Asoglu Mehmet Resit, Selcuk Selcuk, Cam Cetin, Cogendez Ebru, Karateke Ates
The University of Texas-Houston MD Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, TX 77030, USA.
Zeynep Kamil Training and Education Hospital, Department of Obstetrics and Gynecology, Istanbul, Turkey.
Eur J Obstet Gynecol Reprod Biol. 2014 May;176:187-90. doi: 10.1016/j.ejogrb.2014.02.008. Epub 2014 Feb 15.
Our aim was to investigate the effects of urinary incontinence subtypes on women's quality of life (including sexual life) and psychosocial state.
The patients, who applied to our clinic from March 2011 to August 2011, were identified and stratified into three groups: those with stress incontinence proved urodynamically (USI), those with urge incontinence (UI), and those with mixed incontinence urge incontinence (UI) proved by urodynamic and clinic evaluation. Scores on the Beck anxiety inventory (BAI), pelvic organ prolapse/urinary incontinence sexual questionnaire (PISQ-12), urogenital distress inventory (UDI-6), and incontinence impact questionnaire (IIQ-7) were compared between the urinary incontinence subtypes.
According to urodynamic and clinical examination of 111 women with urinary incontinence, 59 (53%) had USI, 35 (32%) had UI, and 17 (15%) had MI. BAI-scores significantly differed between the USI and UI groups (p=0.030) and between the USI and MI groups (p=0.011) not between the UI and MI groups (p=0.597). UDI-6 scores did not significantly differ between the three groups (p=0.845). IIQ-7 scores significantly differed between the USI and MI groups (p=0.003) and between the UI and MI groups (p=0.006) but not between the USI and UI groups. Patients with USI had significantly lower PISQ-12 scores than those with UI (p=0.015).
These differences in the effects of incontinence subtypes should be kept in mind in the evaluation of patients with urinary incontinence. Psychiatric assessment may improve the management of incontinence in women, especially UI and MI.
我们的目的是研究尿失禁亚型对女性生活质量（包括性生活）和心理社会状态的影响。
对2011年3月至2011年8月期间到我们诊所就诊的患者进行识别，并分为三组：经尿动力学证实为压力性尿失禁（USI）的患者、急迫性尿失禁（UI）患者以及经尿动力学和临床评估证实为混合性尿失禁急迫性尿失禁（UI）的患者。比较尿失禁各亚型之间在贝克焦虑量表（BAI）、盆腔器官脱垂/尿失禁性功能问卷（PISQ - 12）、泌尿生殖系统困扰量表（UDI - 6）和尿失禁影响问卷（IIQ - 7）上的得分。
根据对111例尿失禁女性患者的尿动力学和临床检查，59例（53%）为USI，35例（32%）为UI，17例（15%）为MI。BAI得分在USI组和UI组之间（p = 0.030）以及USI组和MI组之间（p = 0.011）有显著差异，而在UI组和MI组之间无显著差异（p = 0.597）。UDI - 6得分在三组之间无显著差异（p = 0.845）。IIQ - 7得分在USI组和MI组之间（p = 0.003）以及UI组和MI组之间（p = 0.006）有显著差异，但在USI组和UI组之间无显著差异。USI患者的PISQ - 12得分显著低于UI患者（p = 0.015）。
在评估尿失禁患者时应牢记尿失禁亚型影响的这些差异。精神科评估可能会改善女性尿失禁的管理，尤其是UI和MI。
