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Nocturnal enuresis: prevalence and associated LUTS in adult women attending a urogynaecology clinic

Introduction Nocturnal enuresis (NE) is an underreported symptom with a profound impact on quality of life. The primary objective of this study was to investigate the prevalence of NE and its association with other lower urinary tract symptoms (LUTS). Methods A validated pelvic floor questionnaire [...

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Published in:International Urogynecology Journal 2017-02, Vol.28 (2), p.315-320
Main Authors: Campbell, Patrick, Li, Weiguang, Money-Taylor, John, Davies, Joanna, Gray, Thomas, Radley, Stephen
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Li, Weiguang
Money-Taylor, John
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Gray, Thomas
Radley, Stephen
description Introduction Nocturnal enuresis (NE) is an underreported symptom with a profound impact on quality of life. The primary objective of this study was to investigate the prevalence of NE and its association with other lower urinary tract symptoms (LUTS). Methods A validated pelvic floor questionnaire [electronic Personal Assessment Questionnaire–Pelvic Floor (ePAQ-PF)] was completed by 2302 women attending a urogynaecology clinic over a 3-year period. Association between NE and overactive bladder (OAB), stress incontinence (SUI) and nocturia was assessed using logistic regression. Subgroup analysis was performed on women with NE undergoing transvaginal tape (TVT). Ethical approval was acquired from the University of Sheffield and statistical analysis performed using SPSS version 22. Results The overall prevalence of NE reported in the cohort was 23 % (536 women). The reporting of NE was significantly associated with OAB ( p  
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The primary objective of this study was to investigate the prevalence of NE and its association with other lower urinary tract symptoms (LUTS). Methods A validated pelvic floor questionnaire [electronic Personal Assessment Questionnaire–Pelvic Floor (ePAQ-PF)] was completed by 2302 women attending a urogynaecology clinic over a 3-year period. Association between NE and overactive bladder (OAB), stress incontinence (SUI) and nocturia was assessed using logistic regression. Subgroup analysis was performed on women with NE undergoing transvaginal tape (TVT). Ethical approval was acquired from the University of Sheffield and statistical analysis performed using SPSS version 22. Results The overall prevalence of NE reported in the cohort was 23 % (536 women). The reporting of NE was significantly associated with OAB ( p  &lt; 0.005), SUI ( p  &lt; 0.005) and nocturia ( p  &lt; 0.005). Of 84 women undergoing TVT, 49 % reported NE preoperatively. These women reported significantly more severe symptoms of SUI and OAB ( p  &lt; 0.05). Sixty percent reported improvement or cure of NE postoperatively, and this was dependent on improvement or cure of SUI ( p  &lt; 0.005). The presence of NE was a negative predictor for improvement in symptoms of SUI following TVT ( p  = 0.037). Conclusion This study provides insight into NE, a commonly reported symptom in women attending urogynaecology clinics. To our knowledge, this is the first study to implicate stress incontinence as an important aetiological factor in women with NE. Further studies are required to better understand the aetiology of NE in adult women and relate this to management and outcome.</description><identifier>ISSN: 0937-3462</identifier><identifier>EISSN: 1433-3023</identifier><identifier>DOI: 10.1007/s00192-016-3099-0</identifier><identifier>PMID: 27480535</identifier><language>eng</language><publisher>London: Springer London</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Female ; Gynecology ; Humans ; Logistic Models ; Lower Urinary Tract Symptoms - complications ; Lower Urinary Tract Symptoms - epidemiology ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Nocturnal Enuresis - complications ; Nocturnal Enuresis - epidemiology ; Original Article ; Prevalence ; Quality of Life ; Surveys and Questionnaires ; Urology</subject><ispartof>International Urogynecology Journal, 2017-02, Vol.28 (2), p.315-320</ispartof><rights>The International Urogynecological Association 2016</rights><rights>International Urogynecology Journal is a copyright of Springer, 2017.