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International Urogynecology Journal

Published in:

01-07-2014 | Original Article

The “bother” of urinary incontinence

Authors: Gerda Trutnovsky, Daniela Ulrich, Rodrigo Guzman Rojas, Kristy Mann, Thomas Aigmueller, Hans P. Dietz

Published in: International Urogynecology Journal | Issue 7/2014

Abstract

Introduction and hypothesis

Patient reported measures are important for the evaluation of symptom-specific bother and the distinction between different types of urinary incontinence. The aim of the study was to assess the validity of physician administered visual analogue scales (VAS) for the bother from stress urinary incontinence (SUI) and urge urinary incontinence (UUI).

Methods

In this prospective cohort study based at a tertiary urogynecological unit, women attending for investigation of lower urinary tract symptoms (n = 504) were asked to indicate their subjective bother from SUI and UUI on a 10-cm VAS. Clinical assessment, including multichannel urodynamic testing and 4D translabial ultrasound was performed for clinical diagnosis. Linear regression was used to model the average increase in VAS bother score of SUI and UUI for each explanatory variable.

Results

74 % (n = 375) reported symptoms of SUI, with mean bother of 5.7 out of 10 (SD 2.8), and 73 % (n = 370) symptoms of UUI, with a mean bother of 6.5 out of 10 (SD 2.6). Bother from UUI was positively associated with the symptoms of nocturia (p < 0.0001) and frequency (p = 0.002), and the urodynamic findings of detrusor overactivity (p < 0.0001). Bother from SUI was positively related to the urodynamic diagnosis of USI (p < 0.0001) and a low abdominal leak point pressure (ALPP) (p = 0.002), as well as to the ultrasound findings of cystourethrocele (p < 0.0001) and funnelling (p = 0.04). All univariate associations remained highly significant on multivariate analysis, controlling for age, BMI, parity, previous incontinence/prolapse surgery and previous hysterectomy.

Conclusions

Physician-administered VAS are a valid, reliable and practicable tool to measure bother related to SUI and UUI.

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Title: The “bother” of urinary incontinence
Authors: Gerda Trutnovsky
Daniela Ulrich
Rodrigo Guzman Rojas
Kristy Mann
Thomas Aigmueller
Hans P. Dietz
Publication date: 01-07-2014
Publisher: Springer London
Published in: International Urogynecology Journal / Issue 7/2014
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-014-2337-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The “bother” of urinary incontinence

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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