Sarici Hasmet, Ozgur Berat Cem, Telli Onur, Doluoglu Omer Gokhan, Eroglu Muzaffer, Bozkurt Selen
Ankara Training and Research Hospital, Ankara - Turkey.
Department of Biostatistics and Medical Informatics, Akdeniz University Faculty of Medicine, Antalya - Turkey.
Urologia. 2016 May 24;83(2):93-8. doi: 10.5301/uro.5000057. Epub 2014 Apr 22.
To investigate the prevalence and risk factors of overactive bladder syndrome and urinary incontinence in Turkish women; furthermore, to assess the impact on the quality of life.
A cross-sectional, epidemiological study was carried out in women of reproductive age to define overactive bladder syndrome, urinary incontinence, ICIQ-SF score and medical care seeking.
The women's average age was 34.4 ± 5.26 years. The prevalence of UI was 26.9%. Stress UI was the predominant form. The prevalence of UI increased with age, BMI, number of pregnancies and children delivered. The prevalence of OAB was 20.7%. Women with OAB were older and had greater number of pregnancies than women without OAB. History of nocturnal enuresis was a significant risk factor for OAB and UUI. Women with MUI had more frequent and more abundant leakage of urine. 10.7% of women sought medical care for their condition.
Although prevalence estimates differ across studies, the available evidence indicates that UI and OAB are highly prevalent conditions among women. UI had negative effect on QoL, but only severely-affected women sought medical care. Public health and clinical management programs are needed to determine diagnosis and management of these social problems.
调查土耳其女性膀胱过度活动症和尿失禁的患病率及危险因素;此外,评估其对生活质量的影响。
对育龄期女性开展一项横断面流行病学研究,以确定膀胱过度活动症、尿失禁、ICIQ-SF评分及寻求医疗护理情况。
女性平均年龄为34.4±5.26岁。尿失禁患病率为26.9%。压力性尿失禁是主要类型。尿失禁患病率随年龄、体重指数、妊娠次数和分娩子女数增加而升高。膀胱过度活动症患病率为20.7%。患有膀胱过度活动症的女性比未患该病的女性年龄更大且妊娠次数更多。夜间遗尿史是膀胱过度活动症和急迫性尿失禁的重要危险因素。混合性尿失禁的女性漏尿更频繁、量更多。10.7%的女性因自身病情寻求医疗护理。
尽管不同研究的患病率估计有所不同,但现有证据表明尿失禁和膀胱过度活动症在女性中非常普遍。尿失禁对生活质量有负面影响,但只有受严重影响的女性才寻求医疗护理。需要公共卫生和临床管理项目来确定这些社会问题的诊断和管理方法。