|Title:||Urodynamically Age-Specific Prevalence of Urinary Incontinence in Women with Urinary Symptoms||Authors:||LIN, HO-HSIUNG
|Keywords:||CLASSIFICATION;DEFINITION;POPULATION;COMMUNITY;SEVERITY||Issue Date:||2003||Journal Volume:||v.22||Journal Issue:||n.1||Start page/Pages:||29-32||Source:||NEUROUROLOGY AND URODYNAMICS||Abstract:||
Aims: To determine the age-specific prevalence rates of different types of urinary incontinence in women with urinary symptoms using urodynamic studies (UDS). Methods: One thousand five hundred women with urinary symptoms who underwent UDS in our department from January 1997 through December 1999 were enrolled. A detailed history, physical examination, and data of multi-channel UDS including uroflowmetry, filling and voiding cystometry, stress urethral pressure profile, and 20-minute pad test were obtained for each patient. The urodynamic findings of each patient were analyzed and correlated with age in decades. Results: Of 1,500 women, 329 were excluded from analysis because they had undergone anti-incontinence surgery (n = 27 ), had undergone treatment for cervical cancer (n = 147), or were being followed-up after medication (n = 155). Of the remaining 1, 171 patients, 656 (56%) had genuine stress incontinence (GSI), 68 (5.8%) had detrusor instability (DI), 187 (16%) had mixed GSI/DI, 245 (20.9%) had either voiding or storing dysfunction without concomitant incontinence, and 15 (1.3%) had normal urodynamic findings. The 41-50- and 51 -60-year age groups had the highest prevalence rates of urinary incontinence, accounting for 31% and 28% of GSI cases, 35% and 25% of DI cases, and 40% and 27% of mixed GSI /DI cases, respectively. The prevalence of GSI and mixed GSI /DI increased consistently with age, but the prevalence of DI decreased after age 66. Thus, the prevalence rates of GSI , DI, and mixed GSI/DI were 56%, 5.8%, and 16%, respectively , in women with urinary symptoms. Conclusions: Female urinary incontinence had a biogenic peak prevalence in the 41-50-year and 51-60-year age groups. (C) 2003 Wiley- Liss, Inc.
|Appears in Collections:||醫學系|
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.