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-86ba58f6bc80bb5cc2c83e8a1ae4d8ef35e9a5c2cd3ec7a8ba52da4342a1ea3f3</citedby><cites>FETCH-LOGICAL-c442t-86ba58f6bc80bb5cc2c83e8a1ae4d8ef35e9a5c2cd3ec7a8ba52da4342a1ea3f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27480535$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Campbell, Patrick</creatorcontrib><creatorcontrib>Li, Weiguang</creatorcontrib><creatorcontrib>Money-Taylor, John</creatorcontrib><creatorcontrib>Davies, Joanna</creatorcontrib><creatorcontrib>Gray, Thomas</creatorcontrib><creatorcontrib>Radley, Stephen</creatorcontrib><title>Nocturnal enuresis: prevalence and associated LUTS in adult women attending a urogynaecology clinic</title><title>International Urogynecology Journal</title><addtitle>Int Urogynecol J</addtitle><addtitle>Int Urogynecol J</addtitle><description>Introduction Nocturnal enuresis (NE) is an underreported symptom with a profound impact on quality of life. The primary objective of this study was to investigate the prevalence of NE and its association with other lower urinary tract symptoms (LUTS). Methods A validated pelvic floor questionnaire [electronic Personal Assessment Questionnaire–Pelvic Floor (ePAQ-PF)] was completed by 2302 women attending a urogynaecology clinic over a 3-year period. Association between NE and overactive bladder (OAB), stress incontinence (SUI) and nocturia was assessed using logistic regression. Subgroup analysis was performed on women with NE undergoing transvaginal tape (TVT). Ethical approval was acquired from the University of Sheffield and statistical analysis performed using SPSS version 22. Results The overall prevalence of NE reported in the cohort was 23 % (536 women). The reporting of NE was significantly associated with OAB ( p  &lt; 0.005), SUI ( p  &lt; 0.005) and nocturia ( p  &lt; 0.005). Of 84 women undergoing TVT, 49 % reported NE preoperatively. These women reported significantly more severe symptoms of SUI and OAB ( p  &lt; 0.05). Sixty percent reported improvement or cure of NE postoperatively, and this was dependent on improvement or cure of SUI ( p  &lt; 0.005). The presence of NE was a negative predictor for improvement in symptoms of SUI following TVT ( p  = 0.037). Conclusion This study provides insight into NE, a commonly reported symptom in women attending urogynaecology clinics. To our knowledge, this is the first study to implicate stress incontinence as an important aetiological factor in women with NE. Further studies are required to better understand the aetiology of NE in adult women and relate this to management and outcome.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Female</subject><subject>Gynecology</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Lower Urinary Tract Symptoms - complications</subject><subject>Lower Urinary Tract Symptoms - epidemiology</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Middle Aged</subject><subject>Nocturnal Enuresis - complications</subject><subject>Nocturnal Enuresis - epidemiology</subject><subject>Original Article</subject><subject>Prevalence</subject><subject>Quality of Life</subject><subject>Surveys and Questionnaires</subject><subject>Urology</subject><issn>0937-3462</issn><issn>1433-3023</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNp1kU1v1DAQhq0KRJfCD-gFWeLCJTD-SpzeUAUFaQUH2rM1cSarVFl7ayet-u_rZUtVIfU0X8-8I83L2KmAzwKg-ZIBRCsrEHWloG0rOGIroZUqlVSv2Apa1VRK1_KYvc35GgA0GHjDjmWjLRhlVsz_in5eUsCJU1gS5TGf8V2iW5woeOIYeo45Rz_iTD1fX13-4WPg2C_TzO_ilko-zxT6MWw48iXFzX1A8nEqCffTGEb_jr0ecMr0_jGesKvv3y7Pf1Tr3xc_z7-uK6-1nCtbd2jsUHfeQtcZ76W3iiwKJN1bGpShFk3p9op8g7bQskettERBqAZ1wj4ddHcp3iyUZ7cds6dpwkBxyU5YWTeqtaop6Mf_0Ov49wt7qjbSWKvqQokD5VPMOdHgdmncYrp3AtzeAXdwwBUH3N4BB2Xnw6Py0m2pf9r49_ICyAOQyyhsKD07_aLqA-VHkn4</recordid><startdate>20170201</startdate><enddate>20170201</enddate><creator>Campbell, Patrick</creator><creator>Li, Weiguang</creator><creator>Money-Taylor, John</creator><creator>Davies, Joanna</creator><creator>Gray, Thomas</creator><creator>Radley, Stephen</creator><general>Springer