Abstract
We examined the impact of stress urinary incontinence (SUI) and overactive bladder (OAB) on micturition habits and health-related quality of life (QOL). A total of 250 Korean women were included in the study. The Medical Outcomes Study Short Form (SF-36) and the King’s Health Questionnaire (KHQ) were used to assess QOL in the patient (SUI, n=158 and OAB, n=92) and control (n=70) groups. A control group was recruited at the Health Promotion Center of our hospital. Each of the dimension scores in the SF-36 represents better health, while that of the KHQ does worse health perception. On the frequency-volume charts, patients with OAB had more nighttime voids than those with SUI (P=0.001). Of the eight domains in the SF-36 questionnaire, four domains were significantly different between the control and OAB groups. Patients with SUI had a significantly lower score on one domain than the controls. Between the SUI and OAB groups, only one domain showed a significant difference. Regarding the KHQ, all domain scores in control subjects were significantly lower than those in the SUI and OAB groups. Between the SUI and OAB groups, the OAB group had higher scores on ‘general health perception’ and ‘sleep/energy disturbances’, while the scores of ‘physical limitations’ and ‘severity measures’ were higher in the SUI group. Women with OAB have a higher number of nocturic episodes than those with SUI, but the QOL is not less affected by SUI than by OAB. Furthermore, simultaneous disease-specific QOL instruments should be used in the evaluation of urinary incontinence because the generic QOL instrument is not a sensitive tool for measuring QOL in this population.
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Klutke C, Siegel S, Carlin B, Paszkiewicz E, Kirkemo A, Klutke J (2001) Urinary retention after tension-free vaginal tape procedure: incidence and treatment. Urology 58:697–701
Simeonova Z, Milsom I, Kullendorff AM, Molander U, Bengtsson C (1999) The prevalence of urinary incontinence and its influence on the quality of life in women from an urban Swedish population. Acta Obstet Gynecol Scand 78:546–551
Grimby A, Milsom I, Molander U, Wiklund I, Ekelund P (1993) The influence of urinary incontinence on the QOL of older women. Age Ageing 22:82–89
Abrams P, Cardozo L, Fall M et al (2002) The standardization of terminology of lower urinary tract function: report from the Standardisation Subcommittee of the International Continence Society. Neurourol Urodyn 21:167–178
Hunskaar S, Vinsnes A (1991) The quality of life in women with urinary incontinence as measured by the sickness impact profile. J Am Geriatr Soc 39:378–382
Samuelsson E, Victor A, Tibblin G (1997) A population study of urinary incontinence and nocturia among women aged 20–59 years. Prevalence, well-being and wish for treatment. Acta Obstet Gynecol Scand 76:74–80
Manocchia M, Bayliss MS, Connor J et al (1998) SF-36 health survey annotated bibliography, 2nd edn (1988–1996). The Health Assessment Lab, New England Medical Center, Boston, MA
Kelleher CJ, Cardozo LD, Khullar V, Salvatore S (1997) A new questionnaire to assess the quality of life of urinary incontinent women. Br J Obstet Gynaecol 104:1374–1379
Bidmead J, Cardozo L, McLellan A, Khullar V, Kelleher C (2001) A comparison of the objective and subjective outcomes of colposuspension for stress incontinence in women. BJOG 108:408–413
Uemura S, Homma Y (2004) Reliability and validity of King’s Health Questionnaire in patients with symptoms of overactive bladder with urge incontinence in Japan. Neurourol Urodyn 23:94–100
Larsson G, Victor A (1988) Micturition patterns in a healthy female population, studied with a frequency/volume chart. Scand J Urol Nephrol Suppl 114:53–57
Abrams P, Klevmark B (1996) Frequency volume charts. An indispensable part of lower urinary tract assessment. Scand J Urol Nephrol Suppl 179:47–53
Robinson D, McClish DK, Wyman JF, Bumper RC, Fantl JA (1996) Comparison between urinary diaries completed with and without intensive patient instructions. Neurourol Urodyn 15:143–148
Matthiesen TB, Rittig S, Mortensen JT, Djurhuus JC (1999) Nocturia and polyuria in men referred with lower urinary tract symptoms, assessed using a 7-day frequency-volume chart. BJU Int 83:1017–1022
van Kerrebroeck P, Abrams P, Chaikin D et al (2002) The standardisation of terminology in nocturia: report from the Standardisation Sub-committee of the International Continence Society. Neurourol Urodyn 21:179–183
