Department of Urology, William Beaumont Hospital, Royal Oak, Michigan 48073, USA.
J Urol. 2010 Dec;184(6):2411-5. doi: 10.1016/j.juro.2010.08.019. Epub 2010 Oct 16.
We determined the association of clinicodemographic factors with urinary incontinence related quality of life in women undergoing surgery for stress urinary incontinence, and compared the incontinence specific Incontinence Impact Questionnaire and the International Consultation on Incontinence Questionnaire. Secondary objectives were to evaluate the contributions of incontinence severity and sexual function on quality of life.
We used baseline data on 597 women in the Trial of Mid-Urethral Slings. Tested quality of life correlates included health status and history, sexual function, and urinary incontinence type, severity and bother.
On each questionnaire lower quality of life was associated with younger age, higher body mass index, more stress urinary incontinence symptoms, and more severe and bothersome urinary incontinence symptoms. Each measure identified factors associated with lower quality of life that were not identified by the other, including Hispanic ethnicity, poor health status and more urge urinary incontinence symptoms on the Incontinence Impact Questionnaire, and prior urinary incontinence treatment and more urinary incontinence episodes daily on the International Consultation on Incontinence Questionnaire. Sexually active women had similar quality of life as well as increased incontinence episodes on each questionnaire and more sexual dysfunction on the Incontinence Impact Questionnaire only.
In women planning stress urinary incontinence surgery quality of life is associated with nonurinary incontinence factors, and with the type, severity and degree of urinary incontinence symptom bother. Many factors are associated with quality of life as measured by the Incontinence Impact Questionnaire and the International Consultation on Incontinence Questionnaire. However, more nonurinary incontinence factors were associated with quality of life when measured by the former than by the latter. More than 1 scale may be needed to evaluate quality of life after treatment for stress urinary incontinence.
我们确定了临床人口统计学因素与女性压力性尿失禁手术相关尿失禁相关生活质量的关系，并比较了尿失禁特定的尿失禁影响问卷和国际尿失禁咨询问卷。次要目标是评估尿失禁严重程度和性功能对生活质量的影响。
我们使用了 Mid-Urethral Slings 试验中的 597 名女性的基线数据。测试的生活质量相关因素包括健康状况和病史、性功能以及尿失禁类型、严重程度和困扰。
在每个问卷中，生活质量较低与年龄较小、体重指数较高、压力性尿失禁症状较多以及尿失禁症状较严重和困扰较大有关。每个测量方法都确定了与生活质量较低相关的因素，但其他方法没有确定，包括西班牙裔、健康状况较差以及尿失禁影响问卷中更急迫性尿失禁症状、以及国际尿失禁咨询问卷中更多的尿失禁治疗和每天更多的尿失禁发作。性活跃的女性在每个问卷中的生活质量相似，以及更多的尿失禁发作和尿失禁影响问卷中更多的性功能障碍。
在计划压力性尿失禁手术的女性中，生活质量与非尿失禁因素以及尿失禁类型、严重程度和症状困扰程度相关。许多因素与尿失禁影响问卷和国际尿失禁咨询问卷所测量的生活质量相关。然而，与后者相比，前者测量的生活质量与更多的非尿失禁因素相关。在治疗压力性尿失禁后，可能需要使用多个量表来评估生活质量。