London</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20170201</creationdate><title>Nocturnal enuresis: prevalence and associated LUTS in adult women attending a urogynaecology clinic</title><author>Campbell, Patrick ; Li, Weiguang ; Money-Taylor, John ; Davies, Joanna ; Gray, Thomas ; Radley, Stephen</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-86ba58f6bc80bb5cc2c83e8a1ae4d8ef35e9a5c2cd3ec7a8ba52da4342a1ea3f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Female</topic><topic>Gynecology</topic><topic>Humans</topic><topic>Logistic Models</topic><topic>Lower Urinary Tract Symptoms - complications</topic><topic>Lower Urinary Tract Symptoms - epidemiology</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Middle Aged</topic><topic>Nocturnal Enuresis - complications</topic><topic>Nocturnal Enuresis - epidemiology</topic><topic>Original Article</topic><topic>Prevalence</topic><topic>Quality of Life</topic><topic>Surveys and Questionnaires</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Campbell, Patrick</creatorcontrib><creatorcontrib>Li, Weiguang</creatorcontrib><creatorcontrib>Money-Taylor, John</creatorcontrib><creatorcontrib>Davies, Joanna</creatorcontrib><creatorcontrib>Gray, Thomas</creatorcontrib><creatorcontrib>Radley, Stephen</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health &amp; 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The primary objective of this study was to investigate the prevalence of NE and its association with other lower urinary tract symptoms (LUTS). Methods A validated pelvic floor questionnaire [electronic Personal Assessment Questionnaire–Pelvic Floor (ePAQ-PF)] was completed by 2302 women attending a urogynaecology clinic over a 3-year period. Association between NE and overactive bladder (OAB), stress incontinence (SUI) and nocturia was assessed using logistic regression. Subgroup analysis was performed on women with NE undergoing transvaginal tape (TVT). Ethical approval was acquired from the University of Sheffield and statistical analysis performed using SPSS version 22. Results The overall prevalence of NE reported in the cohort was 23 % (536 women). The reporting of NE was significantly associated with OAB ( p  &lt; 0.005), SUI ( p  &lt; 0.005) and nocturia ( p  &lt; 0.005). Of 84 women undergoing TVT, 49 % reported NE preoperatively. These women reported significantly more severe symptoms of SUI and OAB ( p  &lt; 0.05). Sixty percent reported improvement or cure of NE postoperatively, and this was dependent on improvement or cure of SUI ( p  &lt; 0.005). The presence of NE was a negative predictor for improvement in symptoms of SUI following TVT ( p  = 0.037). Conclusion This study provides insight into NE, a commonly reported symptom in women attending urogynaecology clinics. To our knowledge, this is the first study to implicate stress incontinence as an important aetiological factor in women with NE. Further studies are required to better understand the aetiology of NE in adult women and relate this to management and outcome.</abstract><cop>London</cop><pub>Springer London</pub><pmid>27480535</pmid><doi>10.1007/s00192-016-3099-0</doi><tpages>6</tpages></addata></record>
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subjects Adult
Aged
Aged, 80 and over
Female
Gynecology
Humans
Logistic Models
Lower Urinary Tract Symptoms - complications
Lower Urinary Tract Symptoms - epidemiology
Medicine
Medicine & Public Health
Middle Aged
Nocturnal Enuresis - complications
Nocturnal Enuresis - epidemiology
Original Article
Prevalence
Quality of Life
Surveys and Questionnaires
Urology
title Nocturnal enuresis: prevalence and associated LUTS in adult women attending a urogynaecology clinic
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