University Hospitals KU Leuven, Urology, Leuven, Belgium Erasme University Hospital-ULB, Urology, Brussels, Belgium.
Int J Clin Pract. 2013 Mar;67(3):198-204. doi: 10.1111/ijcp.12015.
This Belgian epidemiological study aimed to assess the prevalence of overactive bladder (OAB) and stress urinary incontinence (SUI) and associated bother in a female primary care population.
Data on OAB and SUI were prospectively collected among women ≥ 40 years by general practitioners (GP) during a regular visit for any reason. The validated Bladder Control Self-Assessment Questionnaire (B-SAQ) was used and complemented with a question on SUI and bladder bother. The presence of mild bladder control symptoms (BCS) was defined as an overall B-SAQ symptom score (OSS) ≥ 4 and an overall bother score (OBS) ≥ 1. Descriptive statistics were performed.
Data from 7139 women were analysed. About 33.9% had mild BCS. Most women reported overall mild OAB symptoms (46.9%) and 34.9% had moderate-to-(very) severe symptoms. The prevalence of moderate-severe urgency, frequency or nocturia was higher than that of moderate-severe incontinence. Urgency and nocturia were considered the most bothersome symptoms. Moderate-severe SUI affected 17.7% of women. About 16.4% of women reported to be moderately-severely bothered by their bladder in everyday life. The risk of severe symptoms and bother increased with age. About 10% of women had clinically significant BCS (OSS ≥ 7 and OBS ≥ 4).
In Belgian women ≥ 40 years visiting a GP for any reason, one in three had mild BCS and might benefit from further evaluation. Up to 10% of these women had clinically significant BCS for which medical therapy might be necessary. This warrants awareness for early diagnosis and intervention.
本项比利时的流行病学研究旨在评估女性初级保健人群中膀胱过度活动症（OAB）和压力性尿失禁（SUI）的患病率以及与之相关的困扰。
由全科医生（GP）在因任何原因进行的常规就诊期间，前瞻性地收集≥40 岁女性的 OAB 和 SUI 数据。使用经过验证的膀胱控制自我评估问卷（B-SAQ），并补充有关 SUI 和膀胱困扰的问题。轻度膀胱控制症状（BCS）的存在定义为总体 B-SAQ 症状评分（OSS）≥4 和总体困扰评分（OBS）≥1。进行描述性统计分析。
分析了 7139 名女性的数据。约 33.9%有轻度 BCS。大多数女性报告有总体轻度 OAB 症状（46.9%）和中度至（非常）重度症状（34.9%）。中度至重度尿急、尿频或夜尿症的患病率高于中度至重度尿失禁。尿急和夜尿被认为是最困扰的症状。中重度 SUI 影响 17.7%的女性。约 16.4%的女性报告在日常生活中其膀胱受到中度至重度困扰。症状和困扰的严重程度随年龄增加而增加。约 10%的女性有临床显著的 BCS（OSS≥7 和 OBS≥4）。
在因任何原因就诊的≥40 岁比利时女性中，三分之一有轻度 BCS，可能需要进一步评估。其中约 10%的女性有临床显著的 BCS，可能需要药物治疗。这需要提高对早期诊断和干预的认识。
