Prevalence of lower urinary tract symptoms and influencing factors in women

Year 2021, Volume: 46 Issue: 3, 1040 - 1049, 30.09.2021

Arife Zuhal Değirmencioğlu Semra Kocaöz Rabiye Çırpan

https://doi.org/10.17826/cumj.908652

Cited By: 1

Abstract

Purpose: This study was conducted to determine the prevalence of LUTS in women and the influencing risk factors.
Materials and Methods: This cross-sectional study was conducted with 377 women who presented to the internal medicine outpatient departments of a training and research hospital for examination. The data were collected with a questionnaire form and the “Bristol Female Lower Urinary Tract Symptoms-Short Form (BFLUTS-SF)”.
Results: The prevalence of at least one LUTS in women was 92.3%. A statistically significant relationship was found between the menopausal status, chronic cough, stress urinary incontinence (SUI) presence in the mother or sister, the presence of a large baby and SUI in a previous pregnancy, and the BFLUTS-SF total scores.
Conclusion: We found that storage-related symptoms were most common in these women, and LUTS affected the sexual life and quality of life negatively. Therefore, it is necessary to increase the sensitivity of health professionals to this issue, and to raise the awareness of women about the risk factors, prevention, diagnosis and treatment of LUTS with future training.

Keywords

Lower urinary tract symptoms, prevalence, risk factors, women

Supporting Institution

Yok

Project Number

Yok

Thanks

The authors are grateful to all the participants and an interviewer in the study

Kadınlarda alt üriner sistem semptomlarının prevalansı ve etkileyen faktörler

Abstract

Amaç: Bu araştırma, kadınlarda alt üriner sistem semptomları (LUTS)’nın prevalansını ve bunu etkileyen risk faktörlerin belirlenmesi amacıyla yapılmıştır.
Gereç ve Yöntem: Kesitsel tipte olan bu çalışma, bir eğitim ve araştırma hastanesinin dahiliye polikliniklerine muayene olmak amacıyla gelen 377 kadınla yapılmıştır. Veriler, bir anket formu ve “Bristol Kadın Alt Üriner Sistem Semptomları-Kısa Form (BKAÜSS-KF)” ile toplanmıştır.
Bulgular: Kadınlarda en az bir LUTS’un görülme prevalansı %92.3’dır. Menopozal durum, kronik öksürük, anne veya kız kardeşte stres üriner inkontinans (SUİ) olma durumu, iri bebek doğumu ve önceki gebeliğinde SUİ varlığı ile BKAÜSS-KF toplam puanları arasında istatistiksel olarak anlamlı bir ilişki olduğu saptanmıştır .
Sonuç: Kadınlarda en fazla depolamayla ilgili semptomların görüldüğü, LUTS’un seksüel hayatı ve yaşam kalitesini olumsuz yönde etkilediği tespit edilmiştir. Bu nedenle yapılacak olan eğitimlerle sağlık profesyonellerinin bu konudaki duyarlılıklarının artırılması ve kadınların LUTS’un risk faktörleri, önlenmesi, tanı ve tedavisi hakkında bilinçlendirilmesi gerekmektedir.

