3 +/- 0.5 vs 2.4 +/- 0.4; p < 0.05). A significant negative association was found between the urinary symptoms and the I-QoL at the 21-month follow-up (r (p) = -0.45 to-0.57, p < 0.05). In the long-term, the REH patients maintained and even improved the achievements of the intervention period while the MED patients deteriorated to baseline values in urinary frequency. The suggestion for future work is to investigate the effect of each REH treatment component on UUI symptoms.

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“…Furthermore, it has been reported by many authors that LUTS impair quality of life (QoL) [3][4][5][6][7][8][9]. Generic QoL questionnaires such as the Short-Form-36 or the WHO QoL SurveyAbbreviated Version, or health-related QoL (HRQoL) such as King's Health Questionnaire (KHQ), Incontinence Impact Questionnaire or Incontinence QoL have been used to assess the relationship between LUTS and QoL.…”

Section: Introductionmentioning

confidence: 99%

Reliability and validity of the King’s Health Questionnaire for lower urinary tract symptoms in both genders

2009

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OBJECTIVE To investigate the reliability and validity of the King’s Health Questionnaire (KHQ) in both genders, which was originally developed as a health‐related quality of life (HRQoL) questionnaire for female urinary incontinence for general lower urinary tract symptoms (LUTS). SUBJECTS AND METHODS Data from the International Prostate Symptom Score (IPSS) and KHQ obtained from 179 men and 75 women consulting urologists (Sample A) were analysed. Cronbach’s α coefficient and inter‐domain correlation were calculated for reliability and validity assessment, respectively. Factor analysis was used to explore the underlying factor structure of the KHQ. KHQ scores of sample A were compared with those of 330 men and 418 women consulting general practitioners (Sample B). RESULTS Internal consistency of KHQ was acceptable with a Crohnbach’s α of 0.721–0.915 in the total population of sample A. Correlation analysis showed convergent validity among ‘Physical Limitations’, ‘Role Limitation’ and ‘Social Limitations’ and discriminant validity among ‘Personal Relationship’, ‘Emotion’s and ‘Sleep/Energy’. Factor analysis showed three underlying components to explain convergent and discriminant validity. In both sample A and sample B, HRQoL was impaired in the eight domains according to IPSS severity. KHQ scores of domains other than ‘General Health Perception’ in sample B were lower than those in sample A. CONCLUSION The KHQ can be used as a HRQoL questionnaire for LUTS in both genders. In the future, it is expected that the KHQ could be used in clinical studies for benign prostate hyperplasia and other conditions.

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Impact of stress urinary incontinence and overactive bladder on micturition patterns and health-related quality of life

Cited by 19 publications

References 39 publications

The impact of fecal and urinary incontinence on quality of life 6 months after childbirth

The impact of fecal and urinary incontinence on quality of life 6 months after childbirth

Rehabilitation versus drug therapy for urge urinary incontinence: long-term outcomes

Reliability and validity of the King’s Health Questionnaire for lower urinary tract symptoms in both genders

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