Overactive bladder syndrome in nulliparous women

Lee, Wen-Ling; Chang, Chi‐Lun; Wang, Peng-Hui

doi:10.1097/jcma.0000000000000579

Cited by 5 publications

(3 citation statements)

References 15 publications

(32 reference statements)

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“…Overactive bladder (OAB) is a symptom syndrome of urinary urgency, and presents as urinary frequency and nocturia without infection or other pathological features, irrespective of urgency incontinence status (1,2). Nowadays, the prevalence of OAB ranges from 12-22% in Europe and 16-17% in the USA, and can vary by age, survey methodology, and diagnosis definition (3)(4)(5). Although the prevalence of OAB is similar in men and women, the prevalence of various symptoms within the OAB complex in men and women differ, owing to anatomical and physiological differences in the lower urinary tract (6,7).…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Yun-type pelvic floor optimal training therapy and PFMT on middle aged women with mild to moderate overactive bladder: a randomized controlled trial

Wang¹,

Shi²,

Wang³

et al. 2022

Ann Transl Med

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Background: The symptoms of overactive bladder (OAB) are highly bothersome to patients. In behavioral therapy, traditional pelvic floor muscle training (PFMT) can be boring and monotonous, which can cause poor compliance. It's important to establish a new safe and effective crotch-pelvic floor functional reconstruction training method [Yun-type pelvic floor optimal training (Yun-type training)] for OAB patients. Methods: This randomized, double-blind, crossover trial recruited a total of 150 women with mild to moderate OAB. Patients were randomly assigned to receive Yun-type training (n=83) or PFMT (n=67). The intervention group was first given Yun-type training for 6 weeks, then switched to PFMT for 6 weeks after 2 weeks of elution. Patients in the control group were first treated with PFMT for 6 weeks, and changed to the use of Yun-type training for 6 weeks after 2 weeks of elution. The primary endpoint was overactive bladder symptom scores (OABSS) after 6 and 14 weeks of Yun-type training and PFMT. Results: Yun-type training could significantly improve OABSS compared with PFMT after 6 and 14 weeks (P<0.001). Yun-type training was associated with an improvement in urine, urgency, urge urinary incontinence (UUI), urogenital distress inventory-6 (UDI-6), patient's perception of bladder condition (PPBC), voiding volume (VV), incontinence impact questionnaire-7 (IIQ-7), female sexual function index (FSFI), sexual desire, arousal, pain, satisfaction, pelvic floor muscle tone, type I muscle strength, type II muscle strength, and sex partner satisfaction as compared with PFMT after 6 and 14 weeks. Moreover, nocturia, maximum flow rate (Q max ), and climax in the Yun-type training group were significantly improved after 6 weeks, and the average flow rate (Q ave ) was improved after 14 weeks in the Yun-type training group. Conclusions: Yun-type training could yield additional benefits on OAB symptoms, sexual function, and sex partner satisfaction as compared with PFMT. The superior sexual function resulting from Yun-type training can be explained by the fact that it can contract deep and superficial muscle layers, resulting in increased vaginal wall pressure and blood flow, which further improves FSFI and sex partner satisfaction. It could lead to a new non-invasive treatment for OAB patients.

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Section: Introductionmentioning

confidence: 99%

Efficacy of Yun-type pelvic floor optimal training therapy and PFMT on middle aged women with mild to moderate overactive bladder: a randomized controlled trial

Wang¹,

Shi²,

Wang³

et al. 2022

Ann Transl Med

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“…Female pelvic floor disorders, a chronic, complex and inflammatory disease, including overactive bladder, stress urinary incontinence, pelvic organ prolapse, and interstitial cystitis (IC), are increasing prevalent on a global scale, which significantly affect quality of life, such as increased health care visits, disturbance of sleep, higher rates of depression and anxiety, increased risk of fall-related injuries, increased risk of urinary tract infection, and reduced work productivity, leading to significant social and economic burdens. [1][2][3][4][5][6][7] Among these female pelvic floor disorders, IC (also called as bladder pain syndrome) may be one of the most troublesome disorder, because etiology is still uncertain, and diagnosis remains by exclusion as well as the diagnosis is often delayed in the patient's journey, contributing to a profound impact on the emotional, psychological, and social well-being of the patient. [5][6][7][8] Due to aforementioned reasons, the management of women with IC is still a biggest challenge for both physicians and patients.…”

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confidence: 99%

New strategies accelerate the path to overcome refractory interstitial cystitis

Chang

Wang

2022

Journal of the Chinese Medical Association

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“…One of complications after treatment is pelvic floor dysfunction (PFD), which is a public health issue with significantly negative effects on quality of life (QoL). [7][8][9][10] Therefore, the issue addressing this topic is very important. In the October issue of the Journal of the Chinese Medical Association, Dr. Chou and colleagues used a Nationwide population-based database (Longitudinal Health Insurance Database [LHID] from the National Health Insurance Research Database [NHIRD]) to assess the risk of neurogenic bladder in women with cervical cancer after RH.…”

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confidence: 99%