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Characteristics of Mixed Urinary Incontinence and Stress Urinary Incontinence: Relationship between Lower Urinary Tract Symptoms and Urodynamic Parameters

복합성 요실금과 복압성 요실금의 특성: 하부요로증상과 요역동학 검사결과의 관계

  • Lee, ji Yeon (Department of Nursing, Samsung Medical Center) ;
  • Song, Misoon (College of Nursing.Research Institute of Nursing Science, Seoul National University)
  • 이지연 (삼성서울병원 간호본부) ;
  • 송미순 (서울대학교 간호대학.간호과학 연구소)
  • Received : 2017.02.07
  • Accepted : 2017.03.02
  • Published : 2017.05.31

Abstract

Purpose: The purpose of this study was to analyze the relationship between lower urinary tract symptoms and urodynamic parameters to investigate the characteristics of mixed urinary incontinence (MUI) and stress urinary incontinence (SUI). Methods: The subjects were 318 women with MUI and 128 women with SUI. Data were collected retrospectively from electronic medical records including Bristol Female Lower Urinary Tract Symptoms-Scored Form (BFLUTS-SF), Incontinence Quality of Life Instrument (I-QOL), voiding diaries, and urodynamic parameters. Results: Compared with the SUI group, the MUI group was older and showed lower I-QOL and more severe urinary tract symptoms. The MUI group had more urinary frequency, more nocturia, and a higher urgency score than the SUI group. In the correlation analysis, the greatest difference between the two groups was that urgency was associated with Qmax, maximal cystometric capacity, and detrusor overactivity only in the MUI group (r = -.175, p= .004; r = -.281, p< .001; r= .232, p< .001, respectively). Conclusion: As a result of this study, we propose that a customized management program that emphasizes the control of urgency for the MUI group, and one that effectively strengthens the weak pelvic floor for the SUI group.

Keywords

References

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