A Comparison of the Lower Urinary System Symptoms of Women with Multiple Sclerosis and Healthy Subjects

Year 2021, Volume: 26 Issue: 2, 143 - 154, 29.05.2021

Gözde Tekin Nuriye Özengin , Sule Aydın Türkoğlu , Handan Ankaralı , Yeşim Bakar

https://doi.org/10.21673/anadoluklin.781617

Cited By: 2

Abstract

Aim: In this study, we aimed to compare the lower urinary tract symptoms of women diagnosed with multiple sclerosis (MS) and healthy volunteers.

Methods: The study included 48 women with MS (mean age: 41.13±10.93 years) and 51 healthy women (38.88±10.26 years). Sociodemographic characteristics were recorded. Then, lower urinary tract symptoms, pelvic floor problems, overactive bladder symptoms, and quality of life were assessed by the Bristol Female Lower Urinary Tract Symptom Index (BFLUTSI), the Pelvic Floor Distress Inventory-20 (PFDI-20) and the Global Pelvic Floor Bother Questionnaire (GPFBQ), the Overactive Bladder Questionnaire-V8 (OAB-V8), and the Multiple Sclerosis Quality of Life Ques-tionnaire-54 (MSQOL-54), respectively.

Results: A significant difference was found between the two groups in terms of their BFLUTSI storage, incontinence, and quality of life subscale and total scores (p≤0.05). Compared to healthy women, urinary incontinence complaints, mixed urinary incontinence frequency, pelvic floor problems, and overactive bladder symptoms were more common in women with MS (p≤0.05). The mean MSQOL-54 physical and mental health composite scores of women with MS were 58.65±19.08 and 63.68±20.48, respectively; and their mean MSQOL-54 total health score was found to be 122.33±36.2.

Conclusion: In women with MS, lower urinary tract symptoms are more common and quality of life is negatively affected. In clinical evaluations, urinary incontinence problems should not be neglected and symptoms of the lower urinary tract should also be examined.

Keywords

Demyelinating diseases, urinary incontinence, pelvic floor, multipl sclerosis, urinary symptoms, woman

Multipl Skleroz Tanılı ve Sağlıklı Kadınların Alt Üriner Sistem Semptomlarının Karşılaştırılması

Abstract

Amaç: Bu çalışmada, multipl skleroz (MS) tanılı kadınların ve sağlıklı gönüllülerin alt üriner sistem semptomlarını karşılaştırmak amaçlanmıştır.

Yöntem: Çalışmaya MS’li 48 kadın (ortalama yaş 41,13±10,93 yıl) ile sağlıklı 51 kadın (38,88±10,26 yıl) dahil edildi. Sosyodemografik özellikler kaydedildikten sonra alt üriner sistem semptomları Bristol Kadın Alt Üriner Sistem Semptomları İndeksi (BKAÜSSİ) ile, pelvik taban prob¬lemleri Pelvik Taban Distres Envanteri-20 (PTDE-20) ve Global Pelvik Taban Rahatsızlık Anketi (GPTRA) ile, aşırı aktif mesane semptomları Aşırı Aktif Mesane Anketi-V8 (AAM-V8) ile, yaşam kali¬tesi Multipl Skleroz Yaşam Kalitesi Anketi-54 (MSYKA-54) ile değerlendirildi.

Bulgular: İki grubun BKAÜSSİ depolama, inkontinans ve yaşam kalitesi alt boyut ve toplam puan¬ları arasında anlamlı fark saptandı (p≤0,05). Üriner inkontinans şikayetleri, mikst üriner inkontinans sıklığı, pelvik taban problemleri ve aşırı aktif mesane semptomları MS’li kadınlarda sağlıklı kadınlara kıyasla daha yaygındı (p≤0,05). MS’li kadınların ortalama MSYKA-54 bileşik fiziksel ve mental sağ¬lık puanları sırasıyla 58,65±19,08 ve 63,68±20,48 idi, ortalama MSYKA-54 total sağlık puanları ise 122,33±36,2 olarak tespit edildi.

Sonuç: MS’li kadınlarda alt üriner sistem semptomları daha yaygındır ve yaşam kalitesi olumsuz etkilenmektedir. Klinik değerlendirmelerde üriner inkontinans problemleri göz ardı edilme¬meli, alt üriner sistem semptomları da incelenmelidir

Keywords

Demiyelinizan hastalıklar, üriner inkontinans, pelvik taban, kadın, multipl skleroz, üriner semptomlar

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