J Korean Biol Nurs Sci.  2017 May;19(2):60-68. 10.7586/jkbns.2017.19.2.60.

Characteristics of Mixed Urinary Incontinence and Stress Urinary Incontinence: Relationship between Lower Urinary Tract Symptoms and Urodynamic Parameters

• Lee JY
• Song M

• KMID: 2382104
• DOI: http://doi.org/10.7586/jkbns.2017.19.2.60

Abstract

PURPOSE
The purpose of this study was to analyze the relationship between lower urinary tract symptoms and urodynamic parameters to investigate the characteristics of mixed urinary incontinence (MUI) and stress urinary incontinence (SUI).
METHODS
The subjects were 318 women with MUI and 128 women with SUI. Data were collected retrospectively from electronic medical records including Bristol Female Lower Urinary Tract Symptoms-Scored Form (BFLUTS-SF), Incontinence Quality of Life Instrument (I-QOL), voiding diaries, and urodynamic parameters.
RESULTS
Compared with the SUI group, the MUI group was older and showed lower I-QOL and more severe urinary tract symptoms. The MUI group had more urinary frequency, more nocturia, and a higher urgency score than the SUI group. In the correlation analysis, the greatest difference between the two groups was that urgency was associated with Qmax, maximal cystometric capacity, and detrusor condition over activity only in the MUI group (r=−.175, p=.004; r=−.281, p<.001; r=.232, p<.001, respectively).
CONCLUSION
As a result of this study, we propose that a customized management program that emphasizes the control of pelvic floor for the MUI group, and one that effectively strengthens the weak pelvic floor for the SUI group.

Keyword

Mixed urinary incontinence; Stress urinary incontinence; Lower urinary tract symptoms; Urodynamic parameters

MeSH Terms

Electronic Health Records
Female
Humans
Lower Urinary Tract Symptoms*
Nocturia
Pelvic Floor
Quality of Life
Retrospective Studies
Urinary Incontinence*
Urinary Tract
Urodynamics*