scholarly journals Overactive bladder syndrome is associated with detrusor overactivity and abnormal voiding pattern in nulliparous women

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Jessica Jay Fang ◽  
Ming-Ping Wu ◽  
Yu-Chun Yen ◽  
Jeng-Cheng Wu ◽  
Hung-Yen Chin
2020 ◽  
Author(s):  
Jessica Fang ◽  
Ming-Ping Wu ◽  
Yu-Chun Yen ◽  
Jeng-Cheng Wu ◽  
Hung-Yen Chin

Abstract Pregnancy and childbirth are frequently associated with overactive bladder syndrome (OAB). However, the role of parous effects in OAB among nulliparous (NP) women remains controversial. This study investigated abnormal voiding patterns and DO among NP woman with OAB in comparison with parous women. From August 2011 to December 2018, 906 patients met the inclusion criteria for participation and were divided into three groups: 221 patients in the NP group, 571 patients in the normal spontaneous delivery (NSD) group, and 114 patients in the cesarean section (CS) group. Urodynamic study (UDS) examinations were performed, and the presence of DO, abnormal voiding patterns, and maximum urethral closure pressure (MUCP) were recorded. Data were analyzed using analysis of variance, χ2 tests, and independent t tests. Compared with parous women in the NSD and CS groups, patients in the NP group had a significantly higher prevalence of abnormal voiding patterns, DO and MUCP. Furthermore, abnormal voiding patterns were significantly associated with DO and MUCP respectively, especially in the NP group. We hypothesized that hypertonicity or poor relaxation of the pelvic muscle in NP women may cause functional BOO, which is related to their OAB.


2013 ◽  
Vol 177 (1) ◽  
pp. 21-22
Author(s):  
Miguel Silva-Ramos⁎ ◽  
Isabel Silva⁎ ◽  
Olga Oliveira ◽  
Sónia Ferreira ◽  
Maria Júlia Reis ◽  
...  

PLoS ONE ◽  
2013 ◽  
Vol 8 (5) ◽  
pp. e64696 ◽  
Author(s):  
Miguel Silva-Ramos ◽  
Isabel Silva ◽  
Olga Oliveira ◽  
Sónia Ferreira ◽  
Maria Júlia Reis ◽  
...  

Author(s):  
Jai B. Sharma ◽  
Mukul Chauhan ◽  
Neerja Bhatla ◽  
Amlesh Seth ◽  
Rajesh Kumari ◽  
...  

Background: Overactive bladder syndrome (OAB) is a common condition. The aim of the present study was to correlate the incontinence impact questionnaire (IIQ) score with urodynamic studies in patients of overactive bladder syndrome.Methods: It was a prospective study performed in a tertiary referral centre on 60 women with symptomatology of OAB. IIQ score was calculated and urodynamic studies were performed in all patients in which detrusor overactivity, maximum flow rate of urine per second (Qmax) and voiding time in seconds was calculated in all women.Results: The mean age was 42.3±9.91 years, mean body mass index was 24.7±2.71 kg/m2, mean parity was 2.4 and mean serum creatinine level was 0.84±0.21 mg/dl. Symptoms seen were urgency (100%), frequency (100%), urge incontinence (95.0%) and nocturia (76.6%). IIQ score ranged from 7-20 with mean being 12.27±3.38. OAB was mild in 36.6%, moderate in 41.66% and severe in 21.66% patients. On urodynamic studies, detrusor overactivity was present in 75% cases being 59% in mild, 80% in moderate and 76.92% in severe OAB. Mean Qmax increased with severity of OAB and was 29.55ml/second in mild OAB, 30.36ml/second in moderate OAB and 31.59 ml/second in severe OAB. Mean voiding time decreased with severity of OAB and was 33.44 seconds in mild OAB, 32.14 seconds in moderate OAB and 31.47 seconds in severe OAB.Conclusions: IIQ score and urodynamic studies are useful in diagnosis and quantification of OAB syndrome.


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