Evaluation of Diabetic Women in Terms of Lower Urinary Tract Symptoms, Overactive Bladder and Urinary Incontinence
Yıl: 2019 Cilt: 6 Sayı: 4 Sayfa Aralığı: 302 - 307 Metin Dili: İngilizce DOI: 10.4274/jus.galenos.2019.2500 İndeks Tarihi: 26-06-2020
Evaluation of Diabetic Women in Terms of Lower Urinary Tract Symptoms, Overactive Bladder and Urinary Incontinence
Öz: Objective: In this study, we aimed to evaluate the association of lower urinary tract symptoms (LUTS), overactive bladder (OAB) and urinaryincontinence (UI) with age, diabetic complications and glycaemic control in diabetic women.Materials and Methods: A total of 81 women diagnosed with Diabetes Mellitus were included in the study. Demographic characteristics includingage, height and weight of patients, full medical history, urine culture, serum creatinine levels and glycaemic control parameters including serumfasting blood glucose levels, serum satiety blood glucose levels and serum HbA1c levels. Turkish version of the OAB-V8, urinary distress inventory-6(UDI-6), incontinence impact questionnaire (IIQ-7) and the International Prostate Symptom Score (IPSS) were applied.Results: The mean age was 58.6±11.8 years. Thirty-five (43.2%) of the patients had diabetes-related complications. There was no statisticallysignificant relationship between OAB-V8, UDI-6, IPSS, IIQ-7 questionnaire scores and glycaemic control parameters, age, and presence of diabeticcomplications.Conclusion: To better understand the etiopathogenesis of diabetic bladder dysfunction and related complications including LUTS, OAB and UI, weneed randomized controlled studies with a greater number of patients.
Anahtar Kelime: Diyabetik Kadın Hastaların Alt Üriner Sistem Semptomları, Aşırı Aktif Mesane ve İdrar Kaçırma Açısından Değerlendirilmesi
Öz: Amaç: Bu çalışmada, diyabetik kadınlarda alt üriner sistem semptomları (AÜSS), aşırı aktif mesane (AAM) ve üriner inkontinans (Üİ) ile yaş, diyabetik komplikasyonlar ve glisemik kontrol arasındaki ilişkiyi değerlendirmeyi amaçladık. Gereç ve Yöntem: Çalışmaya Diabetes Mellitus tanısı konan toplam 81 kadın hasta dahil edildi. Hastaların yaş, boy ve kilosunu içeren demografik verileri, tam tıbbi öyküsü, idrar kültürü, serum kreatinin ile serum açlık kan şekeri, serum tokluk kan şekeri ve serum HbA1c seviyelerini içeren glisemik kontrol parametreleri kaydedildi. Hastalara AAM-V8, üriner distress envanteri-6 (ÜDE-6), inkontinans etkisi anketi (İEA-7) ve Uluslararası Prostat Semptom Skoru (UPSS) sorgulama formlarının valide edilmiş Türkçe versiyonları uygulandı. Bulgular: Yaş ortalaması 58,6±11,8 yıl idi. Hastaların 37’sinde (%43,2) diyabetle ilişkili komplikasyonlar vardı. AAM-V8, ÜDE-6, UPSS, İEA-7 anket puanları ile glisemik kontrol parametreleri, yaş ve diyabetik komplikasyonların varlığı arasında istatistiksel olarak anlamlı bir ilişki bulunamadı. Sonuç: Diyabetik mesane disfonksiyonu etyopatogenezi ile AÜSS, AAM ve Üİ gibi ilgili komplikasyonları daha iyi anlamak için, daha fazla sayıda hasta ile yapılacak randomize kontrollü çalışmalara ihtiyaç vardır.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- 1. Baskal N. Diabetes mellitus tanım, klasifikasyon, tanı, klinik, laboratuar ve patogenez [Definition, classification, diagnosis, clinic, laboratory and pathogenesis of diabetes mellitus]. 3th ed. Ankara: ANTIP A.Ş.; 2003. Turkish
- 2. Frimodt-Moller C. Diabetic cystopathy. A review of the urodynamic and clinical features of neurogenic bladder dysfunction in diabetes mellitus. Dan Med Bull 1978;25:49-60.
- 3. Frimodt-Moller C. Diabetic Cystopathy: Epidemiology and Related Disorders. Ann Intern Med 1980;92:318-321.
- 4. Tarcan T, Mangır N, Özgür MÖ, Akbal C. OAB-V8 Overactive bladder questionnaire form validation study. The Journal of Female and Functional Urology 2012;21:113-116.
- 5. Cam C, Sakalli M, Ay P, Cam M, Karateke A. Validation of the short forms of the incontinence impact questionnaire (IIQ-7) and the urogenital distress inventory (UDI-6) in a Turkish population. Neurourol Urodyn 2007;26:129- 133.6. Okamura K, Nojiri Y, Osuga Y, Tange C. Psychometric Analysis of International Prostate Symptom Score for Female Lower Urinary Tract Symptoms. Urology 2009;73:1199-1202.
