Prevalence of overactive bladder in <scp>C</scp>hina, <scp>T</scp>aiwan and <scp>S</scp>outh <scp>K</scp>orea: <scp>R</scp>esults from a cross‐sectional, population‐based study

Chuang, Yao‐Chi; Liu, Shih‐Ping; Lee, Kyu‐Sung; Liu, Limin; Wang, Jian‐Ye; Yoo, Tag Keun; Chu, Romeo; Sumarsono, Budiwan

doi:10.1111/luts.12193

Cited by 78 publications

(67 citation statements)

References 30 publications

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“…Apart from occupational stress and unhealthy toileting behaviours, we found other significant factors associated with OAB in operating room nurses. OAB increased with age, which is consistent with previous studies (Chuang et al., ; Irwin et al., ; Wang et al., ). We also found that having a chronic disease was associated with an increased risk of OAB, which is consistent with the findings of Asche, Kim, Kulkarni, Chakravarti, and Andersson () that chronic conditions or comorbidities such as diabetes, hypertension, heart failure, or cerebrovascular disease were associated with OAB.…”

Section: Discussionsupporting

confidence: 92%

Relationships among occupational stress, toileting behaviors, and overactive bladder in nurses: A multiple mediator model

Zhu

et al. 2019

Journal of Advanced Nursing

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Aims To investigate: (a) the prevalence of overactive bladder among male and female operating room nurses; (b) the unhealthy toileting behaviours that nurses adopt to void their bladders; and (c) the mediating roles that different toileting behaviours play in the relationship between occupational stress and overactive bladder. Design A cross‐sectional design was used. Methods This study was conducted from July ‐ September 2016 in Jinan, China. Four hundred eligible operating room nurses in five hospitals were recruited. Data were collected through survey questionnaires including the nurse job stress scale, the toileting behaviours scale and the overactive bladder symptom score questionnaire. Multivariate linear or logistic regression models, as appropriate, were used to test the mediation effect of each toileting behaviour on the relationship between occupational stress and overactive bladder. Results Overactive bladder was highly prevalent in both male and female nurses working in operating rooms. Approximately one of three nurses reported experiencing an overactive bladder. The most common unhealthy toileting behaviour was delayed voiding. Unhealthy toileting behaviours mediated the relationship between occupational stress and overactive bladder. With high levels of occupational stress, nurses tended to adopt unhealthy toileting behaviours to empty their bladders. The more the nurses engaged in unhealthy toileting behaviours (e.g. delayed voiding and straining to void), the greater the likelihood of having overactive bladders. Conclusions This study highlights the mediating role of toileting behaviours on occupational stress and overactive bladder. To accommodate occupational stress, nurses engaged in unhealthy toileting behaviours that were detrimental to their bladder health.

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Section: Discussionsupporting

confidence: 92%

Relationships among occupational stress, toileting behaviors, and overactive bladder in nurses: A multiple mediator model

Zhu

et al. 2019

Journal of Advanced Nursing

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“…In an international survey, we evaluated the prevalence and impact of LUTS including overactive bladder (OAB) in adults aged ≥40 years in China, Taiwan, and South Korea. Combined results from all three countries have been published previously [ 17 18 ]. LUTS were found to be present in ~60% of the overall population, and to affect a significantly higher percentage of men (62.8%) than women (59.6%, p=0.004) [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

The prevalence of lower urinary tract symptoms in population aged 40 years or over, in South Korea

Yoo

Lee

Sumarsono³

et al. 2018

Investig Clin Urol

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PurposeLower urinary tract symptoms (LUTS) can be distressing and socially isolating, and the economic impact can be substantial. Further data to characterize the epidemiology and effects of LUTS in South Korea would be beneficial.Materials and MethodsIn an international, internet-based survey, the prevalence and impact of LUTS was evaluated in adults aged ≥40 years. Questions related to International Continence Society (ICS) symptom definitions and the bother associated with each symptom. The international prostate symptom score (IPSS) and the overactive bladder symptom score (OABSS) were assessed.ResultsOf the 2,080 participants from South Korea, 1,090 (52.4%) were women and 740 (35.6%) were aged ≥60 years. The prevalence of LUTS according to ICS criteria was 68.2% (men, 70.6%; women, 66.0%). LUTS prevalence increased significantly with age (p=0.01 in men and women). Storage symptoms only were reported in 16.2% of men and 30.5% of women, making this the most common ICS symptom group overall. Individual symptoms with the highest prevalence in the overall population were nocturia, frequency, and weak stream (36%, 30%, and 29%, respectively). IPSS results showed that 40.1% of participants had at least moderate symptoms. The prevalence of OABSS-defined overactive bladder was 19.7% (men, 19.5%; women, 19.9%). Fourteen percent of individuals with any LUTS visited healthcare professionals regarding urinary symptoms.ConclusionsLUTS affect the majority of adults aged ≥40 years in South Korea. The low percentage of individuals with LUTS consulting healthcare professionals regarding urinary symptoms indicates a need to improve rates of diagnosis and treatment.

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“…[7] Recent studies revealed the prevalence of OAB is high in Europe and the United States, as well as in Asian countries. [8,9] As most men with clinical OAB do not have urinary incontinence, they are frequently mis-diagnosed with bladder outlet obstruction (BOO) [10].…”

Section: Lower Urinary Tract Disorder and Bladder Oversensitivitymentioning

confidence: 99%

Therapeutic Effect of Botulinum Toxin A on Sensory Bladder Disorders—From Bench to Bedside

Jiang

Kuo

2020

Toxins

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Bladder oversensitivity arises from several different conditions involving the bladder, bladder outlet, systemic or central nervous system diseases. Increase of the bladder sensation results from activation of the sensory receptors in the urothelial cells or suburothelial tissues. Medical treatment targeting the overactive bladder (OAB) or interstitial cystitis (IC) might relieve oversensitive bladder symptoms (frequency, urgency and pain) in a portion of patients, but a certain percentage of patients still need active management. Botulinum toxin A (BoNT-A) has been demonstrated to have anti-inflammatory and antinociceptive effects in bladder sensory disorders and has been shown effective in the reduction of bladder oversensitivity and the increase of functional bladder capacity. For patients with OAB, urgency and urinary incontinence improved, while in patients with IC, bladder pain could be relieved in association with reduction of bladder oversensitivity after BoNT-A intravesical injection. Histological evidence has confirmed the therapeutic mechanism and clinical efficacy of intravesical BoNT-A injection on patients with OAB or IC. Bladder oversensitivity can also be relieved with the instillation of liposome encapsulated BoNT-A or low energy show waves (LESWs), which enable the BoNT-A molecule to penetrate into the urothelium and suburothelial space without affecting the detrusor contractility. Liposome encapsulated BoNT-A or combined LESWs and BoNT-A instillation might be future treatment alternatives for bladder oversensitivity in sensory bladder disorders.

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Prevalence of overactive bladder in China, Taiwan and South Korea: Results from a cross‐sectional, population‐based study

Cited by 78 publications

References 30 publications

Relationships among occupational stress, toileting behaviors, and overactive bladder in nurses: A multiple mediator model

Relationships among occupational stress, toileting behaviors, and overactive bladder in nurses: A multiple mediator model

The prevalence of lower urinary tract symptoms in population aged 40 years or over, in South Korea

Therapeutic Effect of Botulinum Toxin A on Sensory Bladder Disorders—From Bench to Bedside

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