Department of Obstetrics and Gynaecology, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong.
Hong Kong Med J. 2012 Jun;18(3):214-20.
To evaluate the quality of life in women with urinary incontinence (categorised by urodynamic findings).
Prospective cohort study on patients.
Urogynaecology unit of a university teaching hospital in Hong Kong. PATIENTS. Female patients presenting to our clinic from July 2008 to December 2009 and having their urinary incontinence categorised by urodynamic study.
Patient's quality of life was assessed using the Medical Outcomes Study Short Form, Urogenital Distress Inventory Short Form, and Incontinence Impact Questionnaire Short Form. Their quality of life was compared according to their urodynamic category and a subgroup analysis was performed on patients having continence surgery for urodynamic stress incontinence.
Among the 223 women studied, 46% had urodynamic stress incontinence, 18% had detrusor overactivity, 2% had both urodynamic stress incontinence and detrusor overactivity, and 34% had no urodynamic abnormality. In all, the Medical Outcomes Study Short Form scoring was lower than normal local population. The Medical Outcomes Study Short Form score in detrusor overactivity group was significantly lower than urodynamic stress incontinence group in vitality and mental health domains. Detrusor overactivity group also had higher scores in Incontinence Impact Questionnaire Short Form in travel, social and emotional health subscales and total score (46.3 vs 29.1; P<0.01). Women with urodynamic stress incontinence and required continence surgery had higher scores in Incontinence Impact Questionnaire Short Form.
Women with urinary incontinence had impaired quality of life and it was comparable to other chronic medical diseases. Women with detrusor overactivity have more impaired quality of life than women with urodynamic stress incontinence. Severity of urodynamic stress incontinence did not correlate with quality of life. Women who opted for continence surgery had poorer quality of life.
评估尿失禁女性（按尿动力学检查结果分类）的生活质量。
患者前瞻性队列研究。
香港一所大学教学医院的泌尿科妇科病房。
2008 年 7 月至 2009 年 12 月期间因尿失禁就诊于我院门诊的女性患者，通过尿动力学研究对其进行分类。
采用医疗结局研究简表、尿生殖窘迫量表简表和尿失禁影响问卷简表评估患者的生活质量。根据尿动力学分类比较患者的生活质量，并对压力性尿失禁尿动力学患者的持续性手术进行亚组分析。
在 223 名女性患者中，46%有压力性尿失禁，18%有逼尿肌过度活动，2%同时有压力性尿失禁和逼尿肌过度活动，34%无尿动力学异常。总体而言，医疗结局研究简表评分低于当地正常人群。逼尿肌过度活动组的医疗结局研究简表活力和心理健康领域评分明显低于压力性尿失禁组。逼尿肌过度活动组在旅行、社会和情感健康子量表和总分（46.3 分比 29.1 分；P<0.01）方面的尿失禁影响问卷简表评分也较高。需要进行控尿手术的压力性尿失禁患者的尿失禁影响问卷简表评分更高。
尿失禁女性的生活质量受损，与其他慢性疾病相当。逼尿肌过度活动女性的生活质量受损程度比压力性尿失禁女性更严重。尿动力学压力性尿失禁的严重程度与生活质量无关。选择控尿手术的女性生活质量更差。