- 7. Hsiao S-M, Lin H-H, Kuo H-C. International prostate symptom score for assessing lower urinary tract dysfunction in women. Int Urogynecol J 2013;24:263-267.
- 8. Türkiye Endokrinoloji ve Metabolizma Derneği Diabetes Mellitus Çalışma Grubu [Turkish Association of Endocrinology and Metabolism Diabetes Mellitus Working Group]. Diabetes Mellitus Tanı, Takip ve Tedavi Kılavuzu [Diabetes Mellitus Diagnosis, Follow-Up and Treatment Guide]. 2014. Available from: http://www.turkendokrin.org/Kilavuzlar. Turkish
- 9. Yavuz U, Özkürkçügil C. Relationship between diabetes mellitus and lower urinary system symptoms. The Journal of Female and Functional Urology 2012;2:13-16.
- 10. Coyne K, Revicki D, Hunt T, Corey R, Stewart W, Bentkover J, Kurth H, Abrams P. Psychometric validation of an overactive bladder symptom and healthrelated quality of life questionnaire: the OAB-q. Qual Life Res 2002;11:563- 574.
- 11. Shumaker SA, Wyman JF, Uebersax JS, McClish D, Fantl JA. Healthrelated quality of life measures for women with urinary incontinence: the Incontinence Impact Questionnaire and the Urogenital Distress Inventory. Continence Program in Women (CPW) Research Group. Qual Life Res 1994;3:291-306.
- 12. Uebersax JS, Wyman JF, Shumaker SA, McClish DK, Fantl JA. Short forms to assess life quality and symptom distress for urinary incontinence in women: the Incontinence Impact Questionnaire and the Urogenital Distress Inventory. Continence Program for Women Research Group. Neurourol Urodyn 1995;14:131-139.
- 13. Lachin JM, Genuth S, Nathan DM, Zinman B, Rutledge BN; DCCT/EDIC Research Group. Effect of Glycemic Exposure on the Risk of Microvascular Complications in the Diabetes Control and Complications Trial--Revisited. Diabetes 2008;57:995-1001.
- 14. Chiu A-F, Huang M-H, Wang C-C, Kuo HC. Higher glycosylated hemoglobin levels increase the risk of overactive bladder syndrome in patients with type 2 diabetes mellitus. Int J Urol 2012;19:995-1001.
- 15. Fayyad AM, Hill SR, Jones G. Prevalence and risk factors for bothersome lower urinary tract symptoms in women with diabetes mellitus from hospital-based diabetes clinic. Int Urogynecol J 2009;20:1339-1344.
- 16. Liu R-T, Chung M-S, Lee W-C, Chang SW, Huang ST, Yang KD, Chancellor MB, Chuang YC. Prevalence of Overactive Bladder and Associated Risk Factors in 1359 Patients With Type 2 Diabetes. Urology 2011;78:1040-1045.
- 17. Smith PP. Aging and the underactive detrusor: A failure of activity or activation? Neurourol Urodyn 2010;29:408-412.
- 18. Sarici H, Ozgur BC, Telli O, Doluoglu OG, Eroglu M, Bozkurt S. The Prevalence of Overactive Bladder Syndrome and Urinary Incontinence in a Turkish Women Population; Associated Risk Factors and Effect on Quality of Life. Urologia 2016;83:93-98.
- 19. Wen JG, Li JS, Wang ZM, Huang CX, Shang XP, Su ZQ, Lu YT, Suo ZH, Wang Y, Qin GJ, Zhang WX, Heesakkers JP. The prevalence and risk factors of OAB in middle-aged and old people in China. Neurourol Urodyn 2014;33:387-391.
- 20. Palleschi G, Pastore AL, Maggioni C, Fuschi A, Pacini L, Petrozza V, Carbone A. Overactive bladder in diabetes mellitus patients: a questionnaire-based observational investigation. World J Urol 2014;32:1021-1025.
- 21. Tai H-C, Chung S-D, Ho C-H, Tai TY, Yang WS, Tseng CH, Wu HP, Yu HJ. Metabolic Syndrome Components Worsen Lower Urinary Tract Symptoms in Women with Type 2 Diabetes. J Clin Endocrinol Metab 2010;95:1143-1150.
