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Kadınlarda farklı üriner inkontinans tiplerinde hasta özelliklerinin ve üriner parametrelerin karşılaştırılması: retrospektif bir çalışma

Year 2015, Volume: 2 Issue: 3, 93 - 100, 01.12.2015

Abstract

Amaç: Bu çalışmanın amacı, stres üriner inkontinans, urgency üriner inkontinans ve mikst üriner inkontinans teşhisi alan kadınlarda hasta karakteristikleri ve üriner parametreleri tanımlamak ve karşılaştırmaktı.

Yöntem: Üriner inkontinans teşhisi alan 108 olgunun, medikal, demografik, fiziksel karakteristikleri, pelvik taban kas fonksiyonları, inkontinans şiddetleri, yaşam kaliteleri ve üriner parametreleri retrospektif olarak üriner inkontinans tipine göre analiz edildi ve gruplar arası karşılaştırıldı. Bu olguların 50’sine stres üriner inkontinans, 16’sına urgency üriner inkontinans, 42’sine ise mikst üriner inkontinans teşhisi konulmuştur. Çalışma grupları sayısal değişkenler için Kruskal Wallis testi veya Mann-Whitney U testi ile kategorik değişkenler için ki-kare testi ile karşılaştırıldı. 0.05’ten küçük olasılık değeri (p) istatistiksel olarak anlamlı kabul edildi.

Bulgular: Üç grup arasında medikal karakteristikler, yaş, pelvik taban kas kuvveti, yaşam kalitesi skoru, ortalama işeme hacmi ve işeme frekansı arasında istatistiksel açıdan bir fark yokken (p˃0.05), vücut kütle indeksi, doğum sayısı, pelvik taban kas enduransı, inkontinans şiddeti, maksimum işeme hacmi ve kaçırma frekansı açısından istatistiksel açıdan anlamlı fark (p˂0.05) bulundu.

Sonuç: Üriner inkontinansın en yaygın tipleri olan stres üriner inkontinans, urgency üriner inkontinans ve mikst üriner inkontinans teşhisi alan kadınlarda, benzer ve farklılık gösteren hasta karakteristikleri ve üriner karakteristikler vardır. Sonuçları daha iyi yorumlayabilmek için daha geniş örneklem büyüklüğünde ileri çalışmalara ihtiyaç vardır.


