Hakimi Sevil, Aminian Elham, Alizadeh Charandabi Sakineh Mohammad-, Bastani Parvin, Mohammadi Marzieh
1 School of Nursing and Midwifery, Tabriz University of Medical Science, Tabriz - Iran.
2 Women's Reproductive Health Research Center, Tabriz University of Medical Science, Tabriz - Iran.
Urologia. 2018 Feb;85(1):10-14. doi: 10.1177/0391560317750484.
Overactive bladder syndrome is a common and annoying complication worldwide that could negatively affect the quality of life of afflicted individuals. We aimed to determine the prevalence and risk factors of overactive bladder syndrome and its relation to sexual function in healthy menopausal women.
This cross-sectional study was done on 340 women aged 45-60 years in Tabriz, northwest Iran, during 2015-2016. Data were collected using a demographic data questionnaire, the Overactive Bladder Syndrome Score, and the McCoy Female Sexuality Questionnaire.
Fifty-six (16.5%), 63 (18.5%), and 10 (2.9%) of the participating women had mild, moderate, and severe overactive bladder syndrome, respectively. Predictors of overactive bladder included: night sweats, central prolapse, episiotomy, varicose disease, illiteracy or education at the primary level, systolic blood pressure >140 mmHg and lack of physical activity. We found a significant difference between the women with and without overactive bladder with respect to the total score and sub-domain scores related to sex partner (p = 0.029) and sexual interest (p = 0.049).
The prevalence of overactive bladder was quite high in this study. Since sexual dysfunction is not an easy topic to talk about and can affect women's quality of life, physicians should consider talking about these issues besides urinary issues to all middle-aged women.
膀胱过度活动症是一种在全球范围内常见且令人困扰的并发症，会对患者的生活质量产生负面影响。我们旨在确定健康绝经后女性膀胱过度活动症的患病率、危险因素及其与性功能的关系。
2015年至2016年期间，对伊朗西北部大不里士的340名45至60岁的女性进行了这项横断面研究。使用人口统计学数据问卷、膀胱过度活动症评分和麦考伊女性性功能问卷收集数据。
参与研究的女性中，分别有56名（16.5%）、63名（18.5%）和10名（2.9%）患有轻度、中度和重度膀胱过度活动症。膀胱过度活动症的预测因素包括：盗汗、子宫脱垂、会阴切开术、静脉曲张疾病、文盲或小学文化程度、收缩压>140 mmHg以及缺乏体育活动。我们发现，在与性伴侣相关的总分和子领域得分（p = 0.029）以及性兴趣得分（p = 0.049）方面，患有和未患有膀胱过度活动症的女性之间存在显著差异。
本研究中膀胱过度活动症的患病率相当高。由于性功能障碍是一个不易谈论的话题，且会影响女性的生活质量，医生应在处理泌尿系统问题之外，考虑与所有中年女性讨论这些问题。
