Kaptan Hulagu, Kulaksızoğlu Haluk, Kasımcan Ömür, Seçkin Bedreddin
Dokuz Eylül University, Medical Faculty, Department of Neurosurgery, Izmir, Turkey.
Bilim University, Medical Faculty, Department of Urology, Konya, Turkey.
Open Access Maced J Med Sci. 2016 Dec 15;4(4):665-669. doi: 10.3889/oamjms.2016.129. Epub 2016 Nov 30.
Urinary incontinence (UI) is a common dysfunction, affecting especially women of all ages. The terminology of low back pain (LBP) and radiculopathy (RP) may be misused interchangeably with each other. There are many reports of the association with LBP and incontinence but those involving compression of nerve root(as RP), has not been distinguished from isolated low back pain. This study was structured to analyse the association of UI, LBP and RP.
One hundred twenty patients were included in the study. Patients with spinal or urinary infection, tumour (spinal or others), cauda equine, pelvic operation, spinal trauma, spinal surgery, urogenital pathology were not accepted for this study. Age and weight of all patients were determined. Oswestry Disability Index (ODI) was utilised for assessment of loss of function and SEAPI incontinence index was used for urinary incontinence. All patients were examined for neurological pathology to differentiate between the LBP and RP by department of neurosurgery. Student t-test and Mann-Whitney-U tests were used for statistical significance.
There was no statistical significance between low back pain with overall urinary incontinence (p = 0.131), urge (p = 0.103) or stress incontinence (p = 0.68), respectively. However; The statistical aspects were identified relationship between overall (p = 0.026) and urge (p = 0.001) urinary incontinence with radiculopathy. The association of urge incontinence and radiculopathy seems to show a more significant relationship. Yet there was no correlation between radiculopathy and stress incontinence (P = 0.062).
Low back pain should not be regarded as a predisposing factor for urinary incontinence; however, radiculopathy has a statistically positive correlation between overall incontinence and urge incontinence.
尿失禁（UI）是一种常见的功能障碍，尤其影响各年龄段的女性。下腰痛（LBP）和神经根病（RP）的术语可能会被相互误用。有许多关于LBP与尿失禁关联的报道，但那些涉及神经根受压（如RP）的情况，尚未与单纯的下腰痛区分开来。本研究旨在分析UI、LBP和RP之间的关联。
120例患者纳入本研究。患有脊柱或泌尿系统感染、肿瘤（脊柱或其他部位）、马尾综合征、盆腔手术、脊柱创伤、脊柱手术、泌尿生殖系统疾病的患者不纳入本研究。测定所有患者的年龄和体重。采用Oswestry功能障碍指数（ODI）评估功能丧失情况，采用SEAPI尿失禁指数评估尿失禁情况。所有患者均由神经外科进行神经病理学检查，以区分LBP和RP。采用学生t检验和曼-惠特尼-U检验进行统计学显著性分析。
下腰痛与总体尿失禁（p = 0.131）、急迫性尿失禁（p = 0.103）或压力性尿失禁（p = 0.68）之间均无统计学显著性差异。然而，统计学分析发现总体尿失禁（p = 0.026）和急迫性尿失禁（p = 0.001）与神经根病之间存在关联。急迫性尿失禁与神经根病之间的关联似乎更为显著。然而，神经根病与压力性尿失禁之间无相关性（P = 0.062）。
下腰痛不应被视为尿失禁的诱发因素；然而，神经根病与总体尿失禁和急迫性尿失禁之间存在统计学上的正相关。