References

  • 1. Haylen BT, de Ridder D, Freeman RM, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Neurourol Urodyn. 2010;29:4-20.
  • 2. Ayeleke RO, Hay-Smith EJ, Omar MI. Pelvic floor muscle training added to another active treatment versus the same active treatment alone for urinary incontinence in women. Cochrane Database Syst Rev. 2013;11:CD010551.
  • 3. Dumoulin C, Hay-Smith J. Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. Cochrane Database Syst Rev. 2010(1):CD005654.
  • 4. Mattiasson A. Overactive Bladder. In: Evidence-Based Physical Therapy for the Pelvic Floor. Bo K, Berghmans B, Morkved S, Van Kampen M, editors. Heidi Harrison; 2007: p.201-208.
  • 5. Gunnarsson M, Mattiasson A. Female stress, urge, and mixed urinary incontinence are associated with a chronic and progressive pelvic floor/vaginal neuromuscular disorder: An investigation of 317 healthy and incontinent women using vaginal surface electromyography. Neurourol Urodyn. 1999;18:613-621.
  • 6. Petros PE, Ulmsten UI. An integral theory and its method for the diagnosis and management of female urinary incontinence. Scand J Urol Nephrol Suppl. 1993;153:1-93.
  • 7. Cam C, Sakalli M, Ay P, et al. Validation of the short forms of the incontinence impact questionnaire (IIQ-7) and the urogenital distress inventory (UDI-6) in a Turkish population. Neurourol Urodyn. 2007;26:129-133.
  • 8. Bradley CS, Rovner ES, Morgan MA, et al. A new questionnaire for urinary incontinence diagnosis in women: development and testing. Am J Obstet Gynecol. 2005;192:66-73.
  • 9. Kaya S, Akbayrak T, Gursen C, et al. Shortterm effect of adding pelvic floor muscle training to bladder training for female urinary incontinence: a randomized controlled trial. Int Urogynecol J. 2015;26:285-293.
  • 10. Sandvik H, Hunskaar S, Seim A, et al. Validation of a severity index in female urinary incontinence and its implementation in an epidemiological survey. J Epidemiol Community Health. 1993;47:497-499.
  • 11. Sandvik H, Seim A, Vanvik A, et al. A severity index for epidemiological surveys of female urinary incontinence: comparison with 48-hourpad-weighing tests. Neurourol Urodyn. 2000;19:137-145.
  • 12. Jimenez-Cidre MA, Lopez-Fando L, Esteban-Fuertes M, et al. The 3-day bladder diary is a feasible, reliable and valid tool to evaluate the lower urinary tract symptoms in women. Neurourol Urodyn. 2015;34:128-132.
  • 13. van der Vaart CH, van der Bom JG, de Leeuw JR, et al. The contribution of hysterectomy to the occurrence of urge and stress urinary incontinence symptoms. BJOG. 2002;109:149-154.
  • 14. Utomo E, Groen J, Vroom IH, et al. Urodynamic effects of volume-adjustable balloons for treatment of postprostatectomy urinary incontinence. Urology. 2013;81:1308-1314.
  • 15. Nitti VW. The prevalence of urinary incontinence. Rev Urol. 2001;3 Suppl 1:S2-6.
  • 16. Parazzini F, Chiaffarino F, Lavezzari M, et al. Risk factors for stress, urge or mixed urinary incontinence in Italy. BJOG. 2003;110:927-933.
  • 17. Teleman PM, Lidfeldt J, Nerbrand C, et al. Overactive bladder: prevalence, risk factors and relation to stress incontinence in middle-aged women. BJOG. 2004;111:600-604.
  • 18. Bernards AT, Berghmans BC, Slieker-Ten Hove MC, et al. Dutch guidelines for physiotherapy in patients with stress urinary incontinence: an update. Int Urogynecol J. 2014;25:171-179.
  • 19. Demaagd GA, Davenport TC. Management of urinary incontinence. Pharmacy and Therapeutics. 2012;37(6):345-361H.
  • 20. Parsons M, Amundsen CL, Cardozo L, et al. Bladder diary patterns in detrusor overactivity and urodynamic stress incontinence. Neurourol Urodyn. 2007;26:800-806.
  • 21. Amundsen CL, Parsons M, Tissot B, et al. Bladder diary measurements in asymptomatic females: functional bladder capacity, frequency, and 24-hr volume. Neurourol Urodyn. 2007;26:341-349.
  • 22. Jensen JK, Nielsen FR, Ostergard DR. The role of patient history in the diagnosis of urinary incontinence. Obstet Gynecol. 1994;83(5 Pt 2):904-910.
Year 2015, Volume: 2 Issue: 3, 93 - 100, 01.12.2015

