Ahmad S M, Aznal S S, Tham S W
Siti Maisarah Ahmad MBBS, MOG Department of Obstetrics and Gynaecology Hospital Sultan Ismail, Johor, Malaysia Email:
Sharifah Sulaiha Syed Aznal (Corresponding author) MBChB, MOG International Medical University, Clinical School, Jalan Rasah 70300 Seremban, Negeri Sembilan, Malaysia. Email:
Malays Fam Physician. 2015 Aug 31;10(2):2-8. eCollection 2015.
The objective of this paper was to determine the prevalence of overactive bladder syndrome (OABS) and its risk factors among patients with other gynaecological problems.
This study was conducted on women aged more than 18 years who attended the gynaecology clinic for various diagnoses other than urinary problems at a tertiary hospital in Negeri Sembilan, Malaysia, for a period of 6 months. Data on patient's profile, symptoms and risk factors for overactive bladder (OAB) were prospectively collected using a structured questionnaire adapted from ICIQ (international consultation on incontinence questionnaire). Exclusion criteria included patients with confirmed diagnosis of stress incontinence or OAB, neurological impairment, gynaecological malignancy and those with a previous history of pelvic radiation. Chi-square test and logistic regression test were used in the statistical analysis. We presented the odds ratio (OR) and 95% confidence interval for each of the OAB symptoms with p-value of 0.05.
The prevalence of OAB among the patients (n = 573) in this study was 19.1%. History of giving births to macrosomic babies and presence of utero-vaginal prolapse (UVP) were shown to be significantly associated with OAB in the multivariate analysis. Other factors were advanced age, high parity and menopausal for more than 5 years. More than half of the patients with the symptoms of OAB did not seek treatment, as they did not think it is necessary.
It is found that the prevalence of OAB is similar with many other studies conducted elsewhere. It was found to be multifactorial, but was highly significantly related with the presence of UVP, especially cystocoele and history of giving births to macrosomic babies.
本文旨在确定膀胱过度活动症（OABS）在患有其他妇科问题的患者中的患病率及其危险因素。
本研究针对年龄超过18岁、因除泌尿系统问题外的各种诊断而前往马来西亚森美兰州一家三级医院妇科门诊就诊的女性进行，为期6个月。使用从国际尿失禁咨询问卷（ICIQ）改编而来的结构化问卷，前瞻性收集患者的个人资料、膀胱过度活动症（OAB）症状及危险因素数据。排除标准包括确诊为压力性尿失禁或OAB、神经功能障碍、妇科恶性肿瘤以及有盆腔放疗史的患者。统计分析采用卡方检验和逻辑回归检验。我们给出了每个OAB症状的比值比（OR）和95%置信区间，p值为0.05。
本研究中患者（n = 573）的OAB患病率为19.1%。多因素分析显示，分娩巨大儿史和子宫阴道脱垂（UVP）与OAB显著相关。其他因素包括高龄、多产以及绝经超过5年。超过一半有OAB症状的患者未寻求治疗，因为他们认为没有必要。
发现OAB的患病率与其他地方进行的许多其他研究相似。发现其病因是多因素的，但与UVP的存在，尤其是膀胱膨出和分娩巨大儿史高度显著相关。