Weiss JP, Blaivas JG, Stember DS, Brooks MM (1998) Nocturia in adults: etiology and classification. Neurourol Urodyn 17:467–472
Ware JE Jr, Sherbourne CD (1992) The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 30:473–483
Ware JE Jr, Snow KK, Kosinski M, Gandek B (1997) SF-36 health survey: manual and interpretation guide. The Health Institute, New England Medical Center, Boston, Massachusetts
Oh SJ, Park HG, Paick SH, Park WH, Choo MS (2005) Translation and linguistic validation of Korean version of the King’s Health Questionnaire instrument. Korean J Urol 46:438–450
Temml C, Haidinger G, Schmidbauer J, Schatzl G, Madersbacher S (2000) Urinary incontinence in both sexes: prevalence rates and impact on quality of life and sexual life. Neurourol Urodyn 19:259–271
Fultz NH, Burgio K, Diokno AC et al (2003) Burden of stress urinary incontinence for community-dwelling women. Am J Obstet Gynecol 189:1275–1282
Moller LA, Lose G, Jorgensen T (2000) The prevalence and bothersomeness of lower urinary tract symptoms in women 40–60 years of age. Acta Obstet Gynecol Scand 79:298–305
Burgio KL, Matthews KA, Engel BT (1991) Prevalence, incidence and correlates of urinary incontinence in healthy, middle-aged women. J Urol 146:1255–1259
Hannestad YS, Rortveit G, Sandvik H, Hunskaar (2000) A community-based epidemiological survey of female urinary incontinence: the Norwegian EPINCONT study. Epidemiology of incontinence in the county of Nord-Trondelag. J Clin Epidemiol 53:1150–1157
Norton PA, MacDonald LD, Sedgwick PM, Stanton SL (1988) Distress and delay associated with urinary incontinence, frequency, and urgency in women. BMJ 297:1187–1189
Vinker S, Kaplan B, Nakar S, Samuels G, Shapira G, Kitai E (2001) Urinary incontinence in women: prevalence, characteristics and effect on quality of life. A primary care clinic study. Isr Med Assoc J 3:663–666
Macaulay AJ, Stern RS, Holmes DM, Stanton SL (1987) Micturition and the mind: psychological factors in the aetiology and treatment of urinary symptoms in women. Br Med J 294:540–543
Buchsbaum GM, Chin M, Glantz C, Guzick D (2002) Prevalence of urinary incontinence and associated risk factors in a cohort of nuns. Obstet Gynecol 100:226–229
Nygaard I, Turvey C, Burns TL, Crischilles E, Wallace R (2003) Urinary incontinence and depression in middle-aged United States women. Obstet Gynecol 101:149–156
Abrams P, Kelleher CJ, Kerr LA, Rogers RG (2000) Overactive bladder significantly affects quality of life. Am J Manag Care 6(11 Suppl):S580–S590
Milsom I, Abrams P, Cardozo L, Roberts RG, Thuroff J, Wein AJ (2001) How widespread are the symptoms of an overactive bladder and how are they managed? A population-based prevalence study. BJU Int 87:760–766
Stewart WF, Van Rooyen JB, Cundiff GW et al (2003) Prevalence and burden of overactive bladder in the United States. World J Urol 20:327–336
Komaroff AL, Fagioli LR, Doolittle TH et al (1996) Health status in patients with chronic fatigue syndrome and in general population and disease comparison groups. Am J Med 101:281–290
Brown JS, Subak LL, Gras J, Brown BA, Kuppermann M, Posner SF (1998) Urge incontinence: the patient’s perspective. J Womens Health 7:1263–1269
Lenderking WR, Nackley JF, Anderson RB, Testa MA (1996) A review of the quality-of-life aspects of urinary urge incontinence. Pharmacoeconomics 9:11–23
Ho-Yin PL, Man-Wah P, Shing-Kai Y (2003) Effects of aging on generic SF-36 quality of life measurements in Hong Kong Chinese women with urinary incontinence. Acta Obstet Gynecol Scand 82:275–279
Coyne KS, Zhou Z, Thompson C, Versi E (2003) The impact on health-related quality of life of stress, urge and mixed urinary incontinence. BJU Int 92:731–735
Lenderking WR, Nackley JF, Anderson RB, Testa MA (1996) A review of the quality-of-life aspects of urinary urge incontinence. Pharmacoeconomics 9:11–23
Kelleher CJ, Cardozo LD, Toozs-Hobson PM (1995) Quality of life and urinary incontinence. Curr Opin Obstet Gynecol 7:404–408
Wyman JF, Harkins SW, Choi SC, Taylor JR, Fantl JA (1987) Psychosocial impact of urinary incontinence in women. Obstet Gynecol 70:378–381
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Oh, SJ., Ku, J.H. Impact of stress urinary incontinence and overactive bladder on micturition patterns and health-related quality of life. Int Urogynecol J 18, 65–71 (2007). https://doi.org/10.1007/s00192-006-0112-z
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DOI: https://doi.org/10.1007/s00192-006-0112-z