Lowder Jerry L, Frankman Elizabeth A, Ghetti Chiara, Burrows Lara J, Krohn Marijane A, Moalli Pamela, Zyczynski Halina
Division of Urogynecology, Department of Obstetrics, Gynecology and Reproductive Sciences, University of Pittsburgh School of Medicine, UPMC-Magee-Womens Hospital, 300 Halket Street, Pittsburgh, PA 15213, USA.
Int Urogynecol J. 2010 Jun;21(6):665-72. doi: 10.1007/s00192-009-1088-2. Epub 2010 Jan 14.
The objective of this study was to describe lower urinary tract symptoms (LUTS) and urinary incontinence (UI) symptoms in women with prolapse.
LUTS were measured with the urinary distress inventory (UDI) and UI symptoms with UDI and the Medical, Epidemiological and Social Aspects of Aging (MESA) in women with POPQ stage >or=I support. UI symptoms were classified as stress- or urge-only, stress-predominant or urge-predominant mixed, or mixed. Bladder function was assessed by urodynamics. Bi- and multivariable analyses were performed.
Three hundred thirty-six women aged 62 +/- 13 years were characterized by UDI scores as having mixed 72% (n = 242), urge-only 24% (n = 80), and stress-only <1% (n = 1) UI symptoms. Of subjects with mixed UI symptoms, 57% (n = 137) were stress-predominant and 43% (n = 105) were urge-predominant. In multivariable regression models, advancing age and prolapse were associated with less reported distress related to stress UI symptoms. Prior hysterectomy was associated with higher total UDI scores. Similar findings were noted with MESA.
Mixed UI symptoms are the predominant symptom type in women with POP.
本研究的目的是描述盆腔脏器脱垂女性的下尿路症状（LUTS）及尿失禁（UI）症状。
采用尿失禁困扰量表（UDI）测量LUTS，采用UDI及老年医学、流行病学和社会问题量表（MESA）测量POPQ分期≥I期支持的女性的UI症状。UI症状分为仅压力性、仅急迫性、以压力性为主或急迫性为主的混合性、或混合性。通过尿动力学评估膀胱功能。进行双变量和多变量分析。
336名年龄为62±13岁的女性，根据UDI评分，72%（n = 242）有混合性UI症状，24%（n = 80）有仅急迫性UI症状，<1%（n = 1）有仅压力性UI症状。在有混合性UI症状的受试者中，57%（n = 137）以压力性为主，43%（n = 105）以急迫性为主。在多变量回归模型中，年龄增长和盆腔脏器脱垂与压力性UI症状相关的困扰报告较少有关。既往子宫切除术与较高的UDI总分相关。MESA也有类似发现。
混合性UI症状是盆腔脏器脱垂女性中最主要的症状类型。
