Prevalence of incontinence in women with benign joint hypermobility syndrome

Arunkalaivanan, Angamuthu; Situnayake, R D

doi:10.1007/s00192-006-0096-8

Cited by 22 publications

(13 citation statements)

References 12 publications

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“…The prevalence of incontinence ranges from 42 % to 60 % [10]. This has been confirmed by our study, albeit with a greater prevalence of 73 %.…”

Section: Discussionsupporting

confidence: 88%

“…A significant portion of women with BJHS felt their LUTS had a negative impact on QoL. This is contrary to the published data from Jha et al [10], which showed that despite a statistically significant proportion of women with UUI and anal incontinence, their impact on QoL was minimal. When considering the second domain (incontinence impact on QoL) of the KHQ in relation to those with UI, a significant portion felt that this affected them moderately to severely.…”

Section: Discussioncontrasting

confidence: 68%

“…We then compared KHQ scores, voiding dysfunction symptoms from the P-QoL and all nine points of the POP-Q between study patients and controls. The power calculation was based on the prevalence of UI in women with BJHS in a study by Jha et al [10]. The prevalence of incontinence in this study was 60 % in the BJHS group, and it was calculated that 60 participants in each group would result in a power of 80 % to detect a difference of 30 % at a 5 % significance level.…”

Section: Methodsmentioning

confidence: 99%

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Lower urinary tract symptoms in women with benign joint hypermobility syndrome: a case–control study

et al. 2013

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Introduction and hypothesis Benign joint hypermobility syndrome (BJHS) is a connective tissue disorder associated with joint hypermobility. BJHS is under-recognised by medical professionals and is poorly managed. The aim of our study was to determine whether lower urinary tract symptoms (LUTS), including urinary incontinence (UI) and anterior compartment prolapse, are more common in women with BJHS than in the normal population.Methods This was a prospective case-control study. Women diagnosed with BJHS according to the Brighton criteria were recruited from a tertiary referral clinic. Controls were recruited from hospital personnel. Both groups completed the King's Health Questionnaire (KHQ) and the Prolapse Quality of Life Questionnaire (P-QoL). Objective assessment of pelvic organ prolapse (POP) was undertaken using the Pelvic Organ Prolapse Quantification (POP-Q) system. Analyses were performed using SPSS version 17.0. The statistical difference was analysed using McNemar's test. Comparison of QoL scores was performed with the Wilcoxon signed-rank test. Results Sixty individuals were recruited and matched with 60 healthy women. The prevalence of UI in those with BJHS was significantly higher than in controls(73.3 % vs. 48.3 %). The impact of UI on QoL was statistically significant in all domains of the KHQ. There was a significant difference between groups in most urinary-specific symptoms of the KHQ. A significant number of women with BJHS suffer from voiding difficulties. Prolapse of the anterior vaginal wall was objectively more severe in those with BJHS. Conclusions Women with BJHS have LUTS and anterior compartment prolapse, which significantly impair their QoL. It is important to identify women who are symptomatic. The addition of a systematic active case-finding approach may be more effective in identifying these cases.

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“…The prevalence of incontinence ranges from 42 % to 60 % [10]. This has been confirmed by our study, albeit with a greater prevalence of 73 %.…”

Section: Discussionsupporting

confidence: 88%

Section: Discussioncontrasting

confidence: 68%

Section: Methodsmentioning

confidence: 99%

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Lower urinary tract symptoms in women with benign joint hypermobility syndrome: a case–control study

et al. 2013

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“…4 and Jha et al . 5 found that urinary and faecal incontinence was significantly higher in people with the condition than controls. Uterine prolapse has also been correlated similarly, a finding in association with incontinence that has been found in related conditions such as Marfan's and umbrella Ehlers Danlos syndrome in general.…”

Section: Discussionmentioning

confidence: 88%

Stress urinary incontinence as the presenting complaint of benign joint hypermobility syndrome

et al. 2012

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“…Since the initial report of an association between JHM and POP in 1982 , the relationship has been consistently replicated in various populations using either the clinical Beighton criteria or the validated five‐item Hakim questionnaire , which are broadly comparable . Several studies have also considered an association with SUI, but have had conflicting results (Table ) . Pathophysiologically JHM could also be related to urinary storage symptoms, as JHM syndrome involves various autonomic nervous system‐related symptoms, associated with adrenoceptor hyper‐responsiveness .…”

Section: Introductionmentioning

confidence: 99%

Lack of association of joint hypermobility with urinary incontinence subtypes and pelvic organ prolapse

et al. 2014

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ObjectiveTo test the hypothesis that joint hypermobility (JHM) is associated with specific urinary incontinence (UI) subtypes and uterovaginal prolapse. Patients and MethodsIn all, 270 women scheduled to undergo urodynamic investigations were invited to self-complete a validated five-item JHM questionnaire. Women underwent history taking, symptoms assessing via the King's Health Questionnaire and clinical examination using the Pelvic Organ Prolapse Quantification system. Associations between JHM and pelvic floor disorders in univariate and multivariate ordinal regression were reported using odds ratios (ORs) and 95% confidence intervals (CIs). ResultsThe prevalence of JHM was 31.1%. JHM had a negative association with age (OR 0.98/year, P = 0.04). There was no association between JHM and either urodynamic (P = 0.41), or symptomatic stress UI (P = 0.48). Nor was there association with detrusor overactivity or symptomatic urgency UI. Multivariate ordinal regression of JHM with maximum prolapse stage, adjusting for age, showed a significant relationship (OR 1.26/stage, 95% CI 1.06-1.46, P < 0.05). ConclusionAlthough JHM is highly prevalent amongst women with lower urinary tract symptoms (LUTS), there is no strong association of JHM with any UI subtype. There is a trend towards higher prolapse staging in women with JHM, which becomes significant only after adjustment for the confounding negative association between age and JHM.

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Prevalence of incontinence in women with benign joint hypermobility syndrome

Cited by 22 publications

References 12 publications

Lower urinary tract symptoms in women with benign joint hypermobility syndrome: a case–control study

Lower urinary tract symptoms in women with benign joint hypermobility syndrome: a case–control study

Stress urinary incontinence as the presenting complaint of benign joint hypermobility syndrome

Lack of association of joint hypermobility with urinary incontinence subtypes and pelvic organ prolapse

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