https://doi.org/10.4081/uij.2011.e18

Prevalence of urinary incontinence and other lower tract urinary symptoms in patients with uterine myomas

Vol. 25 No. 1 (2011)
Submitted: 6 September 2011
Accepted: 28 November 2011
Published: 20 December 2011
overactive bladder, incontinence, women, fibroids, myomas
Abstract Views: 509
PDF: 220
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Authors

Dorota Borawski
Martin H. Bluth
mbluth@med.wayne.edu
Wayne State University School of Medicine Detroit Medical Center, United States.
Wellman W. Cheung
SUNY Downstate Medical Center, United States.
To study the prevalence and risk factors of the overactive bladder, urinary incontinence and other lower tract urinary symptoms in patients with uterine myomas, female patients with established diagnosis of the uterine myomas presenting to gynecology clinic were invited to answer a self-administered questionnaire, which included questions on evidence of lower urinary tract symptoms [modified Overactive Bladder-Validated 8-question Screener (OAB-V8)]. Demographic data, relevant medical and surgical history, and pelvic ultrasound findings were reviewed from the patients charts. Statistical significance of relationship between OAB, stress incontinence and urge incontinence in relation to body mass index (BMI), uterine volume and size of dominant myoma were analyzed using 2-taild exact Fisher test and Wilcoxon test. Ninty-eight patients (28 to 81 years) completed the questionnaire over a period of 3 months. The majority were premenopausal and had detectable myomas on ultrasound. OAB was present in 47.9% women. No significant statistical relation between size and volume of the uterus and overactive bladder, urge incontinence, stress incontinence and mixed incontinence was noted. Observation of OAB subtypes with urge and stress incontinence in premenopausal patients with uterine myomas was statistically significant in comparison with premenopausal women studied (60.8% vs 15.3 and 63% vs 6.8, respectively; P<0.001). Overall prevalence of OAB was similar in both groups. Our study showed the higher prevalence of overactive bladder than in the general population, however overall OAB prevalence related to fibroids did not show statistical significance. OAB-stress incontinence and OABurge incontinence subtypes were associated with uterine myomas.

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Martin H. Bluth, Wayne State University School of Medicine Detroit Medical Center
Department of Pathology
Wellman W. Cheung, SUNY Downstate Medical Center
Departments of Urology and Obstetrics/Gynecology

How to Cite

Borawski, D., Bluth, M. H., & Cheung, W. W. (2011). Prevalence of urinary incontinence and other lower tract urinary symptoms in patients with uterine myomas. Urogynaecologia, 25(1), e18. https://doi.org/10.4081/uij.2011.e18

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