Keywords

Alt üriner sistem semptomları, prevalans, risk faktörleri, kadınlar

Project Number

Yok

References

• Abrams P, Cardozo L, Fall M, et al. The standardisation of terminology in lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society. Urology. 2003; 61: 37-49.
• Bradway C, Coyne KS, Irwin D, Koop Z. Lower urinary tract symptoms in women- a common but neglected problem. J Am Acad Nurse Pract. 2008; 20: 311-318.
• Bilgic D, Kizilkaya Beji N. Lower urinary tract symptoms in women and quality of life. International Journal of Urological Nursing. 2010; 4: 97-105.
• Zhang W, Song Y, He X, et al. Prevalence and risk factors of lower urinary tract symptoms in Fuzhou Chinese women. Eur Urol. 2005; 48: 309–313.
• Kupelian V, Wei JT, O’Leary M, et al. Prevalence of lower urinary tract symptoms and effect on quality of life in a racially and ethnically diverse random sample: the Boston Area Community Health (BACH) Survey. Arch Intern Med. 2006; 166: 2381-2387.
• Coyne KS, Sexton CC, Thompson CL., et al. The prevalence of lower urinary tract symptoms (LUTS) in the USA, the UK and Sweden: results from the epidemiology of LUTS (EpiLUTS) study. BJU Int. 2010; 104: 352-360.
• Chuang F-C, Kuo H-C. Prevalence of lower urinary tract symptoms in indigenous and non-indigenous women in Eastern Taiwan. J Formos Med Assoc. 2010; 109; 228-236.
• Lee Y-S, Lee K-S, Jung, JH, et al. Prevalence of overactive bladder, urinary incontinence, and lower urinary tract symptoms: results of Korean EPIC study. World J Urol. 2011; 29: 185-190.
• Irwin DE, Kopp ZS, Agatep B, Milsom L, Abrams P. Worldwide prevalence estimates of lower urinary tract symptoms, overactive bladder, urinary incontinence and bladder outlet obstruction. BJU Int. 2011; 108: 1132-1138.
• Wu M-P, Hsu Y-W, Weng S-F, Ho C-H., Wang J-J., Tong Y-C. Healthcare seeking prevalence of lower urinary tract symptoms among national health insurance enrollees in Taiwan, 2000-2009. Urology, 2013; 81: 61-65.
• Zumrutbas AE, Bozkurt AI, Tas E, et al. Prevalence of lower urinary tract symptoms, overactive bladder and urinary incontinence in western Turkey: Results of a population-based survey. Int J Urol. 2014; 21:1027-1033.
• Kogan MI, Zachoval R, Ozyurt C, Schäfer T, Christensen N. Epidemiology and impact of urinary incontinence, overactive bladder, and other lower urinary tract symptoms: results of the EPIC survey in Russia, Czech Republic, and Turkey. Curr Med Res Opin. 2014; 30: 2119-2130.
• Zhang L, Zhu L, Xu T, et al. A population-based survey of the prevalence, potential risk factors, and symptom specific bother of lower urinary tract symptoms in adult Chinese women. Eur Urol. 2015; 68: 97-112.
• Wang Y, Hu H, Xu K, Wang X, Na Y, Kang X. Prevalence risk factors and the bother of lower urinary tract symptoms in China: A population-based survey. Int Urogynecol J. 2015; 26: 911-919.
• Chapple C, Castro-Diaz D, Chuang Y-C, et al. Prevalence of lower urinary tract symptoms in China, Taiwan, and South Korea: results from a cross-sectional, population-based study. Adv Ther. 2017; 34:1953-1965.
• Soler R, Gomes CM, Averbeck MA, Koyama M. The prevalence of lower urinary tract symptoms (LUTS) in Brazil: Results from the epidemiology of LUTS (Brazil LUTS) Study. Neurourol Urodyn. 2018; 37: 1356–1364.
• Yoo TK., Lee K-S, Sumarsono B, et al. The prevalence of lower urinary tract symptoms in population aged 40 years or over, in South Korea. Invest Clin Urol. 2018; 59: 166-176.
• Takahashi S, Takei M, Nishizawa O, et al. Clinical Guideline for Female Lower Urinary Tract Symptoms. Low Urin Tract Symptoms. 2016; 8: 5-29.
• Vahabi B, Wagg AS., Rosier PFWM., et al. Can we define and characterize the aging lower urinary tract?-ICI-RS 2015. Neurourol Urodyn. 2017; 36: 854-858.
• Yu C-J, Hsu C-C, Lee W-C, Chiang P-H, Chuang Y-C. Medical diseases affecting lower urinary tract function. Urological Science. 2013; 24: 41-45.
• Cox L, Rovner ES. Lower urinary tract symptoms in women: epidemiology, diagnosis, and management. Curr Opin Urol. 2016 Jul; 26: 328-333.
• Erdoğan S, Nahcivan N, Esin N. Research in Nursing: Process, Practice and Critical. 2nd ed. İstanbul: Nobel Kitabevleri; 2015, p. 188-189. (Turkish)
• Sever N, Oskay U. An investigation of lower urinary tract symptoms in women aged 40 and over. Low Urin Tract Symptoms. 2017; 9: 21-26.
• Jackson S, Donovan J, Brookes S. The Bristol Female Lower Urinary Tract Symptoms Questionnaire: development and Psyhometric testing. Br J Urol. 1996; 77: 805 -812.
• Güngör F, Yalçın Ö. Comparison of the clinical and urodynamic effects of TVT and TVT-O in the treatment of stress urinary incontinence. [PhD Thesis], Istanbul: Istanbul Universities Institute of Health Sciences, Turkey; 2005. (Turkish)
• Harlow BL, Bavendam TG, Palmer MH, et al. The prevention of lower urinary tract symptoms (PLUS) research consortium: A transdisciplinary approach toward promoting bladder health and preventing lower urinary tract symptoms in women across the life course. J Womens Health. 2018; 27: 283-289.
• Oriá MOB, Mitchell EM, Vasconcelos CTM, et al. Prevalence of lower urinary tract symptoms and social determinants in primary care users in Brazil. Int Urogynecol J. 2018; 29: 1825-1832.
• Güvenç G, Kocaöz S, Kök G. Quality of life in climacteric Turkish women with urinary incontinence. Int J Nurs Pract. 2016; 22: 649-659.
• Calleja-Agius J, Brincat MP. The urogenital system and the menopause. Climacteric. 2015; 18 (Suppl 1):18-22.
• Aydın A, Kocaöz S, Kara P. Prevalence of lower urinary tract symptoms in pregnant adolescents and the influencing factors. J Pediatr Adolesc Gynecol. 2020; 33: 160-166.
• Alling Møller L, Lose G, Jørgensen T. Risk factors for lower urinary tract symptoms in women 40 to 60 years of age. Obstet Gynecol. 2000; 96: 446-451.
• Kocaöz S, Eroğlu K. Conservative treatment methods of stress urinary incontinence during pregnancy and after vaginal delivery and roles of nurse: review. Turkiye Klinikleri J Nurs Sci. 2009; 1: 94-102. (Turkish)