Abstract

References

  • 1. Haylen BT, de Ridder D, Freeman RM, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Neurourol Urodyn. 2010;29:4-20.
  • 2. Ayeleke RO, Hay-Smith EJ, Omar MI. Pelvic floor muscle training added to another active treatment versus the same active treatment alone for urinary incontinence in women. Cochrane Database Syst Rev. 2013;11:CD010551.
  • 3. Dumoulin C, Hay-Smith J. Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. Cochrane Database Syst Rev. 2010(1):CD005654.
  • 4. Mattiasson A. Overactive Bladder. In: Evidence-Based Physical Therapy for the Pelvic Floor. Bo K, Berghmans B, Morkved S, Van Kampen M, editors. Heidi Harrison; 2007: p.201-208.
  • 5. Gunnarsson M, Mattiasson A. Female stress, urge, and mixed urinary incontinence are associated with a chronic and progressive pelvic floor/vaginal neuromuscular disorder: An investigation of 317 healthy and incontinent women using vaginal surface electromyography. Neurourol Urodyn. 1999;18:613-621.
  • 6. Petros PE, Ulmsten UI. An integral theory and its method for the diagnosis and management of female urinary incontinence. Scand J Urol Nephrol Suppl. 1993;153:1-93.
  • 7. Cam C, Sakalli M, Ay P, et al. Validation of the short forms of the incontinence impact questionnaire (IIQ-7) and the urogenital distress inventory (UDI-6) in a Turkish population. Neurourol Urodyn. 2007;26:129-133.
  • 8. Bradley CS, Rovner ES, Morgan MA, et al. A new questionnaire for urinary incontinence diagnosis in women: development and testing. Am J Obstet Gynecol. 2005;192:66-73.
  • 9. Kaya S, Akbayrak T, Gursen C, et al. Shortterm effect of adding pelvic floor muscle training to bladder training for female urinary incontinence: a randomized controlled trial. Int Urogynecol J. 2015;26:285-293.
  • 10. Sandvik H, Hunskaar S, Seim A, et al. Validation of a severity index in female urinary incontinence and its implementation in an epidemiological survey. J Epidemiol Community Health. 1993;47:497-499.
  • 11. Sandvik H, Seim A, Vanvik A, et al. A severity index for epidemiological surveys of female urinary incontinence: comparison with 48-hourpad-weighing tests. Neurourol Urodyn. 2000;19:137-145.
  • 12. Jimenez-Cidre MA, Lopez-Fando L, Esteban-Fuertes M, et al. The 3-day bladder diary is a feasible, reliable and valid tool to evaluate the lower urinary tract symptoms in women. Neurourol Urodyn. 2015;34:128-132.
  • 13. van der Vaart CH, van der Bom JG, de Leeuw JR, et al. The contribution of hysterectomy to the occurrence of urge and stress urinary incontinence symptoms. BJOG. 2002;109:149-154.
  • 14. Utomo E, Groen J, Vroom IH, et al. Urodynamic effects of volume-adjustable balloons for treatment of postprostatectomy urinary incontinence. Urology. 2013;81:1308-1314.
  • 15. Nitti VW. The prevalence of urinary incontinence. Rev Urol. 2001;3 Suppl 1:S2-6.
  • 16. Parazzini F, Chiaffarino F, Lavezzari M, et al. Risk factors for stress, urge or mixed urinary incontinence in Italy. BJOG. 2003;110:927-933.
  • 17. Teleman PM, Lidfeldt J, Nerbrand C, et al. Overactive bladder: prevalence, risk factors and relation to stress incontinence in middle-aged women. BJOG. 2004;111:600-604.
  • 18. Bernards AT, Berghmans BC, Slieker-Ten Hove MC, et al. Dutch guidelines for physiotherapy in patients with stress urinary incontinence: an update. Int Urogynecol J. 2014;25:171-179.
  • 19. Demaagd GA, Davenport TC. Management of urinary incontinence. Pharmacy and Therapeutics. 2012;37(6):345-361H.
  • 20. Parsons M, Amundsen CL, Cardozo L, et al. Bladder diary patterns in detrusor overactivity and urodynamic stress incontinence. Neurourol Urodyn. 2007;26:800-806.
  • 21. Amundsen CL, Parsons M, Tissot B, et al. Bladder diary measurements in asymptomatic females: functional bladder capacity, frequency, and 24-hr volume. Neurourol Urodyn. 2007;26:341-349.
  • 22. Jensen JK, Nielsen FR, Ostergard DR. The role of patient history in the diagnosis of urinary incontinence. Obstet Gynecol. 1994;83(5 Pt 2):904-910.
There are 22 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Serap Kaya This is me

Türkan Akbayrak

Ceren Orhan This is me

Sinan Beksaç This is me

Publication Date December 1, 2015
Submission Date July 13, 2015
Published in Issue Year 2015 Volume: 2 Issue: 3

Cite

Vancouver Kaya S, Akbayrak T, Orhan C, Beksaç S. Kadınlarda farklı üriner inkontinans tiplerinde hasta özelliklerinin ve üriner parametrelerin karşılaştırılması: retrospektif bir çalışma. JETR. 2015;2(3):93-100.