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Factors influencing self-perceived disease severity in women with stress urinary incontinence combined with or without urge incontinence

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Authors
Oh, Seung-June; Ku, Ja Hyeon; Hong, Sung Kyu; Kim, Soo Woong; Paick, Jae-Seung; Son, Hwancheol
Issue Date
2005-03-26
Publisher
Wiley-Blackwell
Citation
Neurourol Urodyn. 2005;24(4):341-7.
Keywords
Age FactorsFemaleHumansMenopause/physiologyMiddle AgedQuality of LifeQuestionnairesSocioeconomic FactorsUrinary Bladder/ultrasonographyUrinary Incontinence/*psychology/ultrasonographyUrinary Incontinence, Stress/*psychology/ultrasonographyUrination/physiology
Abstract
AIMS: The aim of this study was to assess the impact of patient-perceived disease severity (PPDS) on the quality of life (QoL) of women with urinary incontinence (UI) and to identify factors predicting PPDS. METHODS: A total of 109 women (mean age 54.9; range 31-77) with stress UI combined with or without urge UI were included in the primary analyses. The incontinence quality of life (I-QoL) devised during the course of this study was used to assess the QOL impact of UI. RESULTS: PPDS of women with UI increased as I-QoL scores decreased (P<0.001). When analyzed by patient characteristics and objective test results, PPDS increased only with the number of episodes (P=0.005) and pad test weight increased (P=0.010). By multivariate regression analysis, patients who complained of UI "three to four times a day or more" had 6.4-fold higher risk (P=0.027) of perceiving that their symptoms were more severe than those who complained of a UI "one to two times per week or less." Patients with a pad test weight of >25 g had a 4.7-fold higher risk of perceiving their symptoms were more severe than those with a pad test weight of <15 g. CONCLUSIONS: Our results suggest that the frequency of UI episodes and the volume of urine loss are associated with PPDS. In addition, the I-QoL scores deteriorated significantly as the PPDS of incontinence increased. Thus, PPDS may impact on the QoL of women with stress UI combined with or without urge UI.
ISSN
0733-2467 (Print)
Language
English
URI
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=15791635

http://hdl.handle.net/10371/11573
DOI
https://doi.org/10.1002/nau.20130
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College of Medicine/School of Medicine (의과대학/대학원)Urology (비뇨기과학전공)Journal Papers (저널논문_비뇨기과학전공)
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