- 22. Karoli R, Bhat S, Fatima J, Priya S. A study of bladder dysfunction in women with type 2 diabetes mellitus. Indian J Endocrinol Metab 2014;18:552-557.
| APA | Bıçaklıoğlu F, koparal m, bulut e, BARLAS İ, Küpeli B, Şen İ (2019). Evaluation of Diabetic Women in Terms of Lower Urinary Tract Symptoms, Overactive Bladder and Urinary Incontinence. , 302 - 307. 10.4274/jus.galenos.2019.2500 |
| Chicago | Bıçaklıoğlu Fatih,koparal murat yavuz,bulut ender cem,BARLAS İrfan Şafak,Küpeli Bora,Şen İlker Evaluation of Diabetic Women in Terms of Lower Urinary Tract Symptoms, Overactive Bladder and Urinary Incontinence. (2019): 302 - 307. 10.4274/jus.galenos.2019.2500 |
| MLA | Bıçaklıoğlu Fatih,koparal murat yavuz,bulut ender cem,BARLAS İrfan Şafak,Küpeli Bora,Şen İlker Evaluation of Diabetic Women in Terms of Lower Urinary Tract Symptoms, Overactive Bladder and Urinary Incontinence. , 2019, ss.302 - 307. 10.4274/jus.galenos.2019.2500 |
| AMA | Bıçaklıoğlu F,koparal m,bulut e,BARLAS İ,Küpeli B,Şen İ Evaluation of Diabetic Women in Terms of Lower Urinary Tract Symptoms, Overactive Bladder and Urinary Incontinence. . 2019; 302 - 307. 10.4274/jus.galenos.2019.2500 |
| Vancouver | Bıçaklıoğlu F,koparal m,bulut e,BARLAS İ,Küpeli B,Şen İ Evaluation of Diabetic Women in Terms of Lower Urinary Tract Symptoms, Overactive Bladder and Urinary Incontinence. . 2019; 302 - 307. 10.4274/jus.galenos.2019.2500 |
| IEEE | Bıçaklıoğlu F,koparal m,bulut e,BARLAS İ,Küpeli B,Şen İ "Evaluation of Diabetic Women in Terms of Lower Urinary Tract Symptoms, Overactive Bladder and Urinary Incontinence." , ss.302 - 307, 2019. 10.4274/jus.galenos.2019.2500 |
| ISNAD | Bıçaklıoğlu, Fatih vd. "Evaluation of Diabetic Women in Terms of Lower Urinary Tract Symptoms, Overactive Bladder and Urinary Incontinence". (2019), 302-307. https://doi.org/10.4274/jus.galenos.2019.2500 |
| APA | Bıçaklıoğlu F, koparal m, bulut e, BARLAS İ, Küpeli B, Şen İ (2019). Evaluation of Diabetic Women in Terms of Lower Urinary Tract Symptoms, Overactive Bladder and Urinary Incontinence. Journal of Urological Surgery, 6(4), 302 - 307. 10.4274/jus.galenos.2019.2500 |
| Chicago | Bıçaklıoğlu Fatih,koparal murat yavuz,bulut ender cem,BARLAS İrfan Şafak,Küpeli Bora,Şen İlker Evaluation of Diabetic Women in Terms of Lower Urinary Tract Symptoms, Overactive Bladder and Urinary Incontinence. Journal of Urological Surgery 6, no.4 (2019): 302 - 307. 10.4274/jus.galenos.2019.2500 |
| MLA | Bıçaklıoğlu Fatih,koparal murat yavuz,bulut ender cem,BARLAS İrfan Şafak,Küpeli Bora,Şen İlker Evaluation of Diabetic Women in Terms of Lower Urinary Tract Symptoms, Overactive Bladder and Urinary Incontinence. Journal of Urological Surgery, vol.6, no.4, 2019, ss.302 - 307. 10.4274/jus.galenos.2019.2500 |
| AMA | Bıçaklıoğlu F,koparal m,bulut e,BARLAS İ,Küpeli B,Şen İ Evaluation of Diabetic Women in Terms of Lower Urinary Tract Symptoms, Overactive Bladder and Urinary Incontinence. Journal of Urological Surgery. 2019; 6(4): 302 - 307. 10.4274/jus.galenos.2019.2500 |
| Vancouver | Bıçaklıoğlu F,koparal m,bulut e,BARLAS İ,Küpeli B,Şen İ Evaluation of Diabetic Women in Terms of Lower Urinary Tract Symptoms, Overactive Bladder and Urinary Incontinence. Journal of Urological Surgery. 2019; 6(4): 302 - 307. 10.4274/jus.galenos.2019.2500 |
| IEEE | Bıçaklıoğlu F,koparal m,bulut e,BARLAS İ,Küpeli B,Şen İ "Evaluation of Diabetic Women in Terms of Lower Urinary Tract Symptoms, Overactive Bladder and Urinary Incontinence." Journal of Urological Surgery, 6, ss.302 - 307, 2019. 10.4274/jus.galenos.2019.2500 |
| ISNAD | Bıçaklıoğlu, Fatih vd. "Evaluation of Diabetic Women in Terms of Lower Urinary Tract Symptoms, Overactive Bladder and Urinary Incontinence". Journal of Urological Surgery 6/4 (2019), 302-307. https://doi.org/10.4274/jus.galenos.2019.2500 |
