Lower urinary tract symptoms in women with pelvic organ prolapse

• Published in: International Urogynecology Journal 2010-06, Vol.21 (6), p.665-672
• Main Authors: Lowder, Jerry L., Frankman, Elizabeth A., Ghetti, Chiara, Burrows, Lara J., Krohn, Marijane A., Moalli, Pamela, Zyczynski, Halina
• Format: Article
• Language: English
• Subjects: Aged; Female; Gynecology; Humans; Medicine; Medicine & Public Health; Middle Aged; Original Article; Pelvic Organ Prolapse - complications; Pennsylvania - epidemiology; Prevalence; Urinary Incontinence, Stress - complications; Urinary Incontinence, Stress - epidemiology; Urinary Incontinence, Stress - etiology; Urinary Incontinence, Urge - complications; Urinary Incontinence, Urge - epidemiology; Urinary Incontinence, Urge - etiology; Urology
• ISSN: 0937-3462; 1433-3023
• DOI: 10.1007/s00192-009-1088-2

Introduction and hypothesis The objective of this study was to describe lower urinary tract symptoms (LUTS) and urinary incontinence (UI) symptoms in women with prolapse. Methods LUTS were measured with the urinary distress inventory (UDI) and UI symptoms with UDI and the Medical, Epidemiological and Social Aspects of Aging (MESA) in women with POPQ stage ≥I support. UI symptoms were classified as stress- or urge-only, stress-predominant or urge-predominant mixed, or mixed. Bladder function was assessed by urodynamics. Bi- and multivariable analyses were performed. Results Three hundred thirty-six women aged 62 ± 13 years were characterized by UDI scores as having mixed 72% ( n  = 242), urge-only 24% ( n  = 80), and stress-only