Prevalence of the overactive bladder syndrome by applying the international continence society definition

Prevalence of the overactive bladder syndrome by applying the international continence society definition
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DOI:
10.1016/j.eururo.2005.04.026
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发表时间:
2005-10-01
期刊:
影响因子:
23.4
通讯作者:
Madersbacher, S
Madersbacher, S
中科院分区:
医学1区
文献类型:
--
作者:
Temml, C;Heidler, S;Madersbacher, S

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目的:为了确定膀胱过度活动症(OAB)综合征在城市人群中的患病率,通过使用国际尿失禁协会(ICS)的定义,并确定其对生活质量和性功能的影响。方法:妇女和男子参加了健康筛查项目在该地区的维也纳完成了布里斯托下尿路症状(LUTS)问卷。为了评估OAB的患病率,采用2002年ICS定义。此外,所有参与者进行了详细的健康检查,包括身体评估,生活方式因素的评价,实验室研究和urinalysis.Results:共1199名男性和1219名女性年龄在20 - 91岁进行了分析。男性(48.5 ± 13.1岁)的OAB患病率为10.2%(OAB(干性):8.4%; OAB(湿性):1.8%),女性为16.8%(49.5 ± 13.5岁; OAB(干性):10.3%; OAB(湿性):6.5%)。在女性中,OAB(干型)的患病率在6个生命年代中保持相当稳定,而OAB(湿型)在40岁后大幅增加。在男性中,OAB(湿)和OAB(干)在第三个生命十年后增加。在患有OAB的男性中,48%的人没有报告对生活质量的负面影响,36%的人有轻微的损害,9.8%的人有中度损害,2.5%的人有重度损害;女性的相应百分比分别为53%,33%,7.3%和6.3%。OAB(湿)对生活质量有更深远的影响。24%的男性和31%的women.Conclusion:OAB在这一人群中的高患病率,其负面影响的生活质量和性行为强调了这种综合征的重要性。(c)2005 Elsevier B.V.保留所有权利。
Purpose: To determine the prevalence of the overactive bladder (OAB) syndrome in an urban population by using the International Continence Society (ICS) definition and to determine its impact on quality of life and sexual function.Methods: Women and men participating in a health screening project in the area of Vienna completed the Bristol Lower Urinary Tract Symptoms (LUTS) questionnaire. To assess the prevalence of OAB the 2002 ICS definition was applied. In addition, all participants underwent a detailed health examination, including physical assessment, evaluation of life style factors, laboratory study and urinalysis.Results: A total of 1199 men and 1219 women aged 20-91 years were analysed. The prevalence of OAB in men (48.5 +/- 13.1 years) was 10.2% (OAB(dry): 8.4%; OAB(wet): 1.8%) and 16.8% in women (49.5 +/- 13.5 years; OAB(dry):10.3%; OAB(wet): 6.5%). In women, the prevalence of OAB(dry) remained fairly stable over 6 life decades, while OAB(wet) increased substantially after the age of 40 years. In men OAB(wet) and OAB(dry) increased after the third life decade. In men with OAB, 48% did not report a negative impact on quality of life, 36% had minimal, 9.8% moderate and 2.5% severe impairment; the respective percentages for women were 53%, 33%, 7.3% and 6.3%. OAB(wet) had a more profound impact on quality of life. A negative impact of OAB on sexuality was reported by 24% of men and 31% of women.Conclusion: The high prevalence of OAB in this population, its negative impact of quality of life and sexuality underline the importance of this syndrome. (c) 2005 Elsevier B.V. All rights reserved.